Hospital-Acquired Infections Assignment Discussion

In this assignment, you will make a QI initiative proposal based on a health issue of professional interest to you. This proposal will be based on an analysis of dashboard metrics from a health care facility. You have one of two options:

Option 1
If you have access to dashboard metrics related to a QI initiative proposal of interest to you:

Analyze data from the health care facility to identify a health care issue or an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a hospital setting, contact the quality management department to obtain the data you need.
You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA)Hospital-Acquired Infections Assignment Discussion.

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Option 2
If you do not have access to a dashboard or metrics related to a QI initiative proposal:

You may use the hospital data set provided in the Vila Health: Data Analysis media piece to identify a health care issue or an area of concern.
You will follow the same instructions and provide the same deliverables as your peers who select Option 1.
Complete the following steps for your proposal:

Analyze data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
Evaluate the quality of the data.
Outline a QI initiative proposal based on the selected health issue or area of concern and supporting data analysis to improve identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of a QI process and your assignment.
Identify the target areas of improvement and outcome measures.
Include the QI model that will be utilized.
Specify evidence-based strategies that will be utilized.
Integrate interprofessional perspectives and actions to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
Specify roles and responsibilities.
Apply effective collaboration strategies to promote QI of interprofessional care.
Include specific communication tools.
Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support argumenHospital-Acquired Infections Assignment Discussionts, correctly formatting citations and references using current APA style.

Guiding Questions

Data Analysis and Quality Improvement Initiative Proposal

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Data Analysis and Quality Improvement Initiative Proposal assignment. You may find it useful to use this document as a prewriting exercise, an outlining tool, or a final check to ensure you have sufficiently addressed all the grading criteria for this assignment. This document is a resource to help you complete the assignment. Do not turn in this document as your assignment submission.

Analyze data to identify a health care issue or an area of concern.

• What data does your institution gather? (Or, what data were provided in the media piece?)
• What is the quality of the data, and what can be learned from it? What does it tell you? What is missing?
• What is an organized way of looking at different data outputs?
• What metrics indicate opportunities for quality improvement?
• What are the trends? (Existence of data does not necessarily equate to a trend.)Hospital-Acquired Infections Assignment Discussion
• What are the outcome measures? What information do you need to calculate specific rates?
• Assess the stability of processes or outcomes. Are the outcomes fairly predictable? Identify any problematic variations or performance failures.
• Include the selected data set that was analyzed in the proposal. This could be a table or chart.

Outline a quality improvement initiative proposal based on a selected health issue or area of concern and supporting data analysis.

• What benchmarks align to existing quality improvement initiatives set by local, state, or federal health care policies or laws?
• What quality initiatives currently exist (if any) related to the selected issue? Why are they insufficient?
• Identify target areas for improvement.
• Define what processes can be modified to improve outcomes. You may find it helpful to review models for quality improvement initiatives in Week 4.
• Identify evidence-based strategies to improve quality.
• Evaluate quality improvement initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
• Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.

Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.

• Define interprofessional roles and responsibilities as they relate to the data and the quality improvement initiative.
• How would you make sure that all relevant roles are fully engaged in this effort?
• What non-nursing concepts would you incorporate into the initiative?
• How would outcomes to measure the effect of the intervention affect the interprofessional team?
• Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. How is work-life quality improved or enriched by the initiative? Hospital-Acquired Infections Assignment Discussion

Apply effective communication strategies to promote quality improvement of interprofessional care.

• What kind of interprofessional communication strategies will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative?
• What types of communications would you recommend in addition to writing?
• Are there any communication models (CUS, SBAR) you would include in your initiative proposal?

Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

• Is your analysis logically structured?
• Is your analysis 7–10 PowerPoint slides, with speaker notes (not including title slide and attached reference list)?
• Is your writing clear and free from errors?
• Did you use a minimum of five sources? Were they published within the last five years?
• Are they cited in current APA format throughout the plan?
• Have you included an attached reference list?Hospital-Acquired Infections Assignment Discussion

Hospital-acquired infections (HAIs) are infections that patients acquire while receiving treatment for medical or surgical conditions. They are a significant problem worldwide, affecting millions of patients each year and resulting in increased morbidity, mortality, and healthcare costs.

The healthcare organization upon which this analysis is based is a large urban hospital with 500 beds that provides acute care services. The hospital has a diverse patient population, including adult and paediatric patients, and provides a range of services, including medical and surgical care.

The hospital tracks the incidence of four types of HAIs: central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), surgical site infections (SSIs), and ventilator-associated pneumonia (VAP). The data for the past year are summarized in the table below

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The most common types of HAIs are CLABSIs, CAUTIs, SSIs, and VAP. An effective QI initiative proposal to reduce the incidence of thse infections is one that targets evidence-based strategies. The initiative should prioritize interventions like proper insertion and maintenance of central lines, catheter insertion and maintenance, proper surgical site preparation and wound care, and endotracheal tube care and management. Effective communication and education for healthcare staff, patients, and their families are essential components of the initiative and regular monitoring and evaluation would make sure that the desired outcomes are achieved. If implemented, this QI initiative proposal would effectively improve patient safety and healthcare outcomes if it involves a multidisciplinary team, regular monitoring and evaluation, and effective communication and education. Hospital-Acquired Infections Assignment Discussion

To achieve a 50% reduction in CLABSIs over the next year, we will measure the number of CLABSIs per 1,000 catheter-days.

Our goal is to reduce CAUTIs by 50% within the next year, and progress will be measured by monitoring the number of CAUTIs per 1,000 catheter-days.

We aim to decrease the incidence of SSIs by 25% within the next year, and the progress will be measured by the number of SSIs per 100 surgical procedures.

Our objective is to reduce VAPs by 25% over the next year, and we will use the number of VAPs per 1,000 ventilator-days as an outcome measure.

The Plan-Do-Study-Act (PDSA) cycle is a quality improvement model that involves four stages: Plan, Do, Study, and Act. During the Plan stage, the team identifies the problem, sets goals, and develops a plan to achieve them. In the Do stage, the team implements the plan and collects data. In the Study stage, the team analyzes the data to determine if the intervention was effective. In the Act stage, the team decides whether to adopt, modify, or abandon the intervention and continues the cycle to improve quality continuously Hospital-Acquired Infections Assignment Discussion.

Adopt a set of evidence-based practices to prevent CLABSIs, such as maintaining hand hygiene, using maximal barrier precautions during catheter insertion, and daily assessment of catheterization necessity.

Prevent CAUTIs by adopting a bundle of evidence-based practices. This includes daily assessment of catheterization necessity, using aseptic techniques during catheter insertion, and maintaining proper hand hygiene.

Prevent SSIs by utilizing evidence-based practices like ensuring proper surgical site preparation, maintaining normothermia during surgery, and appropriately using antibiotics.

Implement evidence-based practices for preventing VAP, including oral care with chlorhexidine, elevation of the head of the bed, and daily assessment of the need for continued ventilation.

An infection preventionist is a healthcare professional who oversees the implementation of evidence-based strategies to prevent healthcare-associated infections (HAIs)Hospital-Acquired Infections Assignment Discussion. They do this by coordinating with other healthcare staff to certify that the recommended practices are followed to reduce the risk of infections in healthcare settings. On the other hand, clinical staff members are responsible for adhering to the EBPs recommended by the infection preventions’ to prevent HAIs. They must report any deviations from these practices to the preventions promptly to guarantee the safety of patients and other healthcare workers.

Regular meetings between the infection preventionist and clinical staff to review data and identify areas for improvement. In addition to this, inclusion of all relevant departments in the QI initiative such as nursing, surgery team, and respiratory therapy.

Electronic medical record (EMR) alerts to remind clinical staff of the evidence-based practices.

Posters and flyers in patient rooms and clinical areas to promote hand hygiene and other infection prevention measures.

Staff education and training sessions on the evidence-based practices.  Hospital-Acquired Infections Assignment Discussion