The medical-surgical service line was able to achieve over one year of no HAIs. Dedication to patient safety impacted our patient experience. We have achieved a 10% increase in patient experience and increase percentile rank by over 40 points. Our employee engagement has maintained above 75% over the last year. Through data evaluation, education, collaboration, and accountability the medical-surgical service line was able to achieve over one year of no healthcare-acquired infections. Our dedication to patient safety has impacted our patient experience. We have achieved a 10% increase in our patient experience and increased our percentile rank by over 40 points. Our employee engagement has maintained above 75% over the last year.
Problem: We have established a commitment to zero harm through executive leadership support, strategic initiatives, and continuous quality improvement. An opportunity was identified in 2021 to reduce the amount of Hospital Acquired Infections (HAI). In 2021 the hospital had 11 HAIs.
Measurement: Total number of HAIs
Analysis: Total number of HAIs. Through data evaluation, education, collaboration, and accountability the medical-surgical service line was able to achieve over one year of no healthcare-acquired infections
Implementation: Q2 2021, implemented a daily review of devices for necessity. Q3, 2021 implementation daily review of MRSA screening orders, decolonization orders, and CHG bathing compliance. Q1 2022, implemented a hand hygiene auditing process to monitor compliance. Q2 2022, escalation pathways implemented for C. Diff, blood cultures, and urine cultures
