Quarterly Coaching Calls occur 11:00 a.m. - 12:00 Noon ET, on the second Monday of the month each quarter. Coaching calls are for Florida hospitals only. They are intended to allow participating hospitals to discuss Florida specific problems, Q & A, and/or sharing effective practices.

Dial-in instructions are e-mailed to participating ICU teams prior to each call. If you need assistance, please contact Luanne MacNeill, luannem@fha.org, (407) 841-6230 x158.

2010 Florida CUSP/CLABSI Coaching Calls:
January 19, 2010 - Recording (mp3)
February 16, 2010 - Recording (mp3)
March 16, 2010
April 20, 2010 - Recording (mp3)
May 18, 2010
June 15, 2010 - Recording (mp3)
July 20, 2010 - Recording (mp3)
August 17, 2010 - Recording (mp3)
September 21, 2010 - Recording (mp3)
October 19, 2010 - Recording (mp3)
November 16, 2010 - Cancelled
December 15, 2010 - Recording (mp3)

2011 Florida CUSP/CLABSI Coaching Calls:
January 18, 2011 - Recording (mp3)
February 15, 2011
March 15, 2011 - Recording (mp3); Slides-SJMC
April 6, 2011 - Recording (mp3)
May 4, 2011
June 13, 2011 - Recording (mp3)
September 12, 2011 - Recording (mp3)
December 12, 2011 - Recording (mp3)

BEST PRACTICES / TOOLS / RESOURCES / ARTICLES:

Round Robin Exercise: How will the next patient be harmed? (11-17-2009)
Josie King Poster (Audrey Wellham, Baptist Hospital of Miami) - This picture of Josie and the narrative from Sorrel King's speech can be displayed in ICU units as a reminder: "How will the next patient be harmed?"
Sample Poster

Pledge Statement for ICU Nurses (Michael Smith, Baptist Medical Center South, 2-16-2010)
Sample Pledge Statement

Monthly Team Checkup Tool (David A. Thompson, DNSc, MS, RN, Johns Hopkins University School of Medicine, 3-16-2010)
Staff Perception of Evidence
MTCT Printable Form

Building a Central Line Cart (3-16-2010)
Appendix J - CLABSI Elimination Toolkit: Line Cart Inventory
Sample: Line Cart Inventory
Sample: Central Line Bag Non-ICU Inventory

Diagnostic Criteria for Confirming Line Infection (4-20-2010)
Cumitech on Blood Cultures
Central Line Insertion Care Team Checklist

Learning from Defects Round Robin Exercise and Tool Presentation (6-15-2010)
Learning from Defects Tool

Identifying Barriers to Evidence-based Guideline Compliance (7-20-2010)
Barrier Identification & Mitigation Tool

CLABSI Investigational Tool (7-20-2010; 9-21-2010)
CLABSI Infection Investigation Tool
CLABSI Root Cause Analysis Form

Conflict Resolution (10-19-2010)
Johns Hopkins Hospital Code of Conduct - hospitals can use this as a sample for developing a Code of Conduct policy

Central Line Maintenance (10-19-2010)
Central Line Maintenance Audit Form
Central Line Maintenance Dressing Change

Physician and Team Engagement / Checklists / Additional Resources (12-15-2010, Stop BSI Manuals & Toolkits)
Physician Engagement Self-diagnostic Tool
Board Checklist
CEO/Senior Leader Checklist
Infection Preventionist Checklist
Weeks without CLABSIs Banner

Spreading CUSP: Stop BSI program to other inpatient units (Kay Sams, H. Lee Moffitt Cancer Center, 1-18-2011)
Central Line Monitoring
Post-Insertion Central Line Bundle, Auditing for Compliance, Staff Education
Reduction in Central Line-associated Bloodstream Infections by Implementation of a Postinsertion Care Bundle
A Multimodal Approach to Central Venous Catheter Hub Care Can Decrease Catheter-related Bloodstream Infection

SHEA/IDSA Compendium for Prevention of CLA-BSI
Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals

Shands Jacksonville Medical Center - Sim Lab Training (Cynthia Gerdik, Division Director Critical Care, 3-15-2011)
Orange caps/passive disinfection and neg neutral IV cap
Bundle Review Template - "SJMC pink quality tool"

CDC updates guidelines for preventing bloodstream infections (4-6-2011)
The Centers for Disease Control and Prevention issued updated guidelines for preventing bloodstream infections in patients with intravenous catheters. The evidence-based guidelines were last updated in 2002. The revisions are based on the work of the Michigan Keystone Project, which is being implemented nationally as the On the CUSP: Stop BSI campaign, led by the AHA's Health Research & Educational Trust affiliate. "These guidelines reflect the current practice that has been successful in reducing these infections not only in Michigan but nationwide, especially when coupled with an emphasis on teamwork, clear communication and mutual accountability," said John Combes, M.D., HRET senior fellow and principal investigator for the CUSP program. The CDC last month reported a 58% decline in central line-associated bloodstream infections in U.S. hospital intensive care units between 2001 and 2009. Select to download print version (PDF File, 1 MB)

AHRQ: Project reduces bloodstream infections by 35 percent (4-6-2011)
Hospitals participating in the national On the CUSP: Stop BSI project reduced central line-associated bloodstream infections in adult intensive care units by an average of 35% in the first year of the program, according to a progress report released by the Agency for Healthcare Research and Quality. Infection rates dropped from an average 1.8 per 1,000 central line days to an average 1.17 for the more than 350 hospitals in 22 states that participated in the program in 2009. Select to download print version (PDF File, 430 KB)

Hospital Survey on Patient Safety Culture - 2011 User Comparative Database Report (4-6-11)
Based on data from 1,032 U.S. hospitals, the Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report provides initial results that hospitals can use to compare their patient safety culture to other U.S. hospitals. In addition, the 2011 report presents results showing change over time for 512 hospitals that submitted data more than once. Select to download print version (Part 1, PDF File, 1.7 MB; Parts 2 and 3, PDF File, 1.6 MB)

AHRQ: New Updated Report Highlights Hospitals' Progress in Reducing Bloodstream Infections (9-12-2011)
AHRQ releases a second report that highlights the progress that has been achieved by hospitals taking part in a national effort to reduce the incidence of central line-associated bloodstream infections (CLABSI) by implementing a Comprehensive Unit-based Safety Program (CUSP). Eliminating CLABSI: A National Patient Safety Imperative–Second Progress Report on the National On the CUSP: Stop BSI Project provides an update on the impact of the project and the number of State hospital associations, hospitals, and hospital teams that are implementing the clinical and safety culture changes proven to reduce CLABSI. Adult intensive care units included in this report are drawn from 32 states and territories, and more than 750 hospitals. This is an increase of 10 states and 400 hospitals since November 2010. These units have reduced their CLABSI rates by an average of 33 percent. As of November 2010, CLABSI rates had decreased by an average of 35 percent indicating rates are continuing to decrease but at a marginally slower rate. Select to download print version ( PDF File, 250 KB)

** For more resources and tools, please visit Stop BSI Manuals & Toolkits

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Florida CUSP/CLABSI Coaching Calls: