1/30/17
QI Part 2
Topic/Plan/Tool
I have chosen National Patient Safety Goal Number 7: Reduce the risk of health- care associated infections. Specifically part NPSG.07.03.01 which states to implement evidence- based practices to prevent health- care associated infections due to multidrug- resistant organisms in acute care hospitals. An element of this goal is implementing policies and procedures aimed at reducing the risk of transmitting multidrug- resistant organisms. My plan is to observe nurses caring for patients on contact precautions and audit if they are implementing the use of personal protective equipment when providing care to these patients. I will record observations as occurrences and I hope to observe at least 25, but will aim for 50. Below is the auditing tool that I will use to track …show more content…
In 77.7% of these occurrences, nurses failed to wear gloves upon entering the patient’s room and in 26% gowns were not worn when performing direct patient care. No known transmission of health- care associated infections due to multidrug- resistant organisms occurred however this negligence is unacceptable. According to the CDC contact transmission is the most important and frequent mode of transmission of nosocomial transmission.
The US centers for disease control has established guidelines for reducing health- care associated infections, in which evidence suggests to be effective. However, adherence to these guidelines remain poor. A recent review showed that observed adherence to hand hygiene was 52% (range 27-86%), and glove compliance and the use of gown or other protective clothing was 62% (range 11-98%) and 57% (range 8-93%) respectively (Ong, Magrabi, Post, Morris, Westbrook,