Evidence Informed Decision Making
Short Answer Assignment
Scenario:
You are a quality improvement manager at a regional health organization that provides acute and community healthcare services for adults. Your organization is made up of a 70-bed acute hospital that provides adult medical, obstetric and surgical services, and three ambulatory care centres that offers community and outreach nursing.
There has been a recent spike in the number of gram-negative blood stream infections (BSI) in your hospital. A large proportion of these infections have been caused by Escherichia coli (E. coli), a common gram-negative bacterium. The NSW Ministry of Health has contacted your infectious diseases department to further investigate and respond to the situation.
You have been asked by the Medical Director to search the literature and appraise the evidence surrounding interventions that have been shown to reduce the number of E.Coli gram-negative BSIs in adults.
You are aware that the National Health Service (NHS) in England has recently embarked on a nation-wide strategy to reduce gram-negative BSIs. You do a quick search on the internet, and come across the following resource recently produced by NHS Improvement: https://improvement.nhs.uk/resources/preventing-gram-negative-bloodstream-infections/
Using this link to NHS improvement (and their recommended resources) please answer
Questions:
- Choose one intervention (e.g. antimicrobial stewardship) described in any of the resources provided by the NHS Improvement website to reduce gram- negative BSI in adults:
- Describe the intervention and the evidence (max. 5 references) supporting its use and efficacy
Describes an appropriate health intervention shown to reduce gram negative BSIs
Brief literature review with reference to peer-reviewed articles
- Discuss whether you think the intervention is applicable to your healthcare organization
Discusses applicability of intervention to health organization with some consideration of:
Acute and/or community model
Regional services
Evidence / cost effectiveness / resources
- Please provide a list of references (max 5) that you have used
Reference list provided (max 5) and correctly cited by APA reference style.
word count: 400 words