Quality Quest Quandary
CASE STUDY
- Infection Prevention and Control concerned about the hygiene of high touch and critical surfaces
- Environmental hygiene monitoring not in place; progress on implementing a program had stalled
- Patients, Visitors and Clinicians worried about poor cleanliness and deteriorating conditions
- The media had taken notice, and the CEO was demanding improvements – stat!
Mayhem at the Manor
CASE STUDY
- Nursing home experiences its third outbreak of the season
- Family members angry; makes newspaper headlines, public health on notice and licensing officials running snap inspections
- The nursing department overwhelmed; staff shortages and sick time while Director of Care deals with extra paperwork, answering phone calls, and calling in extra staff on overtime
- The Executive Director under pressure to get situation back to normal ASAP!
Community Hospital Calamity
CASE STUDY
- Hospital Acquired Infection (HAI) rates of MRSA and C-Difficile above peer facility norms
- Outbreaks of pathogens occurring regularly in multiple patient care units, including the ICU
- Infection prevention and control concerned about the performance of ES
- ES response: “more staff and more supervisors”
Inner City Blues
CASE STUDY
- Clinicians concerned with environment of care
- Service execution varied
- Staff morale low
- Performance not measured
- “More of everything” the response to every problem