Madison Community Hospital (MCH) has collected data that has demonstrated that the there is a need to improve hand hygiene to prevent the spread of MRSA in their institution. Based on the findings it has become evident that the use of the FOCUS-PDCA model would help promote the changes necessary to prevent the spread of MRSA and by so doing minimize the risk of negative publicity that may come from such an outbreak at MCH. Through the use of data collection it was determined that roughly 40% of healthcare workers at MCH perform proper hand hygiene when entering and leaving a patient room. The FOCUS model will help define the issue, organize a plan, clarify the results to develop an appropriate processes map, understand the data to be able …show more content…
As mentioned earlier, workflow, busy days, distractions, emergencies, visitors and lack of proper education and incentive are some of the many barriers that prevent complete compliance with any process. In order to determine the factors involved in non-compliance there will need to be a time of observation and data gathering to decipher why non-compliance exists. The reason this would time a lot of time would be due to the fact that the issue is not just caused by medical staff, but rather by everyone that enters the hospital or any patient room. This type of quality improvement project would take the right type of incentive to improve outcomes (Buchbinder & Shanks, 2016). For example, if this was just a quality improvement amongst health care providers MCH could offer a “Safety Incentive Bonus” that would be granted to staff if the hand hygiene compliance increase to 90% in one year across the entire institution. Providing a financial incentive to a quality improvement project increases the probability that staff will adhere to the proper hand hygiene protocol and will also encourage peers and patient visitors to do so as well. While an incentive per unit compliance would also work, if institutional increase in hand hygiene compliance is the process that is in dire need of improvement, an institutional incentive would be more
Implementation will need to increase by medical staff to decrease disadvantages
Better (2007), by Atul Gawande begins with the story of Dr.Gawande as a surgeon in his final year in medical school. The first struck me because of the patient’s story. It was an elderly patient who nearly died from septic shock had it not been for a senior resident who checked on the patient twice each time making a life altering intervention to prevent the patient with pneumonia from going septic shock from resistant, fulminant pneumonia. Dr.Gawande discusses the importance of handwashing. In my own practice, this is something that I can incorporate in my own practice.
Multi Resistant Staphylococcus aureus (MRSA) is a strand of Staphylococcus aureus that has become resistant to many commonly used antibiotics. Staphylococcus aureus is an infectious disease that is mostly harmless. However, upon entering the body, it can cause various types of infections in almost any part or organ system within the body. These infections include skin infections, invasive infections, and in rare cases it may cause illness.
It must incorporate innovative approaches to create a stronger organizational ethics culture change, quality improvement intervention, new policies, standards, tools, metrics, and on going in-house monitoring of sterilization areas the hospital can help safeguard from this type of issue from happening again. Additionally the hospital needs to take appropriate disciplinary action against all employees involved that were not performing their job’s properly, this includes not only the technicians but the head of sterile processing. Furthermore the staff must improve the training on sterilization methods, this includes the consequences of not following proper
Researchers used nursing theories to help guide research on complicated phenomena(Connelly, 2014). After reviewing evidences collected on the topic "Antibiotic therapy and Clostridium difficile infection (CDI)", the most common theories that have been cited are, exposure to antibiotic, especiallyin patients that have been previously diagnosed with bacterial infections(respiratory, urinary and osteoarticular infections) are significanly at risk for acquiring CDI and theory for prevention cited was implementation of an Antibiotic stewardship program. Inaddition,hand hygiene, contact precaution and environmental cleaning protocols where other interventions listed. Concept Definitions Exposure to antibiotic- is operationally defined as the last time within 30 days a hospitalized patients received antibiotic therapy before the current hospital
Staphylococcus epidermidis is the organism that was identified based on the tests that I had conducted. The tests that I used to identify this organism were the coagulase test and the catalase test. My bacterium was beta hemolytic as well. First, a gram stain had to be done to determine whether the organism was a gram positive organism or a gram negative organism. This determined which set of tests that had to be done.
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
The purpose of my study is to determine the effectiveness of universal MRSA screening in a non-ICU acute care setting compared to the use of targeted MRSA surveillance, in decreasing the risk of hospital acquired infection. I chose the qualitative design to use the past and recent articles for literature review. As a result, I can generate an evidence based and hypothesis for my chosen research study. I would like to understand and evaluate prior theories and contradictions that have been investigated and determined. Attached is my Qualitative Research Design Critique template.
I am employed at Borgess Hospital and in our office bathroom there is a sign to remind employees to wash their hands properly. This topic gets brought up frequently during staff meetings and we even have a few posters around the office. The instructions include 1. Wet hands with warm water 2. Apply soap 3.
Employees working in pediatrics hospital are supposed to take precautions to protect their patients and staff from exposure to potentially infectious materials. A fundamental component of standard infection prevention measures are a system of barrier precautions to be used by all personnel
Two in 100 people carry mrsa which isn 't major panic but still be= still i something. Mrsa virus is a bacteria that causes infection in different parts of the body . The full name of Mrsa is “ methicillinn rosistant stravolcus aurus”. Was first discovered in 1880’s and i first came to AMerica in 1968.
The results might gain more meaning if they could be strengthened more by increased actions to establish the importance of hand hygiene among care givers (Fox, et al., 2015). This condition is made extra appealing because the existence of the untoward events such as HAIs decreases the reimbursement by health care facilities based on the rules by CMS to decrease the frequency of adverse incident in care delivery. My PICOT Question For this project portfolio, the PICOT question of interest will be, if the use of hand washing, and antisepsis lower the rate of hospital acquired
• Washing hands – All services should have policies and procedures implemented within their program to encourage good hygiene such as washing hands, educators should role model these practises and teach the children when it’s appropriate to wash their hands, such as after they have been to the toilet, before and after meal times, and if they are sick to prevent the spread of infection through droplets in the air. Also educators need to be washing their hands before and after administering medication and changing children’s nappies, wiping snotty noses, dealing with bodily fluids and also wearing gloves as a barrier to prevent infection spreading. (Canberra, 2012) • Cleaning – All toys, surfaces and equipment in the service should be regularly cleaned and disinfected with warm soapy water, this helps prevent the spread of germs as depending on the age of the children they often go through stages of putting things in their mouths, and by cleaning floors and surfaces will help to keep dust and general dirt and grime to a minimum and also prevent the spread of infections. •
Hand washing is the single most important technique that a person can use in preventing the spread of infection. There is good reason to worry about infectious diseases right now, and not just because of Ebola (Winters, 2014). With flu season in full bloom and the lack of hand washing from most persons the public and health care workers are susceptible to contracting colds, influenza, gastrointestinal disorders, and more. Through proper hand washing techniques the chance for contracting such diseases can be greatly reduced. Health care workers and the public have three types of hand hygiene to choose from.
The problem is it really is a big deal that they are not washing their hands because they are facilitating the spread of infectious