Madison Community Hospital (MCH) has collected data that has demonstrated that the there is a need to improve hand hygiene to prevent the spread of MRSA in their institution. Based on the findings it has become evident that the use of the FOCUS-PDCA model would help promote the changes necessary to prevent the spread of MRSA and by so doing minimize the risk of negative publicity that may come from such an outbreak at MCH.
Through the use of data collection it was determined that roughly 40% of healthcare workers at MCH perform proper hand hygiene when entering and leaving a patient room. The FOCUS model will help define the issue, organize a plan, clarify the results to develop an appropriate processes map, understand the data to be able
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As mentioned earlier, workflow, busy days, distractions, emergencies, visitors and lack of proper education and incentive are some of the many barriers that prevent complete compliance with any process. In order to determine the factors involved in non-compliance there will need to be a time of observation and data gathering to decipher why non-compliance exists. The reason this would time a lot of time would be due to the fact that the issue is not just caused by medical staff, but rather by everyone that enters the hospital or any patient room. This type of quality improvement project would take the right type of incentive to improve outcomes (Buchbinder & Shanks, 2016). For example, if this was just a quality improvement amongst health care providers MCH could offer a “Safety Incentive Bonus” that would be granted to staff if the hand hygiene compliance increase to 90% in one year across the entire institution. Providing a financial incentive to a quality improvement project increases the probability that staff will adhere to the proper hand hygiene protocol and will also encourage peers and patient visitors to do so as well. While an incentive per unit compliance would also work, if institutional increase in hand hygiene compliance is the process that is in dire need of improvement, an institutional incentive would be more