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.
Objective:
The aim of this project was to broaden the secondary care hospital's scope of services and provide safe, effective and quality care for the patient presenting with measles.
Methods:
Six Sigma DMAIC [define measure, analyze, improve, and control (DMAIC)] methodology was used in this quality improvement project. The quality project was started in October 2015 using a Gantt chart quality tool.
Results:
The paediatric team with the support of administration of the hospital has established isolation rooms and devised a policy for the care and management of patient with airborne infection to avoid cross transmission. During six months period after establishment of isolation room there were sixty two suspected or confirmed measles cases who were admitted in our hospital, out of them only 4(6.4%) of patients were referred because of their sick condition and need of ventilator support. Further, the percentage of patient's satisfaction level also improved from 60 to 80%.
Conclusions:
After this clinical service innovation, there was significant reduction in referrals of measles patients to another hospital and consequently there was an increase in the patient's satisfaction.
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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