Naida Grunden's The Pittsburgh Way to Efficient Healthcare: Improving PDF

Naida Grunden's The Pittsburgh Way to Efficient Healthcare: Improving PDF

By Naida Grunden

Records the various successes of the Pittsburgh local well-being Initiative (PRHI) member hospitals, who've effectively utilized commercial rules that make sufferers more secure and staff extra happy.

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Shannon, D. Frndak, and N. Grunden, “Using Real-Time Problem Solving to Eliminate Central Line Infections,” Joint Commission Journal on Quality and Patient Safety 32:9. 21 Grunden chpts 1–2 11/6/07 10:49 AM Page 22 THE PITTSBURGH WAY TO EFFICIENT HEALTHCARE cues”) clearly showed where the line was, and when it was inserted, eliminating time caregivers waste looking for this information. Standardizing practices also made it easier to identify variations, when they occurred, and made it possible to mitigate their consequences before they caused infections.

In these countries, patients are screened on admission to the hospital to determine whether they are colonized or infected with MRSA, and then again on discharge to see whether they became colonized during their hospital stay. As previously mentioned, the technique of swabbing the nasal passages is called the active surveillance culture. If a culture is positive, that patient is isolated and, if appropriate, treated. Elective surgeries can be postponed, for example, as MRSA carriers face an increased risk of surgical site infections.

In every room now. Signage shows To deal with this eventuality, the team where to get more if one is empty. taped off a one-foot square floor area just inside the room. This unequivocal visual cue, borrowed directly from the factory floor, tells employees that they may enter but may not go past the line without gowning. ) Figure 2-6. Straight from the factory floor: Arrows and lines on the floor unequivocally show staffers how far they may come into the room before they must glove and gown. Some studies showed that patients in isolation may see less of the nursing staff, and that the requirement to glove and gown on entry to the room makes it harder for nurses to look in with a routine, “Good morning, Mr.

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