monitors the surgical process to determine risk factors working with the Quality department. The Safety Officer works closely with this Department in preparing and documenting quarterly reports to Administration. As such, the Quality department documents data trends. These trends are compared with safety reviews and risk identification. In turn, these risks of occurrences are managed. The Quality department will implement a continued process improvement if the facility is below set benchmark. This influences the implementation process for safety standards. These reports monitor infections that may have a detrimental effect on patient care. This includes detecting source and preventive measures. The data also tracks frequency or deviation …show more content…
Its main core is the selection of the best evidence based approaches of dealing with the SSIs and grouping them into a list that can be effectively implemented by nurses. The use of intervention processes or pathways in healthcare is effective in promoting compliance since it promotes integration of practices and procedures (Lutfiyya, et al. 2012). The selected surgical EBP interventions already implemented include comprehensive patient profiling (consideration of the urgency, patient conditions, and other risks to SSIs), use of prophylactic antibiotics, appropriate skin care (antiseptic skin preparation and hair clipping), and maintenance of perioperative temperature. My proposed quality improvement compliance checklist will be adapted to all surgical standards and areas of needed improvement. Individual nurses will complete the checklist monthly to be compared to quality data. These checklist comparisons will not only show trend results used for compliance but also nurses have the ability to gain responsibility to these implemented EBP interventions becoming an individual unit based champion. This allows for self-reflection and ability to gain understanding of SSI prevention process and gathered quality …show more content…
Becoming compliant with surgical policies in the operating room will create a reactive system change to unit behavior fundamentally embracing change process. The process consists of a planned system change and responsibility of the change agent participating in the change. The change will solve the problem of inconsistent staff behaviors. The cause of the SSI problem is one of the top priorities in the world's departments of health to minimize and prevent healthcare-associated infections. Most occurring SSI can be largely avoided with EBP approaches. These strategies have been implemented in many facilities. The attention to safer surgery, SSI prevention resulted in the development of World Health Organization (WHO) Surgical Safety Standards. The intention of this strategy is to demonstrate the significance of effective communication and teamwork to evidence-based health care to prevent SSI. I plan to influence change by adhering to the implemented quality checklist encouraging an overview of the list of surgical standards. Having one standard list with the surgical process will promote a compliance checklist to encourage consistency to surgical standards. This list will also promote reminders of adhering to areas needing improvement based on quality data. The staff will bring awareness to areas for personal improvement to meet compliance standards.