Difference between revisions of "BMI537 template"

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(Problem Statement)
(Process and Prioritization)
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==Process and Prioritization==
 
==Process and Prioritization==
  
Process Affected
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Process Affected:  The process of selection of antibiotics at various stages of microbiology reporting will be affected.
Patients from In-patient area come to the operating room for surgical procedure. About 50% of the patients are delayed from getting into to the operating room due problems with patient location. If we have a solution in the structure of a patient tracking system would improve/solve this problem. The implementation of Active RFID (radio frequency Identification Tag) would track patients in real time and help improve this problem.  
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Measure(s):  Audit and feedback of ASM rate after identification of the infecting microbe; and average length of stay
 
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Measure(s)
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95% improvement in patient tracking between Inpatient areas and operating room would significantly improve efficiency and improve productivity.
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==Intervention==
 
==Intervention==

Revision as of 23:22, 15 October 2007

Problem Statement

Scope of Problem: Published reports suggest that ASM is a significant problem. Buising and colleagues[1] noted that in a population of adult ICU patients, 14.3% of sterile and 30.8% of non-sterile isolates were treated inadequately initially, 4.0% of sterile and 21.3% of non-sterile isolates were treated inadequately after identification, and narrower-spectrum therapy was available for 30% of patients after microbe identification. In addition, Paterson et al[2] reported that 52% of mismatches occurred in patients who previously received a drug that was shown to be inadequate against the infecting organism, 30% of patients had a prior history of a drug’s ineffectiveness against an organism, and 62.5% of mismatches occurred in patients staying 14 days or longer (i.e., intensive care unit patients, cancer patients). These reports indicate that there are clear patterns and risk factors that describe ASM. Therefore, the process of identification and intervention for ASM is a particularly well-suited target for ongoing quality improvement efforts, which could identify workflow causes or process failures that promote ASM.

Impact: Published research reviewed in developing the guideline reported various improvements in antimicrobial use and patient outcomes, among them: a) a 22% to 36% decrease in antimicrobial use through more efficient prescribing practice and use of less expensive alternatives; b) savings of $200,000 to $900,000 in direct drug costs (savings dependent on institution size); c) short-term susceptibilities among gram-negative pathogens (e.g., Klebsiella); d) reduced use of broad-spectrum antimicrobials by 34% to 84%; and e) modification of 25% of antimicrobial orders, with prescription of narrower-spectrum drugs in 47% of these cases.[3]

Setting: A large metropolitan children's hospital

Aim: To reduce the use of ineffective antibiotics for documented infections

Specific Goal: To reduce the incidence of antibiotic susceptibility mismatches (ASM) for documented infections in urine and bloodstream through active surveillance of culture results and antibiotic use

Process and Prioritization

Process Affected: The process of selection of antibiotics at various stages of microbiology reporting will be affected.

Measure(s): Audit and feedback of ASM rate after identification of the infecting microbe; and average length of stay

Intervention

Plan


Do

Study

Act

Reference

Be sure to reference your work.

1. http://www.qualitytools.ahrq.gov/qualityreport/download/download_report.aspx

2. RFID Application in Hospitals: A Case Study on a Demonstration RFID Project in a Taiwan Hospital Shang-Wei Wang Wun-Hwa Chen Chorng-Shyong Ong Li Liu Yun-Wen Chuang National Taiwan University; This paper appears in: System Sciences, 2006. HICSS '06. Proceedings of the 39th Annual Hawaii International Conference on Publication Date: 04-07 Jan. 2006 Volume: 8, On page(s): 184a- 184a ISSN: 1530-1605 ISBN: 0-7695-2507-5 Digital Object Identifier: 10.1109/HICSS.2006.422 Posted online: 2006-01-23 09:16:15.0

3. Study: RFID in hospitals shows ROI promise 12/06/2004 07:43 AM By Dyke Hendrickson http://www.masshightech.com/displayarticledetail.asp?art_id=67320&search=PanGo+

http://masshightech.bizjournals.com/masshightech/stories/2004/12/06/story9.html

4.RFID in the Hospital RFID to improve patient safety and hospital savings RFID Gazette

http://www.rfidgazette.org/2004/07/rfid_in_the_hos.html

5. 5th RFID, Barcoding and Emerging Technologies for Hospitals and Health Systems Integrating Innovative Solutions for Increasing Patient Safety, Reducing Medical Errors and Improving Workflow September 18 - 21, 2006 • Hilton Philadelphia City Avenue, Philadelphia, PA

http://www.iqpc.com/cgi-bin/templates/genevent.html?topic=483&event=10612&

6. Maybe RFID? Healthcare Organizations Slowly Expanding Adoption of RFID Technology By Elizabeth S. Roop For The Record Vol. 18 No. 14 P. 18 http://www.fortherecordmag.com/archives/ftr_07102006p18.shtml




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