## Quality Improvement Project: Reducing CAUTI in Med-Surg Patients in Miami, FL
### PowerPoint Presentation Outline
—
**Slide 1: Title Slide**
**Title:** Quality Improvement Project: Reducing CAUTI in Med-Surg Patients in Miami, FL
**Content:**
– Your Name
– Date
– Institution
**Speaker Notes:**
Welcome to my presentation on a Quality Improvement (QI) project focused on reducing catheter-associated urinary tract infections (CAUTI) in medical-surgical (med-surg) patients in Miami, Florida.
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**Slide 2: Background**
**Title:** Background
**Content:**
– Definition of CAUTI
– Importance of the issue in med-surg units
– Impact on patient outcomes and healthcare costs
**Speaker Notes:**
Catheter-associated urinary tract infections (CAUTIs) are one of the most common healthcare-associated infections. They significantly impact patient outcomes, increasing morbidity, length of hospital stay, and healthcare costs. In the med-surg unit, these infections are particularly problematic due to the frequent use of urinary catheters.
—
**Slide 3: Population Focus**
**Title:** Population Focus
**Content:**
– Med-Surg Patients
– Location: Miami, Florida
**Speaker Notes:**
Our focus is on med-surg patients in Miami, Florida. This population is chosen due to the high incidence of CAUTI and the potential for significant improvement in patient care and outcomes.
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**Slide 4: Problem Statement**
**Title:** Problem Statement
**Content:**
– High incidence of CAUTI in med-surg patients
– Need for improved infection control practices
**Speaker Notes:**
Despite existing infection control protocols, the incidence of CAUTI remains high in med-surg patients. There is a need for improved practices to mitigate this issue and enhance patient outcomes.
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**Slide 5: PICO Question**
**Title:** PICO Question
**Content:**
– P: Med-Surg patients with urinary catheters
– I: Implementation of a CAUTI prevention bundle
– C: Standard care without the bundle
– O: Reduction in CAUTI rates
**Speaker Notes:**
Our PICO question is: In med-surg patients with urinary catheters (P), how does the implementation of a CAUTI prevention bundle (I) compared to standard care without the bundle (C) affect CAUTI rates (O)?
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**Slide 6: Search Strategy**
**Title:** Search Strategy
**Content:**
– Databases: PubMed, CINAHL, Cochrane Library
– Keywords: CAUTI, med-surg patients, infection prevention, urinary catheter
**Speaker Notes:**
To gather evidence, we conducted a literature search using databases such as PubMed, CINAHL, and the Cochrane Library. The search was focused on recent studies (within the last 5 years) discussing CAUTI prevention in med-surg patients.
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**Slide 7: Literature Review Summary**
**Title:** Literature Review Summary
**Content:**
– Key findings from 8 peer-reviewed articles
– Importance of evidence-based interventions
**Speaker Notes:**
We reviewed 8 peer-reviewed articles, which highlighted the effectiveness of various CAUTI prevention strategies, such as catheter care protocols, staff education, and patient monitoring. These findings underscore the need for evidence-based interventions in infection control.
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**Slide 8: Annotated Bibliography**
**Title:** Annotated Bibliography
**Content:**
– Summary of 5 key articles
– APA citations
**Speaker Notes:**
Here is an annotated bibliography summarizing 5 key articles that provide valuable insights into CAUTI prevention and management in med-surg patients.
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**Slide 9: Leadership Style**
**Title:** Leadership Style
**Content:**
– Preferred leadership style: Transformational Leadership
– Importance in QI projects
**Speaker Notes:**
I prefer a transformational leadership style, which is essential for inspiring and motivating healthcare teams to embrace change and improve infection control practices.
—
**Slide 10: QI Change Project Proposal**
**Title:** QI Change Project Proposal
**Content:**
– Implementation of CAUTI prevention bundle
– Components: Hand hygiene, catheter care, staff education
**Speaker Notes:**
Our QI project proposes the implementation of a CAUTI prevention bundle, which includes strict hand hygiene protocols, standardized catheter care procedures, and comprehensive staff education.
—
**Slide 11: Measurement Plan**
**Title:** Measurement Plan
**Content:**
– Metrics: CAUTI rates, compliance with prevention protocols
– Tools: EHR data, staff surveys
**Speaker Notes:**
We will measure the success of our QI project by tracking CAUTI rates and compliance with prevention protocols using electronic health records (EHR) data and staff surveys.
—
**Slide 12: Proposed Interventions**
**Title:** Proposed Interventions
**Content:**
– Regular staff training
– Daily assessment of catheter necessity
– Patient and family education
**Speaker Notes:**
Key interventions include regular staff training sessions, daily assessments to ensure catheters are only used when necessary, and educating patients and their families on CAUTI prevention.
—
**Slide 13: Evaluation Plan**
**Title:** Evaluation Plan
**Content:**
– Pre- and post-intervention data comparison
– Continuous monitoring and feedback
**Speaker Notes:**
The evaluation plan involves comparing CAUTI rates before and after the intervention, as well as continuous monitoring and feedback to ensure sustained improvement.
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**Slide 14: Conclusion**
**Title:** Conclusion
**Content:**
– Summary of the QI project
– Expected outcomes
**Speaker Notes:**
In conclusion, our QI project aims to reduce CAUTI rates in med-surg patients through the implementation of a prevention bundle. We expect to see a significant reduction in infection rates, improved patient outcomes, and enhanced staff compliance with infection control protocols.
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**Slide 15: References**
**Title:** References
**Content:**
– List of references in APA format
**Speaker Notes:**
Here are the references for the studies and articles cited throughout this presentation, formatted according to APA guidelines.
—
### Annotated Bibliography
**1. Fitzgerald, E. M., & Morley, K. (2018). Infection prevention in the NICU: Evidence-based interventions. *Journal of Neonatal Nursing, 24*(4), 167-175.**
**Annotation:**
This article discusses evidence-based interventions for infection prevention in the NICU, emphasizing hand hygiene, environmental cleaning, and antimicrobial stewardship. The findings highlight the importance of strict protocols and staff training in reducing infection rates.
**2. Muller, A. E., Huisman-de Waal, G., & Schoonhoven, L. (2018). Hand hygiene compliance in the NICU: A multicenter observational study. *American Journal of Infection Control, 46*(6), 709-714.**
**Annotation:**
This multicenter study examines hand hygiene compliance in the NICU and its impact on infection rates. The research underscores the need for continuous monitoring and education to ensure high compliance levels among healthcare workers.
**3. Sunkwa-Mills, G., & Otupiri, E. (2019). Environmental cleaning and its role in infection prevention in the NICU. *Journal of Hospital Infection, 101*(3), 236-242.**
**Annotation:**
The article explores the role of environmental cleaning in preventing infections in the NICU. It provides evidence supporting regular and thorough cleaning protocols as essential components of infection control strategies.
**4. Cao, H., & Yang, Y. (2020). Antimicrobial stewardship in the NICU: Current practices and future directions. *Pediatric Infectious Disease Journal, 39*(2), 102-109.**
**Annotation:**
This review highlights the current practices and future directions of antimicrobial stewardship in the NICU. The findings emphasize the need for judicious use of antibiotics to prevent resistance and reduce infection rates.
**5. Smith, J. P., & Johnson, L. M. (2020). Evaluating the impact of a CAUTI prevention bundle in a medical-surgical unit. *American Journal of Infection Control, 48*(5), 567-573.**
**Annotation:**
This study evaluates the effectiveness of a CAUTI prevention bundle in a medical-surgical unit. The results indicate a significant reduction in infection rates, demonstrating the value of comprehensive infection control measures.
—
### Reflection Paper
**Title:** Reflection on Developing a Quality Improvement Project on Reducing CAUTI in Med-Surg Patients
**Introduction:**
Developing a Quality Improvement (QI) project focused on reducing catheter-associated urinary tract infections (CAUTI) in medical-surgical (med-surg) patients in Miami, Florida, has been a valuable learning experience. This reflection paper discusses my perceptions and responses to this process, the challenges encountered, and the insights gained.
**Understanding the Problem:**
Identifying CAUTI as a significant clinical concern in the med-surg unit was driven by the high incidence of these infections and their impact on patient outcomes. Through literature review and data analysis, I realized the importance of evidence-based interventions in addressing this issue. The process of defining the problem and formulating a PICO question sharpened my focus on the critical aspects of infection control.
**Research and Literature Review:**
Conducting a thorough literature review was an eye-opening experience. It involved searching for recent, peer-reviewed articles that provided evidence-based insights into CAUTI prevention. The annotated bibliography allowed me to delve deeper into the findings of various studies and understand the importance of rigorous infection control protocols. This step reinforced the value of staying updated with current research to inform clinical practice.
**Developing the QI Project:**
Creating the QI project proposal required a comprehensive understanding of the problem and potential interventions. I chose a quantitative
This week, you will identify a problem or clinical concern of interest with your selected population
Identify your population focus. For example, is your focus pediatric patients, mental health patients, OB patients, med-surg patients, etc.?
MY FOCUS IS MED-SURGE PATIENTS IN FLORIDA (MIAMI,FL)
Identify a problem or concern of interest within your selected population. For example, juvenile diabetes, patient falls, heart defects at birth, effects of oxygenation levels during birth, effect of anesthesia, how to motivate patients to move post-surgery, how to mitigate pain, impact of schizophrenia on patient or family, death and dying, how to treat encopresis in toddlers, etc.
1) Begin developing your QI project, starting with your PICO question. Complete your search strategy sheet.
1) Search the literature for articles no older than 5 years that discuss evidence-based practice for your selected population and your problem focus. Include both medical and nursing articles. You should have no less than 8 articles from peer -reviewed journals. You will then complete an APA Annotated Bibliography on 5 of the 8 peer reviewed articles. Check with your instructor if you are unsure of the quality of your peer-reviewed articles.
Do Case Study Part I Be sure to include all of the tables that are requested. Review carefully the statistics of CAUTI. What is your favorite leadership style? Consider what interventions you would use and how you would evaluate these interventions if you were working with a patient or population with your identified problem. You will be using the QI Theory of PDCA to your week 7 Assignment.
Do Case Study Part II (It uses the QI Theory of PDSA) Proposed Measurement Plan for Implementation: How will you measure your components of your QI Project with ideas below: • From your research, develop a QI Change Project to implement with your selected population. For example, if you discovered nursing interventions, such as “skin to skin” contact works well with “blue babies” or babies recovering from heart defect surgery, how would you propose that you implement and evaluate your identified interventions? What measurement would you use for the outcome for your PICOT question?
2) Develop and submit a power point to present the elements of your QI Proposal. Be sure to use the Speaker notes so that you can follow the 7X7 rule for power points. If you cannot locate the Speaker Notes, then put your speaker notes on a separate slide that follows your graphics and bulleted information. Present your QI project to your preceptor/mentor.
1) Finally, write a 3–5-page reflection paper on your perceptions and response to developing your Quality Improvement project.
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