CAUTI Case Study

In the area of strengths the one of the most important strengths provided during the interview was their current training program for federal regulatory compliance, this put the organization at an advantage even with more developed organizations

Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.

Other strengths that I exhibit include being structured, responsible, articulate, task-oriented, determined, confident, effective planner, visionary, and possessing the ability to manage resources effectively. Being structured allows me to set parameters that we can all work within to achieve the overall company goals. Structure builds bonds and a sense of cohesiveness in the workplace. This type of unity will be necessary for the success of the organization. We can all work towards common goals if clear goals are outlined for everyone. The other strengths will all work together as well.

There are two NPSG goals that appropriately fit the risk at hand. The first goal is NPSG.07.01.01, which is a risk that talks about complying with the Centers for Disease Control and Prevention and World Health Organization for hand hygiene. In enacting this into a hospital, this would cut down on the number of infections that are spread by the physical touch of the medical professionals. This is important because it holds medical staff responsible if they are not following the proper policy and procedure. If they do not follow it, and are repeat offenders, it would allow for terms of being written up or termination.

Elimination of HAI’s are a top priority for many healthcare related organizations and as such, the reduction of certain types of HAIs have been achieved. On the national level, the HAI Progress Report states that there has been, “Au 46 percent decrease in central line-associated bloodstream infections (CLABSI) and a 19 percent decrease in select surgical site infections (SSIs) between 2008 and 2013” as well as “an 8 percent decrease in hospital-onset MRSA bacteremia and a 10 percent decrease in hospital-onset C. difficile infections between 2011 and 2013” (CDC, 2015).

This makes it difficult to determine how much HH really affects the infection rates. Maintaining HH is very difficult. This study confirms the observation that institutional adoption of a guideline does not guarantee practice changes (Larson, 2007). The reduction in central line infections and ventilator acquired pneumonia occurred in both high and low compliance hospitals which indicates that there may be other variables affecting the results.|

The HAI legislation is implemented by State laws. The Bill was introduced to the House of Representatives in November 11 2007, and then was referred to the House Committee on Energy and Commerce. At last the bill was referred to the Subcommittee on Health. The legislation is also implemented by enforcing itself through awareness. There are currently 32 states that are requiring facilities, by law, to report HAI data to National Healthcare Safety Network. Overall the CDC is in charge with implementing the HAI prevention and reporting guidelines. According to the article “Healthcare-associated Infections” The CDC, in collaboration with other organizations, has developed guidelines for the prevention of CLABSI and other types of healthcare-associated

The inspection visit at Forth Valley Royal Hospital was unannounced and lasted a total of two days (NHS News, 2015). HEI is a vital component of Healthcare Improvement Scotland, which is a public health organisation dedicated to improving the NHS quality of Scottish healthcare (NHS News, 2015). Their primary focus is assessing the standard of patient care through a well-defined framework. By ensuring proper care within a safe and clean environment, HEI can provide public assurance and protection (HEI, 2015). This allows the Scottish community to maintain trust and confidence when affiliating with NHS members under a health center or hospital setting (HEI, 2015). HEI also aids in reducing the risk of healthcare related infections, through a rigorous assessment protocol (NHS News, 2015). The necessity of this procedure is vital as it evaluates the ability of healthcare workers to handle infection control between patients, staff, and themselves. The capacity in which they prevent the spread of infections is reflected upon their KSF management of the third core dimension. To uphold health, safety, and security, healthcare workers are expected to have a continuous working knowledge and practice of infection control policies (Barraclough, 2010). Standard infection control policies include an

Controlling spread of infection is the key for the individual or the health care provider and washing hands is the first step. Hand washing is the most single most important strategy for preventing infection transmission. HAIs are the most common complication of hospital care. However, recent studies suggest that implementing existing prevention practices can lead to up to a 70 percent reduction in certain HAIs. The financial benefit of using these prevention practices is estimated to be $25.0 billion to $31.5 billion in medical cost savings (Healthypeople.gov 2020).

Although there are huge amounts of HCAI problems (REF), staff continually fail to carry out basic hand hygiene. This leads to diminished quality of care and patient safety.

u01a1 Strategic Analysis Identify and Describe Your Organization's External Opportunities and Threats External Opportunities • Challenging economy - A lot of Transcat’s competitors in the calibration industry are still struggling financially due to today’s tough economy. Transcat has strong financial standing (i.e., has strong cash flow and consistently achieves good profit level), which gives Transcat a competitive advantage over its competitors. • Brand name - Transcat has a very good reputation for high quality and excellent customer service in the calibration service industry. Transcat can leverage its brand name to win new business. • Distribution business - Transcat is in the calibration service industry, but has a distribution (i.e., product

→ Recently build up a strong community that with involve AAL programme. They make a different events which would help to better understand about the AAL services.

Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including

Report for priority focus area under infection control standard, for Nightingale Community Hospital. Our hospital is 13 months away from its anticipated next Joint Commission visit (JAHCO).

Strengths - understand and incorporate the process into your preparation. Use the rehearsal process as the main focus for exploration and options. Use bold choices for