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nurs fpx 6212 assessment 1. Quality and Safety Gap Analysis
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Write an analysis, 4-5 pages in length of the gap between current and desired performance , with respect to the provision of safe, high quality patient care.

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  • September 4, 2024
  • 10
  • 2024/2025
  • Presentation
  • Unknown

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May, 2024

NURSFPX-6212 Assessment 1

, Systemic Problem At The Healthcare Facility

CAUTI is a significant healthcare problem that leads to clinical and financial burdens

worldwide. Although CAUTI is preventable, it is still one of the most common healthcare-

associated infections that affect millions of patients every year (Agency for Healthcare

Research and Quality, n.d). The use of urinary catheters, which is usually required for various

medical conditions, unintentionally leads to microbial colonization and, subsequently, the

infection of the urinary tract. This systematic problem results from multiple factors, such as

the extended period of catheterization, incorrect catheter insertion and maintenance practices,

and the appearance of multidrug-resistant pathogens. Thus, the fight against CAUTI requires

a whole-scale approach, which includes strict adherence to evidence-based guidelines,

rigorous infection control measures, constant education of healthcare providers and

surveillance.

The surgical unit at Pacific Grove Medical Center is the critical area where Catheter-

Associated Urinary Tract Infections (CAUTIs) are the main problem. Patients who are

admitted for various surgical procedures frequently need urinary catheterization for

monitoring and management purposes. Therefore, the risk of CAUTI transmission is also

increased. Elements like long-term catheterization in the postoperative period, perioperative

antibiotic use, and possible contamination during surgical interventions are all the causes of

CAUTI in this case. The elimination of this systemic problem in Pacific Grove Medical

Center's surgical unit is a task that needs to be undertaken through a comprehensive

approach, including strict compliance to the catheter insertion protocols, routine evaluation of

the catheter usage, and continuous monitoring to detect and treat infections promptly.

Specific Practice Changes

Implement Daily Catheter Necessity Assessments: Develop a standardized protocol

that requires daily assessment of the need for urinary catheters for all surgical patients (Tyson

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