Hospital Executive Summary Essay

3863 Words Jul 18th, 2011 16 Pages
NIGHTINGALE COMMUNITY

HOSPITAL.

EXECUTIVE SUMMARY FOR CURRENT

COMPLIANCE STATUS FOR

INFECTION CONTROL STANDARDS

UNDER JAHCO.

May 07, 2011 Nightingale Community Hospital Mission

Nightingale Community Hospital provides professional care that ensures total security and satisfaction to those who wish to benefit from our care.

Out of concern for the welfare of our patients and we continually improve the process of improving the quality of health services provided.

Services are provided by highly qualified, cooperating with each other, mutually respectful and stable staff,
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Use proven guidelines to prevent infections that are difficult to treat.

NPSG.07.04.01: Implement evidence-based practices to prevent central line–associated bloodstream infections. This requirement covers short- and long-term central venous catheters and PICC (peripherally inserted central catheter ) lines.
Use proven guidelines to prevent infection of the blood from central lines.

NSPG.07.05.01: Implement evidence-based practices for preventing surgical site infections. Use proven guidelines to prevent infection after surgery.

This are the following areas that will need to be monitor, due to present deficiencies:

The rate of SSI following total knee replacement was higher than the mean rate of SSI following similar procedures at comparable hospitals. The rate of SSI in general surgery procedures was statistically higher than the mean rate of SSI following general surgery at comparable hospitals.

Given this statistically significant difference, we performed additional analyses after stratifying the rate of SSI by the NNIS risk index. The most notable difference was found among patients at highest risk for SSI (NNIS risk index of 2 or greater). While case-mix may have contributed to the overall increase in the rate of SSI following general surgery,

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