ICU QUALITY IMPROVEMENT PROJECT

DECREASE THE HOSPITAL ACQUIRED BACTERIAL INFECTION AMONG ICU PATIENTS..

abstract. F O C U S.

F: Find the process to improve.. Prioritization Selection Matrix Project Name increase stad Increase VTE asRssment convEuxe to &scharge criteria VAP bundle conviiance Red•xe Hospital Pressure Ucer Hien High Risk High Problem Prone Patient Satisfaction Total 48 Rank Satisfaction.

Problem Statement:. Based on the data gathered, Among 120 patients admitted in ICU last December 2020 to January 2021, an average of 22% of patients had Hospital Acquired Bacterial Infection, causing significant delay on recovery of patients and increases the risk of complications leads to death..

SERRATIA MARCESCENS 44166 44197 2 2 NON-FERMENTED SPECIES 44166 44197 0 3 PSEUDOMONAS 44166 44197 1 3 STAPHYLOCOCCUS 44166 44197 1 3 KLEBSIELLA 44166 44197 3 2 CANDIDA ALBICANS 44166 44197 0 3 ACINETOBACTER 44166 44197 0 1 PROTEUS 44166 44197 1.

O: Organize a project team. MEMBERS. Ms. Anchu AV QUALITY LINK.

C : Clarify the current process. Patients in ICU.

U : Understand process variation. . Non-compliance with isolation precautions.

S: Select an improvement. PARETO CHART. NUMBER Improper sample collection Long staying patients Multiple patient assignment with different cases Unaware/noncompliance with antimicrobial protocol Non compliance with isolation precautions Improper cleaning of medical equipment and devices 18 16 15 9 7 4 PERCENT Improper sample collection Long staying patients Multiple patient assignment with different cases Unaware/noncompliance with antimicrobial protocol Non compliance with isolation precautions Improper cleaning of medical equipment and devices 0.2608695652173913 0.49275362318840582 0.71014492753623193 0.84057971014492749 0.94202898550724634 1.

P : Plan a change aimed at improvement.. SN TASK RESPONSIBLE PERSON DUE DATE STATUS 1. Conduct lecture and return demonstration on proper sample collection . Head of Laboratory Department 17/02/2021 Closed 2. Open IMCU department to accommodate long staying patients. Medical Director/ Head of ICU Department 10/02/2021 Closed 3. Employ 1:1 nurse-patient ratio or Handling patients with same bacterial isolates, (same organism) in inevitable situation. Director of Nursing/ Head Nurse 17/02/2021 Closed 4. Request for antimicrobial protocol and antibiotic stewardship program Head of Infection Control & Head of Pharmacy Department 21/02/2021 Closed 5. Strict adherence with antibiotic protocol for microbial prescribing patterns. Head of ICU Department 10/02/2021 Closed 6. To monitor & Enforcing strict adherence to recommended infection control practices. Infection Control Link 10/2/2021 Closed 7. Routine disinfection of ICU surface area at least twice per shift. ICU Staff Nurses 04/02/2021 Closed.

D: Do the plan. abstract. . abstract. .

D: Do the plan.

D: Do the plan. 21 AAVER ALDATEN CENTRAL HOSPITAL S' 'Nice MEETING AGENDA IN-TENSIVE CARE UNIT DATE: MARCH STATION AGENDA ITEM 2.1 2.2 3.1 3.2 43 4.4 FOI TAWAKALNA ROCHELLE on.1M0 HCH.ols.01Sl.37 äJljq TIME ALLOTMENT PRESEMEO BY; ROOIELI.E FAtru.

C : Check to see if an improvement was made. Implementation of the plan was monitored and evaluated through ICU Culture Monitoring. A significant improvement was noticed due to a strict and prompt implementation of the corrective actions..

A: Act on the result. % of Hospital Acquired Bacterial Infection 44197 44228 44256 44287 44317 44348 44378 0.28999999999999998 0.23 0.09 0.02 0.03 0 0 Goal 44197 44228 44256 44287 44317 44348 44378 0.05 0.05 0.05 0.05 0.05 0.05 0.05.

THANK YOU!. .