Skip to main content

Finding Local Solutions to Emerging Health Challenges

UW CSiM is a collaborative tackling today's stewardship challenges in rural medicine. Join us!

ASB 101

Description


2022 – 2023  project education focused

TBD Potentially working with lab to review policies to steward resources

Core Elements

Education

Educating clinicians about resistance and optimal prescribing.

PDSA Cycles


Progress on PDSA Cycle 2

Release education materials created in Cycle 1 to workforce. We are hoping to do a large scale release of the education materials to all care teams, providers, lab, ED, etc. We will have laminated copies at major points throughout the organization and round with each department that may be impacted by this education as a soft introduction. Beth Sutton and Sydney will round with departments upon distribution of the materials with backup as needed from other team members. We hope to have materials released by the end of March/beginning of April to care teams. We need time to put together laminated materials, enough laminations sleeves (as they were on backorder) and time to round with care teams.

On March 7, 2023, we presented our education materials, ASB Cohort data, and antibiogram (again) during the Med Staff meeting. Dr. Madison Beatty running the meeting gave us some accolades on the education materials; however, there was little engagement or feedback from the providers regarding these materials. This was more of an introduction to the materials and not a full blown distribution however — we figure the more exposure that we can give them, hopefully the more that the information will have an impact.

On March 9, 2023, we presented the education materials to the Infection Prevention and AMS subcommittee with surgery, ED nursing, Med/Surg nursing, CNO, and EVS leaders in attendance. Surgery, ED nursing, and Med/Surg nursing leaders seemed to push back on the information — stating it was going to be hard to get buy-in from the ED providers especially. Maybe we can meet with Devin, ED RN manager, or Dr. Edward Lisenbey, ED physician director, for some ideas on how to affectively distribute this info to the ED providers.

Goal: Engage one provider


Your organization has completed the following PDSA cycles. Click a heading to view a cycle's details.

Education Materials about what ASB is will be created to give out to three main areas of the hospital: Providers, Nursing, and Lab. We will be trying to inform the workforce what ASB is so they are able to start distinguishing if cases fall in line with ASB presentations. We ourselves first have to understand what ASB is and what true UTI symptoms are.

Tracking Documents:

Sydney and Beth gathered various materials to review what Asymptomatic Bacteria is and how it presents. Sydney was able to find various hand out materials that inspired the Valor Health handout and she found supporting peer-reviewed documentation for reference for the Valor Health education material. We were able to put an education material front and back page together based off of these sourced materials.

After putting the education materials together, we realized how much variation was among the reference materials/articles/handouts. We did our best to keep the materials consistent with the reference materials, but also had some variation present.

We met with University of Washington CSiM one on one and were able to show the education materials to Chloe and Whitney. They both gave great advice as to how our education materials could be updated to keep the information consistent and relevant to recent practices in addressing ASB. We took CSiM’s excitement of our handout as a win and a success. We did find it astonishing that there were so many varying signs and symptoms of UTI.

We’ll take forward the education materials along with the adoption of edits from the UW CSiM team. During our next cycle we are planning on distributing out these education materials to the workforce.