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Identify, provide an overview and evidence of, a system, process or infrastructure improvement implemented within the last twelve months.
Show how leadership, professional communication and interpersonal skills have been applied working in partnership with patients, families and carers towards patient safety and quality have been implemented and monitored
State how legal and regulatory requirements associated with safety and quality have been implemented and monitored-Legal meant law: Cap 599, Cap 165,…etc, Regulatory meant Policy, Trent, JCI/ACHS Accreditation, ISO,…., State how and NOT, therefore, no need to list them all out accordingly. How those associated with safety and quality that have been implemented and monitored and not you think of or suggest.
Ensure you adequately and appropriately define and describe all major terms, including ‘system’, ‘quality processes,’ ‘infrastructure improvements’ and effectiveness’ (including identifying the criteria used to evaluate effectiveness in relation to quality and safety outcomes).
Carefully read and understand the essay topic, student directions and the Essay Marking Criteria and Standards Guide provided to assist you in the construction your essay.
The work is to be structured as a formal essay, with a relevant introduction, body of work, and conclusion, with no headings or subheadings. The work is to be written at an acceptable academic level and scholarly style and in the third person. Note that use of pronouns is to be avoided.
Adequately and appropriately use at least 15 recent ie. from 2007 peer reviewed, academic, research/evidence-based journal articles, (preferably from quality & safety, nursing management and leadership publications) to adequately support critical evaluation and discussion
The MRSA reduction program in My hospital(geriatric and medical unit) in hong kong as below:
Hospital acquired MRSA infections remain to be a major health care concern due to its high mortality and health care cost. The incidence of hospital acquired MRSA in M&G department has increased almost by 50% over the past year (2010 vs 2011 = 41 vs 61) and MRSA bacteraemia has doubled from 3 incidence in 2010 to 6 in 2011. Some of these infections or colonization are preventable. Improvement efforts from overseas and local hospitals have demonstrated success in MRSA control by implementing a combination of interventions.
A patient care enhancement program, “MRSA Reduction Program” is planned to be launched in M&G department with the aim to control hospital acquired MRSA infections and colonization.
The program will include 6 components:
1) Bathing MRSA patients with 2% Chlorhexidine Skin Cleanser to reduce colonization burden.
2) Provide non-critical designated equipment to MRSA patients to minimize cross contamination & transmission.
3) Enhance decontamination of environment and implement Universal Color Code System for environmental cleansing.
4) Promote intravenous catheter care bundle.
5) Conduct cause analysis for MRSA bacteraemia cases
6) Conduct MRSA training to emphasis importance of barrier precautions, hand hygiene and to highlight common failure modes and their effects.
1. Additional designated non-critical care equipment for MRSA / MDRO patients was implemented in all M&G wards. Items include individual BP cuff, stethoscope, thermoscan and toniquet putting in a designated container by bedside. These items are designated yellow in color for easy awareness by clinical staffs.
2. Patient was showered with 2% Chlorhexidine Skin Cleanser in the following day after admission to decrease the bacteria load. Bed linen was changed after each shower.
3. Universal Color Code Cleansing System was piloted, decontamination frequency was enhanced to 2 times per day for MRSA / MDRO patients.
Outcomes measures:
1. The incident of hospital acquired MRSA infections was decreased 16.5% (Feb/11 to May/12 vs June/12 to Mar/13 = 32 vs 27).
2. The incident of hospital acquired MRSA bacteraemia was decreased 60% (Feb/11 to May/12 vs June/12 to Mar/13 = 5 vs 2).
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