Title : Decline number of hours for patient in open bay
• To reduce the number of hours in which patient are in open bay i-e average 20 hours to 4 hours (internal set target).
•To decrease the number of exposure of health care workers.
Isolation means to separates sick people with a contagious disease from people who are not sick. Among all diseases Tuberculosis, measles, chicken pox required negative pressure room (AIIR airborne infected isolation room). On the other hand, MDRO CRE (Carbapenum Resistant Enterobactoror) or Colistin resistant MDRO required single room isolation. Conversely, in AKUH 2017, the average number of hours in which patient not in isolation have increased from 7.23 hours in November to 20 hours in December 2017. Through this number of health care staff gets exposure.
The PDSA methodology used to expedite patient’s require isolation. We plan to start active coordination with IT team for isolation alerts, Close coordination with Micro team to intervene immediately to isolation patient, conduct Bed Management Officer Sessions and to maintain Infection Control on call log. Moreover, we started IC Recommendations for patient placement in the same room (e.g., cohorting patients with the same infection).
Result / Finding:
After this project in February, 2018 the average hour’s patient remains in open bay was 11hrs. However, in March 2018 the stay in open bay again increased. For this we Re-evaluate the process, availability of triage screening flyers, take session in units for awareness of isolation alerts and screening on triage. Lastly, started to attend daily BMO huddle to speed up the isolation process. As a result, in June, 2018 average hour’s patients remain in open bay was 4hrs which decrease number of Health Care Worker’s exposure.
To maintain the continuity and sustainability, we continue collaborating with BMO and unit management, take ongoing awareness sessions of staffs, to ensure effectiveness of isolation alerts not missed by HCW. Finally, we recommended to increase isolation rooms.