APPLYING PROCESS IMPROVEMENT MODELS

Csilla Orban Bonacci

I like the FADE model because I like first to focus on where the problem is and then analyze the issue and data we have and see where the problem is, then I would like to develop a plan that can give us results and then execute this plan. According to Spath that is what the FADE model is. It is a quality improvement model that puts an emphasis on performance, quality of that performance, and patient satisfaction (Spath, 2018).

In a CLABSI situation I believe using the FADE model on our unit we could:

 

1. Focus on the problem at hand. Why, when, and how does CLABSI occur. On our unit it seems that the issue is not removing a central line when it is not necessary anymore. We need to train staff to document how many days a central line has been in and then consider reaching out to the provider to ask if the line is still necessary to have or not.

2. Analyze: The problem is that we do not look at the documentation nor write on the dressing when the CVL was placed. Or if it was written and it is erased, we do not write it back. I also noticed that nurses do not think much about how many days the CVL has been in. We need reminders. We also noticed that many patients go to rehab with a central line from the hospital and the nurses there have no idea how many days the CVLS has been in and when does it need to come out. Lack of communication is a problem when patients are transferred.

3. Develop reminders about CVLs that bring into mind to count how many days a central line has been in and per protocol remove it or contact provider to ask if we can remove it. Communicate with other facilities where patients are being transferred to let them know how many days the patient has already had that central line and when it needs to be removed.

4. Execute-Train everyone on how many days a central line needs to be in and how to contact providers to ask about necessity of line. Instruct nurses to assess and document appropriately the site of the CVL during each shift. Educate patient to notify staff if there is redness, pain, or anything is oozing.Having patients and their families and staff alike remember when a CVL needs to come out could be one way in reducing CLABSI.

 

References

 

Spath, P. (2018).  Introduction to healthcare quality management (3rd ed.). Health Administration Press