Lesson+5+Best+Solution

http://www.infectioncontroltoday.com/articles/402/77h1614422381028.html

The best solution is a mixture of all the recommendations mentioned earlier. Having benchmarks for each critical area in the pneumonia process that allows for real-time monitoring of each patient. These benchmarks could be averages of times of the patients who have received antibiotics within the time limit. Also, having tighter vital signs criteria will allow for less judgment calls for the nurses at the initial nurse/patient contact with the pneumonia screening. Lastly, continue to have staff re-education meetings that allow for the staff to voice their opinions of the process and what areas could be improved. This could keep the focus on the goal of having at least 90% of the patients for that time period getting their antibiotics in under 6 hours. Looking at more data - records of patients that are under 6 hours, and more that are over 6 hours, and comparing and contrasting these could lead to finding a concrete variable of what is causing the process to take longer than 6 hours. There are many variables in the data alone, and with re-education of staff leading to 100% for 2 weeks, means that there is not a severe problem. Proper accountability between staff members, real-time monitoring to catch potential cases that would take longer than 6 hours, and monthly staff meetings that could be used to re-educate and/or praise the staff is the best solution given the data.

The article above ties in with what is plaguing Grady's process. The process is in place, but is not being followed precisely as once thought. While maintaining 100% all the time is ideal, it is not realistic. However, it is the little things that once done right can get Grady from 70-80% to maintaining its goal of at least 90%.

Works Cited: Beaver, Michelle. "Healthcare Providers Tackle Ventilator-Associated Pneumonia With Progressive Programs." //Infection Control Today// (2007): Web. 22 Nov 2009. .