Quality Improvement Proposal

Topics: Healthcare, Health care provider, Health care Pages: 5 (1581 words) Published: August 15, 2012
As a hospital, quality care should be a priority for patients that are going to be treated for a sickness, or any type of procedure that is going to take place. A lot of times a patient gets an infection while they were at the hospital, on top of being treated for what they original came in for. Health facilities should be environments of healing, which they are, but they also have tons of various types of germs and infections, which grasp onto individuals that have weak immune systems/are sick. Some infections that are at hospitals are Tuberculosis, VRE, VAP, C-Diff, UTI, and MRSA. Preventive measures to stop the spread of the infections is lacking tremendously in the work and aim to provide safety for all patient’s health. The work conveyed to you is an effort to lower the expansion of the infections talked about above that bring chaos in a patient’s healing process. The main priorities that will help patients’ health and better their outcomes when it comes to their medical needs are detecting causes of the infections, resolutions as well as quality improvement steps.

This second paragraph will discuss infections received from hospitals. Infections that patients with weaker immune systems/who are sick tend to get as was stated earlier are TB (Tuberculosis), VRE (Vancomycin-resistant enterococcus), VAP (Ventilator Associated Pneumonia), C-diff (Clostridium difficile), UTI (Urinary Tract Infection), and MRSA (methicillin-resistant Staphylococcus aureus). VRE is described as an inherited altered stretch of enterococcus that was first created in humans who were exposed to an antibiotic called vancomycin (Hedman, 2010). VRE cannot have an effect on people whose health is in good condition, but can be deadly to those whose immune systems are weakened. VRE is dispersed through indirect and direct contact. VAP is a contamination of one’s lungs that they picked up from a hospital visit or stay. (A.D.A.M., 2011). In a typical healthy person, pneumonia is generally not deadly. Pneumonia received from a hospital can be deadly to a person with a weakened immune system, newborn, or the elderly, as it gets germs from the ventilation. C-diff is spore-foaming bacteria that are picked up through cells in feces that are tough to kill (Hedman, 2010). A person can receive C-dff also by consuming too many antibiotics. Spores in feces can expand onto the hands of people who have come into contact with another patient who has C-diff. C-diff spores can stay alive for several months and can be found in unclean places, for example floors and bedpans (Hedman, 2010). UTI is received through perineal care of patients, where there was not a proper procedure of cleaning methods. UTI is bladder inflammation and creates a burning feeling mostly when urinating (Hedman, 2010). Catheters can also cause UTI’s if not taken care of properly are by being kept in too long. Lastly MRSA is an antibiotic-resistant infection that a lot of times is contracted from people that are hospitalized in other medical facilities for example, long-term care facilities (Hedman, Fuzy, & Rymer, 2010). It can also be transmitted by close physical contact with another person who has it or by touching something that that infected individual has touched. This paragraph discusses some causes of infections contracted through a hospital. A huge cause of infections is improper sanitary actions and attire among patients. A prerequisite for hospital workers when they go into a patients room that has a contaminated person in it is to put on personal protective equipment for example, gloves, gown, goggles and a mask depending on how serious the patients infected illness is. There are health workers that think proper procedure is not necessary and that they cannot contract the infection through their work clothes or through them since they are healthy (Melissa, CNA instructor, personal communication, 2012). What they do not consider is the transferring of germs from patient to patient...

References: A.D.A.M. Medical Encyclopedia. (2011). Hospital acquired pneumonia. Retrieved May 28, 2012 from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001201/
Buchbinder, S. B. & Shanks, N.H. (2007). Introduction to health care management. Sadburry, Ma. Jones and Bartlett Publishers
Ducel, G., Fabry, J., & Nicolle, L. (Editors). (2002). Prevention of hospital-acquired infections. (2nd Edition). Retrieved May 28, 2012 from http://www.who.int/csr/resources/publications/whocdscsreph200212.pdf
Hedman, S.A., Fuzy, J. & Rymer, S. (2010). Nursing assistant care. (2nd Edition).
Albuquerque, N.M. Hartman Publishing, Inc.
Patient Safety. (2005). Who are the stakeholders in healthcare? Retrieved May 28, 2012 from http://patientsafetyed.duhs.duke.edu/module_a/introduction/stakeholders.html
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