Steven Hoffman, Alyssa Black, Kaitlin Ward, Anna Bennion, David Wood, Flavio F Marsiglia
Parent-child conflict and adolescent health literacy in Mexico: Results from a nationwide dyad study in Mexico
Global public health
clostridioides difficile c diff infection causes significant morbidity hospitalized patients large medical intensive care unit increase c diff infection rates aim project reduce c diff polymerase chain reaction pcr test positivity rate rate c diff pcr tests ordered rates compared preintervention july 2017 december 2019 postintervention january 2021 december 2022 timeframes unit leadership led robust quality improvement project including use quality improvement tools a3 gemba walks plandostudyact cycles interventions tailored barriers identified including standardization inroom supply carts use singlepackaged oral care kits new enteric precautions signage education staff providers visitors scripting patients visitors use c diff testing algorithm statistical process control charts used assess improvements average rate c diff pcr test positivity decreased 349 pcr positive tests per 10 000 patient days 123 postintervention period 66 reduction average rate pcr tests ordered 28 per 1000 patient days preintervention period decreased 44 157 postintervention period found clinically significant improvements rate c diff infection pcr tests ordered result implementing tailored interventions large medical intensive care unit units consider using robust quality improvement methods tools conduct similar initiatives reduce patient harm improve care outcomes