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Becton, Dickinson and — MACOVA 2020 Multidisciplinary Advanced Course on Vascular Access
19 slides from Becton, Dickinson and's conference presentation, April 2020
Slide 1: Presentation disclaimer
These presentations were developed by the respective presenter(s), and the findings, interpretations, and conclusions contained or expressed with them do not necessarily reflect the views of BD. To the extent these presentations relate to specific products, such products should always be used in acc
Slide 2: MACOVA 2020 Multidisciplinary Advanced Course on Vascular Access
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Slide 3: Methodology to evaluate clinical practice vs guidelines
Methodology to evaluate clinical practice vs guidelines. Experience and publication from Policlinic “Ca’ Granda” Milan Dr Alessandro Galazzi
Slide 4: Policlinico Cà Granda
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Slide 5: Policlinico Cà Granda facts and staff
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Slide 6: ALERT
Policlinico “Cà Granda” ● Perception of a problem about vascular access management ● Cannulas consumption ● Rate of early or accidental removals ALERT
Slide 7: Map the processes: what solution?
Map the processes: what solution? NEED RESPONSE
Slide 8: Signature Solution
Signature Solution ● BD Clinical Specialsts follow nurses during insertion, care and maintenance and removal of PIVC ● Never inferfere with clinical practice ● App on Tablet, best practice translated into questions
Slide 9: Signature Solution at Policlinico Hospital of Milan
Signature Solution at Policlinico Hospital of Milan April 2019 Authorisation May 2019 Introduction of the project First data collection Two Medicine Wards June 2019 Generation of the report October-November 2019 Second data collection ACTIONS OF and benchmarking IMPROVEMENT
Slide 10: Results of the first survey (1)
Results of the first survey (1)
Slide 11: Results of the first survey (2)
Results of the first survey (2)
Slide 12: First survey observation results
= 27% (74 obs.) ™73% (197 obs.) shing, was push pause technique used? = 37% (92 obs.) ™63% (156 obs.) administered post-drug delivery? = 33% (90 obs.) m67% (181 obs.) afety needle used to draw up? = 22% (55 obs.) m78% (193 obs.) eedlefree device / catheter hub cleaned and air dried before administra
Slide 13: Actions of improvement
Actions of improvement ● Reports ● Education by BD ○ 2 events for the Medicine 2 : full immersion methodology ○ 2 events for the Medicine 3: focused education ● Bundle revision ● Changing needs time
Slide 14: Results of the second survey (1)
Results of the second survey (1) Medicine 2 Unit (9/10) Medicine 3 Unit (12/14)
Slide 15: Medicine 2 Unit Medicine 3 Unit
Medicine 2 Unit • Full immersion methodology training • Bundle revision (prefilled sirynges) Medicine 3 Unit • Focused education • Bundle revision (prefilled sirynges)
Slide 16: Medicine 2 Unit Medicine 3 Unit results
Medicine 2 Unit Medicine 3 Unit
Slide 17: Discussion
DISCUSSION ● How many hospitals know the adherence to guidelines? ● How many facilities are concerned about having the right device for the right patient? ● How many centres evaluate the impact of their education? How?
Slide 18: Take home message
TAKE HOME MESSAGE Awareness Evaluate clinical practice Clinical and process outcomes Optimise resources and costs
Slide 19: Thank you
THANK YOU alessandro.galazzi@policlinico.mi.it adriano.torri@bd.com