Quality Improvement Initiatives
Improvement Initiative A: Investment in New Sterilization Equipment
To address the infection control issues identified by The Joint Commission, it is recommended that the surgical clinic invest in advanced sterilization equipment. The current equipment is outdated and inadequate, contributing to ongoing problems with maintaining sterile surgical instruments. Advanced sterilization technologies like the automated endoscope reprocessors (AERs) can improve sterilization and reduce infection rates (Rutala & Weber, 2021). Upgrading to modern equipment also helps with compliance.
The key stakeholders in this initiative include the hospital administration, surgical clinic staff, the infection control committee, and patients. Hospital administration is responsible for budgeting and approval of new equipment purchases. Surgical clinic staff are directly involved in the sterilization process and will benefit from training on the new equipment. The infection control committee monitors practices. And patients are impacted by infection control practices, as it regards their safety.
Example Communication: Memo
Dear Clinical surgical staff,
The recent survey by The Joint Commission highlighted significant issues with...
…online training modules, ensuring comprehensive coverage of the new procedures. The infection control committee will participate in planning meetings for the training content. Hospital administration will receive a proposal and cost-benefit analysis. Patients will be kept informed through updates and reassured of the improved safety measures implemented.Example Communication: Email
Dear Staff:
To address the infection control issues identified by The Joint Commission, we are launching a training program for all surgical clinic staff. This program will cover the latest best practices in instrument sterilization and compliance with current standards. Training sessions will begin the first week of next month and all staff are…
References
Karels, E. M., Voss, J., Arends, R., Horsley, L., & Andree, E. (2022). Impact of infection controleducation on gastrointestinal endoscopy procedural staff. Gastroenterology Nursing, 45(2), 91-100.
Kumar, A., Gautam, A., Dey, A., Saith, R., Uttamacharya, Achyut, P., ... & Saggurti, N. (2020).
Infection prevention preparedness and practices for female sterilization services within primary care facilities in Northern India. BMC health services research, 20, 1-8.
Rutala, W. A., & Weber, D. J. (2021). Disinfection and sterilization in health care facilities: anoverview and current issues. Infectious Disease Clinics, 35(3), 575-607.
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