Completing Yo r Q alit Completing Your Quality Improvement Plan

Part A ‐ Ideas for ImprovementFrom April 2011 to March 2012, we will:• Continue to monitor adherence to practice guidelines for ventilatorassociatedpneumonia and central line infection.• Use physician champions to promote hand hygiene among staff.Encourage patients to ask staff if they’ve washed their hands yet. Monitorcompliance monthly and post results on each ward.• Update our clinical information system so that we can track compliance on25 key clinical best practices for heart attack, sepsis and VTE prophylaxisand feed information on individual physician performance back tophysicians.• Enhance the medication reconciliation process and ensure all patientsleave knowing, for each drug, the dosage, purpose, and changes made tomedications while in hospital.42