Business problem:
- Overall Hospital acquired infection rate was significantly higher than global benchmarks.
- Higher infection rates were increasing the Average length of stay (ALOS) and affecting patient safety.
There were multiple non compliances in JCI PCI chapter during the mock audits
Solution Approach:
- Performed a Hospital wide system audit on infection control practices assessing infection control program infrastructure, Infection control training, Healthcare personnel safety, surveillance and reporting, Hand hygiene, Personal protective equipment (PPE), Respiratory hygiene , environmental cleaning, Device reprocessing.
- A new program of staff engagement, internal audit and review mechanism was initiated across hospital based on the findings of the audit
- New Audit tool for PPEs was introduced along with hand hygiene monitoring system.
- An IT enabled trend analysis and data collection system was instituted.
Key Outcome and benefits:
- 63% reduction in hospital acquired infections.
- 100% compliance to JCI requirements
- 45% reduction in infection related events.
IT based system to analyse trends and patterns
