Paediatric respiratory isolation: A challenge for a secondary care hospital! A service innovation project

Nadia Mohammad1, Shireen Mohammad2, Arjumand Sohaila3

  • 1Department of Pediatrics, Aga Khan University Hospital, Karachi, Pakistan.

Abstract

Insights

Implementing isolation rooms and a dedicated measles care policy significantly reduced patient referrals and improved satisfaction. This quality improvement project enhanced secondary care services for measles patients.

Area of Science:

  • Healthcare Management
  • Infectious Disease Control
  • Quality Improvement in Medicine

Background:

  • Secondary care hospitals often face challenges in managing infectious diseases like measles.
  • Expanding services requires robust protocols to ensure patient safety and prevent cross-transmission.

Purpose of the Study:

  • To enhance the scope of services at a secondary care hospital for measles patients.
  • To implement safe, effective, and high-quality care protocols for measles management.

Main Methods:

  • Utilized the Six Sigma DMAIC (Define, Measure, Analyze, Improve, Control) methodology.
  • Employed a Gantt chart for project management, initiated in October 2015.

Main Results:

  • Established dedicated isolation rooms and a specific care policy for airborne infections.
  • Reduced measles patient referrals by 93.6% (from an estimated baseline to 4 out of 62 cases).
  • Increased patient satisfaction levels from 60% to 80% within six months post-implementation.

Conclusions:

  • Clinical service innovation successfully reduced measles patient referrals to other facilities.
  • Improved patient care and satisfaction through enhanced hospital services for infectious diseases.

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