If I am the CEO of an acute care hospital and receive a call from the member of the board telling me our facility is ranked #1 in state for Ventilator Assisted Pneumonia in
ICU, I would be really sorry to hear about it and take the complete responsibility. I will assure the board member that the situation will be rectified as soon as possible. I will let them know I will myself with the senior management oversee the thorough investigation and fix the issues.
I will schedule a meeting with the senior management team to let them know about the ranking. I would ask them to investigate and encourage the staff assigned to the infection and prevention control program to effectively prevent Ventilator assisted
Pneumonia. I will check the data for
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This prevention control program team would further monitor the outcomes of the data analysis weekly for three months and later monthly depending on the outcomes. I would meet the team every week for the brainstorming sessions. They would closely monitor the preventive measures in their respective units. They will make sure every staff member is educated above ventilator associated pneumonia. Maintain a hand hygiene data for the entire medical staff which would be recorded with the VAP cases’ data for the regular analysis. I will personally monitor the outcomes each week.
For the sustainability of the program I will ensure we have all the related training programs for our staff and get them certified in their respective field. If required we will hire experts for infection prevention control.
To ensure we continuously meet our goal for best patient care and simplified processes we will have a strong feedback mechanism. To continuously meet our goal of streamline processes and quality services to serve our patients we will have a