Health Condition 1: Z298- Encounter for other specified prophylactic measures
Conditions
Interventions
Intervention1: Quality Improvement Program for Healthcare-Associated Infection Prevention Bundles: The Quality Improvement Program includes structured staff education sessions on evidence-based Health
Sponsors
Gopalakrishnan
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18 years and above admitted to the Surgical Intensive Care Unit (SICU) during the study period; patients with invasive devices such as central line, urinary catheter, or mechanical ventilator inserted after SICU admission; expected SICU stay greater than 24 hours; and patients or legally authorized representatives willing to provide informed consent for data collection.
Exclusion criteria
Exclusion criteria: Patients transferred to SICU after more than 24 hours from another hospital ward or ICU; patients receiving comfort-focused or palliative-only care at admission; patients with active sepsis or existing healthcare-associated infection at the time of admission; and patients unwilling to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adherence rate to evidence-based healthcare-associated infection (HAI) prevention bundles (CLABSI, CAUTI, VAP, and SSI bundles) among healthcare professionals and incidence rates of healthcare-associated infections in Surgical Intensive Care Unit patients.Timepoint: Bundle adherence rates and Healthcare-Associated Infection rates will be assessed at baseline during the pre-intervention phase, monitored weekly throughout the 24-week intervention period, and reassessed at the end of the 24-week post-intervention phase. | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay in the Surgical Intensive Care Unit among admitted patients.Timepoint: Length of stay in the Surgical Intensive Care Unit among admitted patients. Time Point: Assessed continuously during the study period & compared between pre-intervention baseline phase & at the end of the 24-week post-intervention phase.;ICU readmission rates among Surgical Intensive Care Unit patients.Timepoint: ICU readmission rates among Surgical Intensive Care Unit patients. Time Point: Assessed continuously during the study period & evaluated before implementation & at the end of the 24-week intervention phase.;Mortality & morbidity rates among Surgical Intensive Care Unit patients.Timepoint: Mortality & morbidity rates among Surgical Intensive Care Unit patients. Time Point: Evaluated continuously during both pre-intervention & post-intervention phases & compared at the end of the 24-week intervention period.;Knowledge & attitude scores of healthcare professionals regarding evidence-based HAI prevention practices.Timepoint: Knowledge & attitude scores of healthcare professionals regarding evidence-based Healthcare-Associated Infection prevention practices. Time Point: Assessed at baseline before implementation of the Quality Improvement Program & reassessed at the end of the 24-week intervention period;Satisfaction level of healthcare professionals regarding adherence to HAI prevention bundle practices.Timepoint: Satisfaction level of healthcare professionals regarding adherence to Healthcare-Associated Infection prevention bundle practices. Time Point: Assessed at the end of the 24-week intervention period after completion of the Quality Improvement Program. | — |
Countries
India
Contacts
Public ContactDr Prabha K Dasila
MGM New Bombay College of Nursing
Outcome results
None listed