Homework Help | For this assessment, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting and outline a plan to address the issue.

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Root-Cause Analysis and Improvement Plan

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            Healthcare-acquired infections (HAIs) are caused by exposure to fungal, bacterial, and viral pathogens. The most common types of HAIs include bloodstream infection (BSI), ventilator-associated pneumonia (VAP), surgical site infections (SSIs), and catheter-associated urinary tract infections (CAUTIs) (Johnson, 2018). These HAIs continue to be the most common infections patients get within the hospital setting, and their prevalence rates have increased in recent years. The focus of this Root Cause Analysis is to explore the HAIs within a specific healthcare setting – ABC Hospital – by analyzing the root cause and applying evidence-based strategies, as well as conducting an improvement plan using various evidence-based strategies, and determining the existing organizational resources. 

Analysis of the Root Cause

           The analysis of the healthcare setting demonstrated a lack of efficiency because of multiple practice-related concerns. For instance, it was determined that there were instances of lack of proper handwashing at one point, breakages in the sterile field in another, as well as improper maintenance of catheters, prolong use of surgical equipment, improper cleaning of surgical sites, contaminated supplies, wrongful insertion of catheters, and improper use of ventilators in different scenarios. Additionally, some instances have been reported involving the use of surgical equipment, catheters, and ventilators where injuries and infections have occurred leading to HAIs such as bloodstream infection (BSI), ventilator-associated pneumonia (VAP), surgical site infections (SSIs), and catheter-associated urinary tract infections (CAUTIs).

           According to Mpinda-Joseph et al. (2019), hand hygiene compliance through proper handwashing within the healthcare setting is the first step in the prevention of hospital-associated infections (HAIs). There are some scenarios in the hospital where no hand hygiene was not done before using surgical equipment, catheters, or ventilators on patients. At the same time, there were instances were catheters were improperly inserted. Improper fitting of ventilators or improper sterilization of surgical equipment were also observed. Again, there were some scenarios where the sterile field or surgical equipment was compromised as a result of touching them with unsanitized hands, or the nurses’ garments, torsos, or stethoscope came into contact with the sterile field or surgical surfaces.

           HAIs are a result of various activities within the hospital setting. For instance, a breach of sterile barriers happen when nurses or physicians use the same handle used to clean contaminated surfaces to conduct a medical operation such as fitting ventilators, inserting catheters, or conducting a surgical operation, or using ripped sterile gloves rather than changing into new sterilized ones before conducting these | PLACE YOUR ORDER NOW AT writtask.com | reported by one of the nurses involved catheter insertion, which was done wrong leading to an injury on the patient. It was established that the small working space at the hospital became a major environmental factor, and it was also attributed to the failure of other nurses in the room to raise the concern. 

Application of Evidence-based Strategies            Focusing on catheter-associated urinary tract infections (CAUTIs) as one of the HAIs, the application of evidence-based strategies are targeted at fixing these health issues. In this case, evidence-based strategies that can be applied at ABC hospital targeted at | PLACE YOUR ORDER NOW AT writtask.com | is the formation of a multidisciplinary team to lead the prevention improvement plan. The team will be mandated by targeting frontline training and staff education as a means for improving compliance with the HAIs (CAUTIs) prevention

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