Discussion: Healthcare Quality HCA 675

The promotion of safety and quality is important in the provision of nursing care. Safety and quality in healthcare enhances the realization of optimum health outcomes in patient care. Nurses and other healthcare providers utilize sources of evidence-based data and practice guidelines to ensure safety and quality in their care. They also adopt best leadership models that will drive consistency in the provision of excellent care to patients. Therefore, this paper explores the issue of surgical site infections, best practices for its prevention, proposed project to address it and its evaluation. It also explores an effective leadership model that can be adopted to address the problem.

Best Practices or Recommended Guidelines

The selected issue from the Institute for Healthcare Improvement (IHI) that is relevant to my organization is surgical site infections. Surgical site infections comprise a critical public health concern that causes significant mortality, morbidity and increased cost of care. Surgical site infections are preventable, with the adoption of evidence-based interventions. A number best practices and recommended guidelines have been developed for prevention of surgical site infections. One of them is the World Health Organization (WHO) Surgical Safety Checklist and Getting Started Kit. The kit was developed to improve the quality and safety of patients undergoing surgeries globally. The tool reinforces the accepted safety principles and enhances the quality of teamwork and communication between clinical teams involved in surgical procedures and care of patients requiring and after surgeries. The other guideline that can be adopted to prevent surgical site infections is the How-to-Guide by IHI. The tool provides guidelines for use in the prevention of surgical site infections, implementation of recommended strategies and measures for assessing improvements (IHI, n.d.). Sources of evidence-based data show that best practices exist for use in prevention of surgical site infections. They include the use of aseptic techniques, negative pressure wound therapy, surgical bundles of safety and quality improvement, perioperative antibiotic prophylaxis, and reducing the duration of surgical procedure reduces and minimizes the rate of surgical site infections in a hospital setting (Allegranzi et al., 2018; Balch et al., 2017; Cheng et al., 2017; Javed et al., 2019).

Financial Impact

Surgical site infections have adverse financial implications. The existing evidence shows that surgical site infections cost the US about $3.5 to $10 billion on an annual basis. Additional statistics shows that surgical site infections increase the costs of care for commercial payers to a range of $36249 to $144809 and $17551 to $102280 for Medicare users in the US. The increase in the cost of care is attributable to factors such as prolonged hospitalization; intensive care unit stays, increased rates of hospital readmission, lost productive days, and need for additional care in the community (Leaper et al., 2020). Surgical site infections also increase the need for re-operations, reduced quality of life for patients and increased risk of mortality. The intangible costs that patients incur due to the infections such as anxiety, pain, and delayed wound healing that can cause complications including bacteremia (Badia et al., 2017). Healthcare institutions also suffer from the problem due to increased costs of patient care and resource utilization in the promotion of the optimum health and wellbeing of the patients.

Implementing the Project

The Plan-Do-Study-Act model can be applied in implementing my project. The model can be used to facilitate accelerated improvement in project processes. The PDSA model informs the strategies utilized in the change initiative. It also guides the development of a team that would lead the implementation process. The components of the model such as planning enable the project managers to understand the needs of the organization and the implementers of the project and ways of addressing them. The effective use of the model enables the systematic implementation of change initiatives in a project. Through it, organizations benefit from the gradual and organization wide successful implementation of a project (Newcombe & Fry-Bowers, 2018). Therefore, the PDSA model is applicable to my project, as it will minimize the risk of resistance from the adopters and failure due to ineffective processes.

Project to Address the Problem

A project that I could implement to address the issue of surgical sites infection in the institution is antibiotic prophylaxis. The administration of antibiotic prior to surgery has been shown to reduce the risk and rate of surgical site infections. The type of surgery determines largely the prophylactic antibiotics that patients should receive (Balch et al., 2017). The development and implementation of an antibiotic prophylactic protocol for use in the organization may therefore reduce the vulnerability of post-surgical patients to surgical site infections.

The PDSA model can be applied in the implementation of the prophylactic antibiotic protocol to be used in the organization. Activities such as recruiting a team to implement the project will be undertaken in the planning stage. The team will develop the mission and vision of the project in facilitating the realization of the desired safety and quality goals in the organization. The team will also develop an aim statement that would guide the development of the strategies. They will determine the causes of the problem and alternative interventions that can be used to address the problem. The team will lead the implementation of the selected alternatives in the do phase. They will embrace interventions such as training the healthcare providers about the implementation of the protocol and guiding its use in practice. The team will also collect data related to the effectiveness of the adopted strategies and consistency of protocol use by the staffs in this phase (Newcombe & Fry-Bowers, 2018). The assessment data informs the improvement strategies utilized to ensure the successful and organization wide implementation of the project.

The team evaluates whether the data answers the aim statement in the study phase. They utilize the results obtained in the do phase to evaluate the effectiveness of the project in reducing surgical site infections and improvement strategies that are needed in the organization. The implementation of organization wide use of the protocol occurs in the act phase. The phase occurs if the team determines the protocol to be effective in addressing the critical safety and quality needs in the organization (Katowa-Mukwato et al., 2021). They also communicate the success of the project to the organizational stakeholders, including the nurses and physicians.

Quality Improvement Measures

Quality improvement measures provide insights into the effectiveness of a project in delivering its expected outcomes. Outcome and process measures will be used to track improvement in the project. Outcome measures will focus on the evaluation of whether the desired results of the project were achieved or not. Outcome measures reflect the effectiveness of the adopted strategies in project implementation. Some of the outcome measures that will be used to track improvement will include the rate of surgical site infections, average hospital stay an costs incurred by patients in the organization. Process measures will facilitate the tracking of the effectiveness of the strategies used to achieve the project outcomes. It will focus on the effectiveness of strategies such as training, coaching, mentoring, and institutional support in ensuring the success of the project. Tools such as interviews and surveys will be used to obtain provider insights into the effectiveness of the strategies that were used in the implementation of the project (Zywot et al., 2017). The consistency of use of the protocol by the healthcare providers will also be used as a way of tracking the effectiveness of the project.

Quality Improvement Tools

A flow chart will be used for analyzing and monitoring the effectiveness of the project in addressing the issue of surgical site infections in the organization. A flow chart will be desirable, as it will provide efficient tracking of the project activities. It will also facilitate the determination of effective and ineffective strategies in the implementation of the project. Through it, redundancies and duplication of processes and roles will be eliminated. A flow chart is also desirable, as it will facilitate effective ordering and organizing of the activities needed to achieve the desired project objectives.

Leadership Theory

The leadership theory that would be applied in the implementation of the project is servant leadership theory. Servant leadership theory is a model where leaders aim at serving and meeting the needs of those they lead. Leaders focus on creating a synergistic relationship with those they lead that than controlling relationship. The leaders recognize the need for the prioritization of the needs of those they lead in project implementation. As a result, they motivate them to play a proactive role in the different phases of project implementation such as assessment, planning, monitoring, and evaluation. Servant leaders also aim at promoting innovation. They encourage their followers to explore effective ways in which optimum outcomes in strategy implementation can be achieved (Best, 2020). They also empower their followers by encouraging their active participation in the project initiatives. Servant leaders also promote open communication between and among the followers. They recognize the importance of openness in communication in fostering trust and honesty among the project members (Neville et al., 2021). Therefore, I  believe that servant leadership will facilitate the realization of optimum outcomes in the implementation of the protocol to reduce surgical site infections in the organization.

Discussion: Healthcare Quality HCA 675 Conclusion

Overall, surgical site infections comprise a critical issue in healthcare organizations. Surgical site infections are attributable to organizational factors that can be controlled. The financial impacts of surgical site infections to patients and healthcare institutions are enormous. Protocols such as prophylactic administration of antibiotics are effective in preventing and minimizing surgical site infections. The PDSA model can be used in the implementation of a project aiming at the use of the protocol in the institution. The model guides systematic implementation of the project with a focus on minimizing resistance from the staffs. Servant leadership should therefore be applied to ensure the realization of the desired institutional outcomes in the prevention and minimizing of surgical site infections using the protocol.

Discussion: Healthcare Quality HCA 675 References

Allegranzi, B., Aiken, A. M., Zeynep Kubilay, N., Nthumba, P., Barasa, J., Okumu, G., Mugarura, R., Elobu, A., Jombwe, J., Maimbo, M., Musowoya, J., Gayet-Ageron, A., & Berenholtz, S. M. (2018). A multimodal infection control and patient safety intervention to reduce surgical site infections in Africa: A multicentre, before–after, cohort study. The Lancet Infectious Diseases, 18(5), 507–515. https://doi.org/10.1016/S1473-3099(18)30107-5

Badia, J. M., Casey, A. L., Petrosillo, N., Hudson, P. M., Mitchell, S. A., & Crosby, C. (2017). Impact of surgical site infection on healthcare costs and patient outcomes: A systematic review in six European countries. Journal of Hospital Infection, 96(1), 1–15. https://doi.org/10.1016/j.jhin.2017.03.004

Balch, A., Wendelboe, A. M., Vesely, S. K., & Bratzler, D. W. (2017). Antibiotic prophylaxis for surgical site infections as a risk factor for infection with Clostridium difficile. PLOS ONE, 12(6), e0179117. https://doi.org/10.1371/journal.pone.0179117

Best, C. (2020). Is there a place for servant leadership in nursing? Practice Nursing, 31(3), 128–132. https://doi.org/10.12968/pnur.2020.31.3.128

Cheng, H., Chen, B. P.-H., Soleas, I. M., Ferko, N. C., Cameron, C. G., & Hinoul, P. (2017). Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review. Surgical Infections, 18(6), 722–735. https://doi.org/10.1089/sur.2017.089

IHI. (n.d.). Surgical Site Infection | IHI – Institute for Healthcare Improvement. Retrieved October 23, 2021, from http://www.ihi.org:80/Topics/SSI/Pages/default.aspx

Javed, A. A., Teinor, J., Wright, M., Ding, D., Burkhart, R. A., Hundt, J., Cameron, J. L., Makary, M. A., He, J., Eckhauser, F. E., Wolfgang, C. L., & Weiss, M. J. (2019). Negative Pressure Wound Therapy for Surgical-site Infections: A Randomized Trial. Annals of Surgery, 269(6), 1034–1040. https://doi.org/10.1097/SLA.0000000000003056

Katowa-Mukwato, P., Mwiinga-Kalusopa, V., Chitundu, K., Kanyanta, M., Chanda, D., Mbewe Mwelwa, M., Ruth, W., Mundia, P., & Carrier, J. (2021). Implementing Evidence Based Practice nursing using the PDSA model: Process, lessons and implications. International Journal of Africa Nursing Sciences, 14, 100261. https://doi.org/10.1016/j.ijans.2020.100261

Leaper, D. J., Holy, C. E., Spencer, M., Chitnis, A., Hogan, A., Wright, G. W. J., Po-Han Chen, B., & Edmiston, C. E. J. (2020). Assessment of the Risk and Economic Burden of Surgical Site Infection Following Colorectal Surgery Using a US Longitudinal Database: Is There a Role for Innovative Antimicrobial Wound Closure Technology to Reduce the Risk of Infection? Diseases of the Colon & Rectum, 63(12), 1628–1638. https://doi.org/10.1097/DCR.0000000000001799

Neville, K., Conway, K., Maglione, J., Connolly, K. A., Foley, M., & Re, S. (2021). Understanding Servant Leadership in Nursing: A Concept Analysis. International Journal for Human Caring. https://doi.org/10.20467/HumanCaring-D-20-00022

Newcombe, J., & Fry-Bowers, E. (2018). Improving Postoperative Neonatal Nutritional Practices in an Intensive Care Unit Using the PDSA Cycle. Journal of Pediatric Health Care, 32(5), 426–434. https://doi.org/10.1016/j.pedhc.2018.03.004

Zywot, A., Lau, C. S. M., Stephen Fletcher, H., & Paul, S. (2017). Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review. Journal of Gastrointestinal Surgery, 21(11), 1915–1930. https://doi.org/10.1007/s11605-017-3465-3