Case Studies

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