Abstract: Ward round auditing checklist was used to improve standards of infection control policy in ward and critical care area. This tool provided immediate feedback and rapid changes in practice where needed. The process served as a forum for good teamwork and facilitated a positive attitude to changing staff behaviour.
Material and Methods: A hospital based evaluative study was done in randomly selected different ward and critical care unit between 16 Oct-16 Nov 207 and 17 Nov -25 Dec 2017 through audit via providing infection control checklist. Intensive monitoring on ward round criteria checklist and day to day feedback to sister in-charge .The data was obtained from 4 critical care unit and also 9 general ward at Ruby general Hospital, data analysis done using descriptive and inferential statistics .Data presented in terms of frequency, percentage.
Results : in general ward , highest compliance rate about some selective criteria on infection control criteria checklist on ward such as Anti – microbial solution in the hand washing area (pre Value -90.06%, post value -100%), Present four color segregating waste bin in every bed side (pre value-88.5%,post value 100%) ,Visible contamination humidifier circuit (pre value -92.3%,post value -100%). Lowest compliance rate Checked used NS/DNS Bottles after 24 hours (9.2%), Opening date of multiple dose vial/bottles(pre value -19.6% post value -55.29%), ) ,Kept urinary catheter below bladder level with proper fixation( pre value -24.5% ,post value -70.2%). In other hand critical care unit, highest compliance rate on such as provide catheter care in every shift( pre value -50.58,pst value -100%) , appropriate use of PPE(56.38%), uses of disposable BIPAP mask (pre value -43.76%, post value -98.07%) maintain hand hygiene before doing suctioning (pre value -41.65% ,post value - 96.95%) , proper storage of sterile items in critical care area(pre value ,post value -54.38%.93.26%). Lowest compliance rate are all tubing’s kept in proper place (pre value -19.22,post value -58% ).
Conclusion: from the above findings it was concluded that the ward round checklist on infection control is effective to maintain standard precaution and improved practice .
Keywords: ward round, infection control, audit, evaluative study, criteria checklist, descriptive and inferential statistics.
Title: Random ward round Audits - A Quality Improvement Initiative in infection control
Author: Syeda samsunahar, Ms Asima Chakroborty
International Journal of Interdisciplinary Research and Innovations
ISSN 2348-1218 (print), ISSN 2348-1226 (online)
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