A1261053018NafUk

1
IMPROVING INFECTION CONTROL PRACTICES IN THE
PHILIPPINES THROUGH A MULTI-CENTER COLLABORATIVE
EVIDENCE-BASED QUALITY IMPROVEMENT PROGRAM R
BERBA, M ALEJANDRIA, C HUSKINS, D GOLDMANN and MC
Saniel for the QI-IC
Study Group, University of the Philippines
Harvard Medical School, USA Despite
evidence-based infection control (IC) guidelines,
compliance remains low. AIM To test
effectiveness of the quality improvement (QI)
model as a strategy in improving the
implementation of priority IC practices. METHODS
Five Philippine tertiary hospitals with
multidisciplinary IC teams participated. QI
experts conducted a workshop on basic QI
principles, and the PLAN-DO-STUDY-ACT (PDSA)
rapid cycle model. Each team designed a QI
project addressing hospital- specific IC
problems. Process indicators were used to measure
success of evidence- based QI interventions.
RESULTS Process indicators improved at the
6th month compared to the baseline in all five
hospitals as follows
Center QI Intervention Process Indicator Baseline 6th mo
A Improve hand hygiene in the MICU compliance to hand hygiene 33 80
B Improve hand hygiene in the ICU compliance to hand hygiene 20 67
C Reduce unnecessary use of urine catheters inappropriate use of urine catheters 32 15
D Optimize antibiotic prophylaxis for elective cesarean section compliance to appropriate prophylaxis 0 100
E Optimal antibiotic prophylaxis for general surgery urology compliance to appropriate prophylaxis 28 52
CONCLUSION The QI-PDSA model is effective in
improving implementation of IC practices. While
working primarily in their respective hospital
sites, the collaborative nature of the project
facilitated the process and assisted in the
success of the pilot centers.