Quality Improvement Project of the

Intensive Therapy Unit Microbiology

Proforma
March to June 2022

Dr. David Llewellyn, Dr. Emmanuel Oundo, Dr. John Dixon

AIM

 create a proforma that can be used to monitor what tests have been sent,
what results have returned, and which tests have not yet been performed
 display what treatments a patient has had for infection whilst on the unit
 display tests not performed which could prompt them to be done
Objectives

 Main Objective
 To assess and improve the documentation of microbiology results in the ITU
 Specific Objectives
 To assess number of patients with the proforma
 To assess the cultures done for each patient
 To assess the antimicrobial use for each patient
 To assess feedback on the use of the microbiology proforma
Method

 Cycle 1
 Introduce the microbiology proforma
 Sensitize the team on the proforma as part of the monthly big 3 agenda in the ITU
 Audit the proformas after 2 weeks
 Cycle 2
 Re-sensitise the team on the proforma,
 Audit the form after 2 weeks
 Get anonymous feedback on the form from the team
 Cycle 3
 Introduce the simpler form,
 Audit after 2 weeks
 Get anonymous feedback
Results
Chart Title

Percentage with subsequent COVID Swabs dcoumented

Percentage with initial COVID Documented

Percentage who still had some tests not recorded

Percentage with initial screen but no further tests recorded

Percentage with all tests recorded

Percentage of patients who had a proforma in their notes

Number of patients Reviewed

0 20 40 60 80 100 120

Cycle 3 Cycle 2 Cycle 1

 Feedback
Impression

 Good use of the proforma initially

 Less follow up in the subsequent days
 Similar compliance across the cycles in spite of simplification of the forms
 Improved perception that the form improves provision of care for the patients
Recommendation

 To add the proforma to the daily bloods form

 To continue sensitization on the importance of the form
 To include more of the team in filling out of the form, i.e the nurses
 THANK YOU