Analyzing Quality Improvement

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Describe a quality improvement initiative that is currently being monitored in your workplace. You will begin working on it this week and submit it in week 10. You will present your findings in the form of a PowerPoint that could presented at a professional conference. We will choose, decrease numbers of urinary catheter infections. (Hospital policy-foley care once a shift/ if needed by RN or CNA with medline readycleanse green wipes and chlorhexidine wipes on the foley tube, not on perineal area)

Step 1 Research quality improvement initiatives in your workplace.

Research information about a quality improvement initiative in your workplace or in another clinical setting . Gather information about the initiative from individuals who actually collect and/or manage data for the initiative. If necessary, discuss with your nurse manager which initiatives are most important on your unit.

Step 2 Research quality improvement standards.

Using the Internet, review websites from organizations such as the Joint Commission or the Centers for Medicare and Medicaid Services (CMS) and gather information on the standard for the initiative you identified in Step 1.

Step 3 Begin working on a powerpoint presentation (14-16 slides)

Create your presentation by addressing the following points and make sure that you properly cite any resources used. Include a slide for each of the following:
• Title page
• Introduction
• Conclusion
• References

In addition to these four slides, each of the following bullet points should have its own slide.
1. Describe the quality improvement initiative and why it is important.
2. What evidence was used to determine that quality improvement was needed?
3. Explain what goal the initiative is trying to achieve.
4. What national standards are being met by addressing the initiative?
5. Which quality indicators will be used to measure the improvement in the initiative? Describe the quality indicators and how they support the initiative.
6. Explain who collects the data and what is done with the data/how it is used/who uses it.
7. Determine the agencies to which they report their information.
8. Determine nursing’s involvement in helping with the initiative.

Sample Solution

Quality Improvement Initiative: Reducing Catheter-Associated Urinary Tract Infections (CAUTIs)

This presentation template outlines a Quality Improvement (QI) initiative to decrease Catheter-Associated Urinary Tract Infections (CAUTIs) in a hospital setting.

Slide 1: Title Page

  • Title: Reducing Catheter-Associated Urinary Tract Infections: A Quality Improvement Initiative
  • Your Name and Title
  • Hospital Affiliation (if applicable)
  • Date

Slide 2: Introduction

  • Briefly introduce CAUTIs and their prevalence in healthcare settings.
  • Highlight the negative impact of CAUTIs, including patient morbidity, increased healthcare costs, and antibiotic resistance.
  • State the purpose of the presentation: to discuss a QI initiative aimed at reducing CAUTIs in your workplace.

Slide 3: Description of the Initiative

  • Explain the current hospital policy for Foley catheter care: cleaning once per shift with chlorhexidine wipes on the Foley tube itself (not the perineal area) and Medline ReadyCleanse green wipes.
  • Emphasize the limitations of this policy: cleaning only once a shift might not be sufficient, and chlorhexidine wipes may not be the most effective agent for preventing CAUTIs.

Slide 4: Evidence for Improvement

  • Cite research studies demonstrating the effectiveness of increased cleaning frequency and alternative catheter care solutions in reducing CAUTIs.
  • Mention relevant national guidelines, such as those from the Centers for Disease Control and Prevention (CDC), that recommend aseptic technique and evidence-based cleaning practices for urinary catheters.

Slide 5: Goal of the Initiative

  • Clearly define the specific, measurable, achievable, relevant, and time-bound (SMART) goal of the initiative.
  • For example: Reduce CAUTI rates in the [Unit Name] by [percentage] within [timeframe].

Slide 6: National Standards

  • Identify relevant national standards addressed by this initiative.
  • Focus on The Joint Commission (TJC) standards related to CAUTI prevention, such as maintaining a sterile field during catheter insertion and using aseptic technique for catheter care.
  • Mention how meeting these standards contributes to patient safety and reduces healthcare-associated infections (HAIs).

Slide 7: Quality Indicators

  • Define the quality indicators used to measure the initiative’s progress.
  • The primary indicator will likely be CAUTI rate per 1,000 catheter days.
  • Mention additional indicators that might be tracked, such as compliance with aseptic technique during catheter insertion and cleaning.

Slide 8: Data Collection and Use

  • Explain how CAUTI data is currently collected and reported within your hospital.
  • Identify the personnel responsible for data collection (e.g., infection control nurses).
  • Describe how data will be used to monitor progress towards the initiative’s goal.
  • Mention how the data will be used to inform adjustments to the initiative if needed.

Slide 9: Reporting Agencies

  • List the external agencies to which your hospital reports CAUTI data.
  • This may include the National Healthcare Safety Network (NHSN) or state health departments.
  • Explain the importance of transparent reporting in improving national healthcare quality.

Slide 10: Nursing Involvement

  • Highlight the crucial role of nurses in preventing CAUTIs.
  • Emphasize the importance of proper catheter insertion and maintenance technique.
  • Discuss how nurses will be involved in the QI initiative, such as participating in educational sessions on best practices for catheter care and providing feedback on the initiative’s implementation.

Slide 11-13 (Optional):

  • Include additional slides if needed to present detailed information on specific aspects of the initiative, such as:
    • Educational materials for staff on catheter care best practices.
    • Data collection forms for tracking CAUTI rates and compliance with protocols.
    • A timeline for implementing the initiative.

Slide 14: Conclusion

  • Summarize the key points of the QI initiative.
  • Reiterate the expected benefits of reducing CAUTIs, including improved patient outcomes, reduced costs, and enhanced patient safety.
  • Express your commitment to ongoing monitoring and evaluation of the initiative.

Slide 15: References

  • List all credible sources used in your presentation, following a consistent citation style (e.g., APA).

Slide 16 (Optional):

  • Include a slide for questions and answers to encourage audience participation.

Remember to replace bracketed information with specific details from your workplace and chosen references.

By following this template and incorporating evidence-based practices, you can create a compelling presentation that outlines a QI initiative to reduce CAUTIs in your hospital setting.

 

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