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Essay On Quality Improvement In Health Care

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Quality Improvement Issue In 2001, the Institute for Medicine (IOM) determined that the USA health care system is failing many Americans by frequently causing harm; essentially, creating a profound gap between peoples expectations and actual care provided (Richardson et al., 2001). People enter the health care field because they want to care for others, not to ever cause harm. However, health care is thought as a threat to society in the same way as cancer or car crash. IOM articulated many reasons for this chasm, including fast-paced advancement in medical science and technology, increased complexity of patient care, and rapid changes due to new knowledge and the ability to communicated and apply it safely (Richardson et al., 2001). Organizations …show more content…
CLABSI have serious consequences, impacting the patient in a variety of ways including increased mortality, suffering, and increased length of hospitalization. Joint Commission’s national safety goals for 2016 complements IOM’s aims to provide safe care. Joint Commissions goal NPSG.07.04.01 to implement evidence-based practices to prevent CLABSI (Joint Commission, 2015).
MCH is currently having an issue with hospital acquired central line associated blood stream infection (CLABSI), approximately 4 to 5 per quarter. Over the past two years, the two general pediatric units that consist of average census of 65 patients per day had zero CLABSI rate. However, between NICU, PICU, and Pediatric Hematology/Oncology they average 2 to 3 CLABSI per quarter. Unfortunately, since January 2016, the general pediatric units have had a significant rise of 5 CLABSI in eight months. Moreover, the Pediatric Hematology/Oncology unit CLABSI rate has climbed too. According to Slonim and Pollack (2005) each pediatric CLABSI costs the hospital an additional $46,000 with an average increased length of stay of 14.6 in PICU and 21.1 hospital …show more content…
The first pertinent rule is five: evidence-based decision-making. The best outcomes in care occur from meticulous, unambiguous, and well-judged use of up-to-date evidence based practice and knowledge of patient beliefs by effectively trained, experienced nurses (Institute of Medicine, 2001). The second relevant rule is six: safety as a system property. Injuries to patients frequently occur due to system problems that allow for errors; therefore, health care systems must take accountability for designing a system that provides reliable, safe, and appropriate care (Institute of Medicine,

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