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You are the nurse manager in a a small department within the 400– bed Médica Sur Lomas hospital, in which most of the patients speak English as a second language. During a recent interdepartmental meeting, the infection control department reported a two-times increase in D from last year. Knowing the significant financial impact of hospital-acquired infections and accreditation standards, this issue must immediately be addressed by your department.

As the nurse manager, you are charged with evaluating this problem and implementing a quality improvement process to reverse these reported levels. Your team is not pleased that they have been asked to spearhead this initiative and already feel overworked. Your goal is to implement a quality improvement process that addresses risk factors, medication use, compliance, and information literacy based on a facility risk assessment.

This proposal must identify the accreditation standard that is impacted by increased infection rates, the fiscal and physical impact of increased infection rates, processes to be implemented to bring about the desired change, along with an evaluation method for the stated plan. Utilize Lewin’s theory of change with examples of how you will address the different stages, along with a process improvement model that will be embraced by your team.

 

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