Introduction
In today’s society, more and more people are getting sick day-by-day and ending up in the intensive care units (ICU). A person has to be very sick in order for him or her to end up on that unit. People are admitted to an ICU because they need intense support for failing organs, treatment, and constant monitoring and frequent nursing care. Most patients on the units are on a ventilator, have a urinary catheter in place along with a central line for direct medication administration, which increases the chance of hospital-acquired infection (HAI). The patients’ immune system is already suppressed because of their own medical problem.
Family members are …show more content…
The American Society defines continuous quality improvement (CQI) for Quality (ASQ) as “a philosophy and attitude for analyzing capabilities and processes and improving them repeatedly to achieve customer satisfaction”. Further, the Agency for Healthcare Research and Quality defined CQI as “techniques for measuring quality problems, designing interventions and their implementation, along with process re-measurements (Huber, 2014, p. 292). American Society for Quality (ASQ): In Quality glossary - C. 2007, Retrieved March 4, 2012, from www.asq.org/glossary/c.html. In order to identify the issue that we are currently are concerned with, a leader must look beyond the problem. He or she must focus on the issue directly and figure out a way to address it without directly blaming. Leader should evaluate the root cause using transformational leadership to prevent further …show more content…
The doctors told us that they had no idea how he went into septic shock, but after a lawsuit we were told that it was from the urinary catheter and the central line because the were not assessed in a timely manner by the nurses. Responsibility for risk reduction of hospital-acquired infection mainly involves hospital administrators, nurses, doctors, nurse assistants and any other hospital staff directly taking care of patients. Mehta (2014) believes that Measures of infection control include identifying patients at risk of nosocomial infections, observing hand hygiene, following standard precautions to reduce transmission and strategies to reduce VAP, CR-BSI, CAUTI. A committee comprised of directors of nursing department and hospital administrators, unit manager, and nurses involved in the incident were involved in the problem analysis. Once the issue was properly evaluated they found out that nurses not properly assessing urinary catheter and central line in a timely manner and newly licensed nurse in the emergency department not being trained properly were the main causes. The committee also addressed lack of quality care for the patient further and addressed preventative measures and goals for the future. A root-cause analysis beginning with data collection and reconstruction of the event through record review and participant interviews was used by the