QI Initiative On Reducing Nosocomial Infections In Wards Instructor Date Part 1: The problem and mission Selected nursing indicator The newly appointed director of the Clinix realized that the facility’s rate of nosomical infections particularly in the inpatient wards was overwhelming as the figures stood above that recorded by similar hospitals in the state…
NHSN is a public health surveillance system that Centers for Disease Control and Prevention (CDC) supports for its healthcare-associated infection (HAI) prevention program (Dudeck, et al, 2013). Standardized Infection Ratio (SIR) is the National metric used to make comparisons of observed number of nosomical infections in the entire US during a particular period with the national baseline experiences. For instance the 5 year National Prevention Target which ends in 2013 stands at 50% reduction in Central Line- Associated Bloodstream Infection (CLBSI) in both intensive care unit (ICU) and wards located patients. This figure translates to a National Standardized Infection Ratio (SIR) for CLABSI=0.5. In other words the national benchmark for nosomical infections is SIR=0.5 as at 2013. It is noteworthy that SIR is often adjusted based on a number of predictor of CLABSI, which include teaching status, location type, central line utilization and bedside. The SIR data is vital in the sense that it indicates whether the infection rate is better, worse, or at the national benchmark. ...
After exclamations about the fate of the large patient population who were seen to be ailing frequently from infections, the issue was finally brought to the attention of the top managers of the organization as well as clinicians. There was final consensus among all the stakeholders that the rate of infections was too high and thus the need for immediate response to contain the situation and finally bring the rates below average numbers. The problem of hospital-acquired infection looks solvable though it remains a nagging problem not only to Clinix but also to most hospitals across the globe. Nosomica infections are undoubtedly a major burden on all of us. They claim significant number of lives as well as large amount of money. A large number of patients succumb to such nosomical infections from time to time and our management team did not want our cherished clients to form part of the that unfortunate statistics. The infection rate of SIR=2.9 was alarming for the stakeholders and as such, the entire management team felt the entrenched need to reduce infection rates in the wards making it a priority for the organization. According to the previous rates recorded by the organization concerning Nosomical infections, the past two years have recorded the highest infection rates, which stood at SIR=2.1 and 2.4 respectively. In fact, there was great concern that if this issue is not addressed in good time then there was likelihood of higher prevalence in future. Quality improvement (QI) model-PDSA After considering high rate of nosomical infection as a major issue in the hospital wards the next major task was to come up with the ...
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