Gbstetric Performance Assessment

One of the main problems is hand hygiene and evidence suggests that healthcare staff including nurses do not perform this task as often as they should nor do they use the proper procedure. Even though it is

Patients have observed several physicians and nurses not washing their hands before interacting with patients. Hand hygiene is one of the largest tactics to combat nosocomial infections. The hospital should adopt a culture of 100% compliance with hand washing. The first step would be to increase handwashing stations and have more quick-dry alcohol-based antibacterial soap dispensers. Making access easier and decreasing the time taken to wash one’s hands would encourage adherence the policy. Furthermore, each floor should track hand washing and report data of potential nosocomial infections caused by improper handwashing. Keeping patients protected from bacteria is important especially when most are in an immunocompromised

The IC department performs about 20 reviews a quarter utilizing the Bloodstream surveillance checklist tool to monitor for PICC/Central Line compliance. Hand sanitizer rewards are now being given to staff that has 100% in the process measure to increase CLABSI compliance. Our facility is engaged in the Hospital Improvement and Innovative Network (HIIN) formerly the Maryland-Virginia HAI Improvement Network is the hospital-wide collaborative to reduce CLABSIs. This 5-year initiative is an affiliation of the Medicare Quality Innovation Network Quality Improvement Organization for Maryland and Virginia, through Centers for Medicare & Medicaid Services (CMS). The initiative offers support efforts to improve health care quality and achieve

The five core curriculum components will be evaluated during the execution, and outcome of the designed program to improve HCAHPS scores. All five curriculum sessions encompass the patient’s

Patient satisfaction: This issue can affect funding, revenue and reimbursement from insurance providers. Patient satisfaction can be affected by nearly any aspect of the hospital experience, surveys are done randomly to gain insight on the patients overall treatment at the facility. Negative feedback can cause assumptions about treatment and quality by the HCO as well as decrease in incoming patients.

Health Care providers must implement infection control at all times. This is essential in order to avoid any sources of contamination that would put patients at risk for infection as well as all hospital personnel. There are two important aseptic techniques: Medical Asepsis, and Surgical Asepsis. The first one includes hand hygiene, use of gloves, masks, gowns and routine

patient and family satisfaction could go a long way to advance the quality of patient care throughout the hospital.

HCAHPS survey is a patient satisfaction survey required by CMS (The Centers for Medicare and Medicaid Service for all hospitals in the United States. HCAHPS identified the attributes of affective support, health information, and quick response as the elements of nursing care in the interaction and relationship between patient and nurse that determine patient satisfaction. High score of these elements would increase the hospital competition.

Patient care is the central focus in all of nursing. Understanding and adapting to patient needs is what separates the good nurses from the best nurses. The Hospital Consumer Assessment of Healthcare Providers and Systems is a 27 question survey that is given to patients in order to obtain an objective opinion of hospital staff, facilities, and equipment. It is standardized across the healthcare spectrum, and is a way to measure patient experience first hand (). It can be used to measure how well nurses are doing their jobs, and how well nursing students are being taught.

Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.

Of note, hospitals can earn up to 30 points for having a handwashing policy and evaluating how hospitals are follow that policy

Highlighted in the Keogh Review, and the Francis Report - Avoidable harm was inflicted by HCAI - Hand hygiene not routine amoung staff (REF). - Patients were not encouraged or assisted with hand hygiene, leading to risk of infection, staff lack awareness. - Further training needed - Staff and visitors need to comply with guidelines.

Recent studies show that at any time, over 1.4 million people worldwide suffer from hospital-acquired infections (Public Health Ontario). In Canada alone, approximately 250 000 patients every year contract infectious micro-organisms from their healthcare providers (Nagel 18). At London Health Sciences Centre (LHSC) we take pride in providing world class care in a safe, comfortable environment for patients. However, between 2008 and 2010 the LHSC still had between 20 and 30 per cent non-compliance to proper hand-washing protocol (Nagel 20). This data is very troubling considering it is following the launch of “Just Clean Your Hands” pilot project. As student nurses and volunteers of the LHSC team we are equally responsible to increase hand-washing compliance.

Hand hygiene is everybody’s job, including the patients. Linda Pearson (2006) refers to AL Damouk et al (2004) who suggests that inviting patients to become partners in their care maybe an appropriate response to reports of the rising incidence of healthcare associated infections and difficulties with

Satisfaction scores are based on the percentage of participants scoring a question given with the highest possible response such as “definitely yes or always”. These scores are then used to make improvements to the services that the hospital provides. The marks are compared to other hospitals in the area with the same specialty service during the period of July 2016 until December of 2015. The Sterling Heights Medical Center location scored above average in the following areas: Overall satisfaction with the physician 88.2 % with the other Michigan hospitals scoring 87.0%. How well the patient’s pain was controlled was 84.7% with other local hospitals scoring 80.9%, and the nursing care satisfaction was 89.5% with other local hospitals scoring 88.2%. Henry Ford Hospital is located on W. Grand Blvd in downtown Detroit was one of the HFHS locations that scored below average as compared to other Southeast Michigan Hospitals. The results are as follows: Overall satisfaction with physician was 84.9% with local hospitals scoring 87.0%. How well the patient’s pain was controlled scored 75.5% as compared to 80.9%, and nursing care came in at 83.3% with the local average being 88.2% (Patient Satisfaction Survey,