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Assessment 1: Quality and Safety Gap Analysis

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Student Name

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Capella University

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Course Name
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Prof Name
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MAR 13, 2024
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Quality and Safety Gap Analysis – Hospital-Acquired Infections

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Systemic Problems Related to Quality and Safety Outcomes

Clinic procured contaminations (HAIs) address a critical test in medical care settings,
ordinarily arising roughly 48 hours after a patient's confirmation (Monegro et al., 2023).
These diseases, frequently coming about because of insufficient consideration,

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influence around 8.7% of hospitalized patients, with urinary lot contaminations being
especially pervasive (World Wellbeing Association [WHO], n.d.). HAIs add to delayed
medical clinic stays, expanded dangers of dreariness, monetary weights, and, in
extreme cases, long haul entanglements or mortality (Stewart et al., 2021).

Practice Changes to Improve Quality and Safety Outcomes

To improve patient results, quality, and wellbeing, particularly concerning HAIs, carrying
out training changes inside medical services associations is essential. The Designated

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Appraisal for Counteraction (TAP) methodology, created by the Habitats for Infectious
prevention and Avoidance (CDC, 2023), includes focusing on associations, evaluating

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needs, and executing anticipation systems. Need changes incorporate legitimate usage
of individual defensive hardware (PPE), adherence to hand cleanliness rules,

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improvement of natural cleanliness, and constant preparation for medical services
experts. This proposition expects that contamination control rehearses inside medical

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services associations assume a critical part in limiting disease gambles, prompting

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further developed cleanliness, improved medical services security, and positive patient
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Prioritization of the Proposed Change Strategies
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While all proposed change methodologies are significant, focusing close by cleanliness
practices and medical services proficient training is fundamental. Successful execution
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of these methodologies altogether further develops contamination control rehearses and

forestalls HAIs. Appropriate hand cleanliness hinders microbe transmission, lining up
with CDC claims about forestalling anti-toxin safe contaminations (CDC, 2023). This
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prioritization plans to upgrade patient wellbeing concerning HAIs.

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Quality and Safety Culture and its Evaluation

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The proposed change systems plan to further develop care quality and lay out a
security culture by propelling medical services rehearses. Achievement relies upon
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between proficient coordinated effort, correspondence, and encouraging a mentality of

consistent improvement. Assessment measurements incorporate constant
predominance studies, estimating patient fulfillment levels, and surveying staff
information, guaranteeing supported viability and the foundation of a superior quality
and security culture inside medical services associations.

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Organizational Culture Affecting Quality and Safety Outcomes

Unfriendly results inside a medical services association can be impacted by its way of
life and ordered progression. Further developed correspondence, satisfactory staffing,
and a positive culture improve adherence to quality practices. The presumption hidden
this examination is that a positive hierarchical culture encourages worker inspiration,
lines up with hierarchical objectives, and advances cooperation, basic for executing and
overseeing change in medical services settings.

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Justification of Necessary Changes in an Organization

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Hierarchical changes, including a between proficient board of trustees, a zero-resilience
strategy for carelessness, and sufficient asset designation, are fundamental to relieve

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unfriendly quality and wellbeing results. The between proficient board screens
rehearses, spurs staff, advances joint effort, and recognizes regions for development.

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The zero-resistance strategy considers medical care laborers responsible, and joint

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effort with inner and outside partners guarantees adequate assets for fruitful execution.
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References

Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A.,
Al-Tawfiq, J. A., & Al-Omari, A. (2021). Knowledge of infection prevention and control
among healthcare workers and Factors Influencing Compliance: A systematic review.
Antimicrobial Resistance & Infection Control, 10(1).
https://doi.org/10.1186/s13756-021-00957-0

Baumbach, L., Frese, M., Härter, M., König, H.-H., & Hajek, A. (2023). Patients satisfied

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with care report better quality of life and self-rated health—cross-sectional findings
based on hospital quality data. Healthcare, 11(5), 775.

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https://doi.org/10.3390/healthcare11050775

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Bearman, G., Doll, M., Cooper, K., & Stevens, M. P. (2019). Hospital infection
prevention: How much can we prevent and how hard should we try? Current Infectious

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Disease Reports, 21(1). https://doi.org/10.1007/s11908-019-0660-2

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Centers for Disease Control and Prevention. (2023, April 3). The Targeted Assessment
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for Prevention (TAP) strategy. Centers for Disease Control and Prevention.
https://www.cdc.gov/hai/prevent/tap.html
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Mello, M. M., Frakes, M. D., Blumenkranz, E., & Studdert, D. M. (2020). Malpractice
liability and health care quality. JAMA, 323(4), 352.
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https://doi.org/10.1001/jama.2019.21411

Mitchell, B. G., Gardner, A., Stone, P. W., Hall, L., & Pogorzelska-Maziarz, M. (2018).
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Hospital staffing and healthcare-associated infections: A systematic review of the

literature. The Joint Commission Journal on Quality and Patient Safety, 44(10),
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613–622. https://doi.org/10.1016/j.jcjq.2018.02.002

Monegro, A. F., Muppidi, V., & Regunath, H. (2023). Hospital-acquired infections. In

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StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK441857/

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Stewart, S., Robertson, C., Pan, J., Kennedy, S., Haahr, L., Manoukian, S., Mason, H.,
Kavanagh, K., Graves, N., Dancer, S. J., Cook, B., & Reilly, J. (2021). Impact of
healthcare-associated infection on length of stay. Journal of Hospital Infection, 114,
23–31. https://doi.org/10.1016/j.jhin.2021.02.026

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Sun, J., Qin, W., Jia, L., Sun, Z., Xu, H., Hui, Y., Gu, A., & Li, W. (2021). Analysis of
continuous prevalence survey of healthcare-associated infections based on the
real-time monitoring system in 2018 in Shandong in China. BioMed Research
International, 2021, 1–7. https://doi.org/10.1155/2021/6693889

Wolvaardt, E. (2019). Blame does not keep patients safe. Community Eye Health,
32(106), 36. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6802475/

World Health Organization, (n.d.). Hand hygiene: Why, how & when?

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https://www.afro.who.int/sites/default/files/pdf/Health%20topics/Hand_Hygiene_Why_Ho
w_and_When_Brochure

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