Clostridium difficile infection and transmission prevention continues to represent а difficult and serious challenge in patient safety and infection prevention. A single inpatient Clostridium difficile infection costs more than $35,000 in average and the estimated yearly cost burden for the health care system is more than $3 billion (MedPage Today, 2012). The epidemiology of Clostridium difficile infection is continue to change, and its presence in the community and the healthcare settings has caused healthcare personnel continue to re-evaluate approaches and perspectives.
There are many risk factors for Clostridium difficile infection such as an exposure to antibiotics, advanced age, and hospitalization. Almost all antibiotics have been involved
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Using of а standardized Clostridium difficile module for healthcare providers and the patients in addition to printable and electronic materials. The module was presented at a variety of quality, leadership, nursing liaison, and interdepartmental meetings. The information that will be provided will include information about the epidemiology of the infection, risk factors, and the clinical findings that associated with the infection, strains that are epidemic, control measures, and hospital-acquired Clostridium difficile infection …show more content…
It is defined as а standard group of criteria to recognize if the person has а disease or not. Standardized case definitions information will be used to compare the University of Chicago Medicine with other facilities (benchmarking), to monitor the infection rate over time, and to evaluate the effectiveness of the Clostridium difficile prevention strategies. There are two national Clostridium difficile surveillance that is used in acute care setting, the National Health Safety Network (NHSN), а division from the Center for Disease Control and Prevention (CDC), and the Clinical Practice Guidelines from the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). The University of Chicago Medicine will use the NHSN for national comparison (benchmarking). In case of plan failure, the University of Chicago Medicine will repeat the same steps of plan objectives as а plan B and auditing each step to make sure that plan is applied
Running head: Kevin Holland Kevin Holland Clostridium difficile is becoming a major problem inside of hospitals. There are many reasons as to why the bacteria is becoming a top priority while treating patients mainly inside of the hospital setting. Hospital-induced infections, lack of a proper diet, and even when people do not perform proper hygiene is causing this bacteria that is considered normal biota, to flourish and cause gastrointestinal distress. Bacteria have spent millions of years growing and their whole goal is to keep doing that.
The evaluation will include a regression model to measure the central line associated bloodstream infections (CLABS) using evidence – based practice norms to identify variations which allows the unit to improve and reduce CLABS. The plan also includes training the oncology pediatric nurses in safe administration of chemotherapeutic agents and passing the Oncology Nursing Society (ONS), Oncology Nursing Certification Corporation (ONCC) to meet national standards. To further improve the implementation of the indicator measurement process in treatment guidelines, it is recommended that the quality improvement and infection control teams will improve assessments using the QAPI worksheet to meet the CMS requirements for safe and quality outcomes, and reimbursement (Legal Information Institute, Cornell Law School,
A., Fisman, D. N., Moineddin, R., & Daneman, N. (2014). The magnitude and duration of Clostridium difficile infection risk associated with antibiotic therapy: A hospital cohort study. PLoS One, 9(8), e105454. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1371/journal.pone.0105 Connelly, L. M. (2014). Use of theoretical frameworks in research.
Northwell Health created a special Task Force focused on reduction of sepsis related deaths in the Emergency Department, as stated in the article “Reducing Sepsis Mortality.” The goal is to teach medical staff to recognize the signs and symptoms within an hour of patients arriving to the Emergency Department. This recognition then leads to a course of specific actions, such as, “ Early administration of antibiotics to septic patients, returning serum lactate test results to physicians, who could identify severe sepsis, starting empiric fluids quickly and appropriately,” as explained by Friedman, Gallo, Riebling and Doerfler. Northwell Health’s dedication and desire to improve the outcome of these patients lead to an understanding of the need
Monday as all past weeks has been one day a little hard for me as I am always nervous and I feel like I will not know how to act if an emergency situation arises. I was not able to sleep all night thinking about what I was going to find next day on the third floor. Today was a very exhausting day. Filled with many challenges and new things for me. It was the first time that I was with someone who had caution precaution because of C diff or Clostridium difficile infection and Methicillin-resistant Staphylococcus aureus (MRSA) infection.
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
The causative agent in clostridium difficile is a spore forming bacteria, which can be “transferred to patients mainly via the hands of healthcare personnel who have touched a contaminated surface or item” (CDC, 2015). Reasons such as these, is why it is important to teach patients about why they are on contact isolation, and why maintaining thorough hand hygiene is essential for stopping the spread of the disease throughout the hospital. Before the teaching took place, the patient was asked if any previous knowledge was held about the topic of clostridium difficile. The patient claimed no one had explained any part of the disease process or what changes needed to be made on the patient’s end of care. The patient had never had any exposure to this disease, however, the patient seemed rather eager, and was pleased that time was being taken to teach about the importance of containing clostridium
Central line associated bloodstream infections (CLABSIs) in 2009 were amongst 23,000 infections in the inpatient population of US hospitals. (Sweet, Cumpston, Briggs, Craig, & Hamadani, 2012) These infections increase morbidity of patients, mortality, and increase cost. Those that are at risk are the population with central venous catheters. This infection is commonly due to improper hub care and consequently provides the direct introduction of the bacteria into the blood stream. A fairly new intervention to prevent this morbid infection is the implementation of alcohol impregnated protective caps, otherwise known as the brand name Curos caps in addition to others.
Clostridium difficile, commonly known as “C. diff”, is a gram-positive bacillus. This highly contagious, opportunistic, bacterium is found mainly in long-term care facilities (nursing homes); however, it can also be considered to be a prevalent nosocomial acquired infection. It is a capsule forming, strict anaerobe, and its growth flourishes at body temperatures (thirty-seven degrees Celsius). Clostridium difficile can also be categorized as a motile (flagella present), spore forming bacterium that is found in an individual’s normal flora of the intestine. In addition, the C. difficile reservoir is prevalently found in water and soil reserves; thus, this bacterium can be labelled as ubiquitous in nature.
At the Veteran’s Administration Medical Center we use the Baldrige framework of excellence and a lean sigma method of performance improvement to make data driven decisions regarding the five areas of organizational excellence. The five areas of excellence include population health, patient experience, workforce excellence, financial stewardship, and service to the community. The VA has an unparalleled array of programs (dashboards) where data is gathered, critically analyzed and compared with established goals or targets. The programs report on all aspects of quality and safety, both in an inpatient and outpatient setting with implementing and evaluating actions put into place. There are four inpatient core measurement sets evaluated for quality at the VAMC and they are Acute
One method that will be essential for this writer’s proposal of adding ADCs to the current standard central line care and maintenance bundle (CLCMB) is to obtain and measure CLABSI rates and CL days on each unit 6 months prior to and post ADC implementation because it will allow a baseline comparison and trend analysis (Marschall et al., 2014). Another method will be performing a pre and post ADC implementation audit CLCMB documentation compliance using the adult intensive care unit (ICU) paper flow-sheet and the electronic health record (EHR) for non-ICU adult acute care units. Currently daily visual CLCMB compliance audits are already performed; however, an updated form that includes the ADC intervention will be needed to track compliance post implementation. In addition, the data from 6 months prior to the initiation of the ADCs will be retrieved for comparison. A pretest will be given to all staff that work with CLs to establish a baseline of staff awareness, knowledge and understanding of CLABSIs as well as current components of the CMB for CLABSI prevention and proper documentation.
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
INTRODUCTION Infection Prevention and Control (IPC) is one of the most important agents in the prevention of hospital acquired infections or what we termed nosocomial infections. IPC channels every member of the hospital, which includes, healthcare providers (HCP), patients and the hospitals perse. It is important to practice IPC commandment to every hospital as well as community. The Palestinian Ministry of Health (MOH) adopted the national IPC protocol.
This is a dangerous factor for humans and animals. Additionally, C. diff is an opportunistic infection, meaning that the pathogen will most likely thrive when the immune system is weak, such as during or after taking an antibiotic drug. This disease can be induced by treatment with antibiotics or by disruption of the normal gastrointestinal flora. C. diff has now become largely common in the hospital and
Hand washing or isolation of the sick persons with infections in the prevention of hospital acquired infections. 5. Does the use of hand washing, and antisepsis lower the rate of hospital acquired infections? The fifth PICOT question is selected because of the reported low compliance percentage among medical caregivers.