Safety Score Improvement Plan for Avenue Referral Hospital

SafetyScore Improvement Plan for Avenue Referral Hospital

SafetyScore Improvement Plan for Avenue Referral Hospital

Observingpatient safety in a healthcare facility is a basic yet sensitivepractice. It is meant to reduce the risk of adverse events occurringin a health facility. There are several risk factors that existwithin the setting of a hospital. When these events occur, theireffects may be fatal to both the patients and the healthcareprofessionals. Conducting a safety score assessment is important inidentifying these risk factors and planning on ways to address them.Below is a discussion on the risk factor identified in AvenueReferral Hospital as well as the improvement plan.

Studyof Factor

Therisk factor identified from the safety score of the facility is therisk of patient infection. In some cases, a patient admitted to afacility may develop a new condition after staying for some time inthe system. The hospital has infection control procedures and thestaff is required to follow these precautions so as to avoidinfections. However, the risk of infection is still not yeteliminated. Infections, in this context, refers to the diseasesbrought about by microorganisms like bacteria, viruses, and fungi.

Theinfections acquired in health care facilities are known asHealthcare-Associated Infections (HAI). These infections includewound infection, bloodstream infection, pneumonia, and urinary tractconditions among others. There are various circumstances thatincrease the risk of infection in the hospitals. For example, a longstay in a healthcare facility may increase the probability ofinfection. In addition, operations and surgical procedures, poor handhygiene techniques, wounds, overuse of antibiotics, and high-riskareas are some of the predisposing factors for infections in thehealthcare facility.

Influenceof Nursing Leadership in Driving the Needed Changes

Fora long time, nursing discipline has focused on defining and measuringquality. However, today, nursing also emphasizes on qualityimprovement. The most important feature of the discipline is itsability to integrate and coordinate the different aspects of qualitycare both from within and outside the healthcare setting. Theintegrative function of nursing can be exploited for driving thechanges needed in the system. One of the key components of drivingany aspect of transformation is communication regarding the changes.Nursing has a role as a prime interaction link in all the settingswithin the care. Nurses encounter various conditions in a hospital inreal-time and are better placed at identifying risk factors as wellas finding ways of improving on them.

HowCurrent Policies and Procedures may affect a Safety Issue

Policiesand procedures are developed to prevent health risk factors fromoccurring. However, some of these policies may be outdated and becomeinappropriate for addressing any safety issue. An adherence to thesepolicies is another issue. The current policies and producers may beperfect, but when the parties involved do not observe them, they endup being defective. As facilities expand in number, the population ofindividuals operating in them also increases. As these numbers goesup, the impracticality of the current policies reduces. Also, as thefacilities increase in size, monitoring of adherence to thesepolicies becomes difficult. In a nutshell, there is a need always toupdate the current policies and procedures as a facility undergoeschanges. Updating of these policies and procedures should alsoinclude identifying new measures of monitoring levels of adherence.When the current policies and procedures are up to date and adheredto by the parties involved, the occurrence of any safety risk reducestremendously.


Evidence-basedstrategy to improve the safety issue

Toaddress the issue of patient infection while in the facility, thefollowing is recommended improving hand hygiene by increasing thenumber of well-equipped washrooms and handwashing sinks, restrictedmovement, and new sterilization equipment. It is observed that mostof these HAIs result from direct contact with microorganisms (Krein,Kowalski, and Hofer, 2012).The increased number of patients in the facilities has resulted tocongestions in the existing facilities. Increasing the number ofhandwashing tools and equipping them with soap will likely reduce thetransfer of microorganisms between individuals. New sterilizationsystems need to be acquired to help in sterilizing surgical tools andother shared equipment. Finally, additional protective clothingshould be purchased to enable the nurses to handle the patientswithout transferring infections.

Strategyto Collect Information About the Safety Concern

Monitoringthe conditions of patients while they are within the hospital is aproper way of collecting information about the risk of infection.Additionally, the records of the patients that have been hospitalizedin the facility would help to observe whether there are cases of thesick developing infections while in the facility.

Determiningthe sources of the problem

Inevaluating the source of the problem, a risk assessment study can bedone within the facility. The assessment must look at the facility’sequipment that the patients share, and how they are maintained.Additionally, the assessment can explore the availability ofnecessary resources used by both the patients and the healthcareprofessionals.

Planto implement a recommendation and monitor outcomes

Forthe recommendations to be implemented there will be a need to bringall the players in the facility on board by conducting meetings.Resources will first be assembled before they are directed intoimplementing the various plans. After scheduling, individuals will beallocated tasks to implement. The required equipment will bepurchased and installed in various places. After executing the idea,monitoring will be done to assess the effects of the new plan onservice delivery.


Thequality of life of patients following an implementing the plan willshow the feasibility of the plan. The reduced cases of development ofnew infections while in the hospital will also show the worth of theplan. More importantly, the reduced time taken by patients to bedischarged will illustrate the value of the plan.


Sincethe intervention is tailored towards improving the status of patientsin the facility, the monitoring of the outcomes will be based onpatient records after the completion of the plan.

Theprocedures for handling the patient will need to be changed. Therewill be a restricted movement to reduce the possibility of transferof infections from one individual to another. The guidelines on howto use the shared amenities like washrooms will be posted instrategic places to help promote hygiene within the facility. Thenursing staff will undergo training sessions to enlighten them on thechanges that are to be made. The training will also reinforce theskills of the nursing staff on how to handle the new equipment. Thetraining will require presentation tools as well as handouts toenable correct information sharing.


Krein,S. L., Kowalski, C. P., Hofer, T. P., &amp Saint, S. (2012).Preventing hospital-acquired infections: a national survey ofpractices reported by US hospitals in 2005 and 2009.&nbspJournalof general internal medicine,&nbsp27(7),773-779.

Lobdell,K. W., Stamou, S., &amp Sanchez, J. A. (2012). Hospital-acquiredinfections.&nbspSurgicalClinics of North America,&nbsp92(1),65-77.

Loveday,H. P., Wilson, J., Pratt, R. J., Golsorkhi, M., Tingle, A., Bak, A.,… &amp Wilcox, M. (2014). epic3: national evidence-basedguidelines for preventing healthcare-associated infections in NHShospitals in England.Journalof Hospital Infection,&nbsp86,S1-S70.