Quality Improvement In Health Care

1209 Words 5 Pages
The main problem to be addressed by this quality improvement plan is the reduced adherence to the evidence-based practices, surgical procedures and practice guidelines. This especially includes nurses working within the outpatient surgical service facility. The non-compliance to EBPs has significantly contributed to the rising rate of occurrence of surgical site infections (Daeschlein, et al. 2014). Other studies have also supported the increased non-compliance to the EBPs in surgical facilities (Lonjon, et al. 2012). For instance, in the study conducted by Filho, Silva, Ferracin and Bahr (2013) it was revealed that 40% of the interviewed surgical healthcare staff including nurses did not adhere or comply with the surgical guidelines. Leaper, …show more content…
As a whole the surgical site infection problem reflects both the needs of patient care and priority of the staff. The surgical staff workflow needs to be free of barriers. A healthcare organization needs to adhere to the evidence-based practice. Best practices are essential to knowledge management as well as patient safety. Consequently, when a facility is below standards an improvement process is established. In turn, a data collection tool is needed to monitor pathogen trends for surgical procedures and evaluation of staff for proper surgical process. According to Roussel (2011), a holistic quality and patient safety approach should focus on the six aims of health care identified by the Institute of Medicine: safety, effectiveness, patient centeredness, timeliness, efficacy, and equity. As a nurse leader evaluating quality measures with concentration to the six focus aims will improve surgical care protocols. A surgical improvement plan will monitor outcome measures adhering to current standards. Determined by Meddings and McMahon (2008), 'Pay for performance ' is a quality-improvement strategy being implemented at an epidemic rate in healthcare. Meeting these quality standards provides best care practices for patients efficiently supporting all safety and economic resources. In addition, these targeted …show more content…
These can happen at any pre-operative, intra-operative, and post-operative stage. Having a surgical unit inconsistently follow the recommended preventative standards leads to a failed surgical process and safety issues. According to McGuckin and Govednik (2013), healthcare-associated infections (HAIs) remain a major patient safety issue, but the compliance of healthcare workers (HCW) with practices remains low despite years of education, teaching and research. Surgical site infections are a common postoperative incident that influences morbidity and cost of care. As such, SSI ought to be kept to the barest levels. The surgical champions need to address the causes, treatments, and management of prevalence’s to be adopted by surgical staff. Staff noncompliance to timed prophylactic antibiotics, antiseptic skin prep and surgical site hair removal can attribute to SSI’s. Another documented non-compliant factor are

Related Documents