Change Implementation Plan for Combating Hospital-Acquired Infections Comment by lilia:



Change Implementation Plan for Combating Hospital-Acquired Infections Comment by lilia:


August 8,2018

Hospital-acquired infections, (HAIs) or nosocomial infections or health-care associated infections, are those infections that are contracted because of toxins or infections that exist in hospitals. Since one in ten people who are admitted in hospitals will contract as HAI, it is imperative that these institutions put in place various strategies that ensure that the cases of such infections happening are reduced, especially in the face of potential growth in the numbers of patients with HAIs as medical care becomes more complex and antibiotic resistance increases (Monegro, & Regunath, 2017). Hospital organizations, then, need to apportion adequate resources even as they identify and secure buy in from various stakeholders so that they can implement changes necessary for there to be reduced cases of hospital-acquired infections. Comment by lilia: Comment by lilia:


One of the critical stakeholders in implementing the plan to reduce the risk of HAIs in the hospital is the hospital personnel. Physicians, surgeons, nurses, and technical and janitorial staff in hospitals would need to be engaged so that they were aware of the need to maintain both hand hygiene and environmental hygiene. By emphasizing the need for cleaning when going in to handle patients and cleaning when coming from this task, as well as wearing sterile garments whenever required, these hospital personnel can prevent the spread of infections in a large way. And since there are certain types of microbial bacteria that can survive on environmental surfaces for months at a time, it is quite imperative to have hospital personnel remain aware of the need to maintain environmental hygiene. In doing so, infections that may be transmitted by having patients or hospital personnel touch surfaces with their skin only for these surfaces to be touched by others can be controlled (Mehta et al., 2014).

Hospital trustees and administrative staff must also be interested in implementing the plan to reduce HAIs. With their buy in, these stakeholders can be effective in ensuring an organizational culture of cleanliness and hygiene is not only instituted but also allowed to thrive so that no department lags behindlags in the support of an infection prevention program. Senior staff in the hospital can play a critical role in coordinating care, especially since some of the measures taken in the prevention of HAIs extend well beyond hand and environmental hygiene. Patients with certain infections may be required to be quarantined or grouped together so that they do not infect others. But when there is a breakdown of communication, departments may end up assuming thatif certain infection prevention or surgical preparation activities have been executed by other departments. When such activities are not timedtimed, or accountability is not assigned to specific departments, it is the result of a failure in coordination of care and communication, which can often be attributed to lack of buy in from the trustees or senior hospital staff involved in its administration (Vaidya, 2013).

Impact Change

By carrying out a change plan that is intended to ensure that the hospital minimizes the instances of HAIs, the organization would be positively impacted where patient outcomes were concerned, thus improving its attractiveness and reputation as a professional care center. Patients, who are also a critical stakeholder in this ecosystem as hospitals depend on them for business, would suffer shorter recovery times even as their turnover would be high, thus allowing the hospital to take in and treat more sick people. Stubblefield (2016) claims that the excessive and improver use of antibiotics leads to the creation of superbugs or bacteria that are resistant to multiple antibiotics. As such, a plan that would reduce the footprint of HAIs in a hospital would also lead to the control of the scenarios where superbugs were created. Hospital staff, on their part, would experience more job satisfaction with their patients recovering without further complications, while the hospital’s morbidity and mortality rates would certainly go down – just as their economic costs would.


In the first week of the change implementation plan, trustees and senior hospital staff will be briefed about the need for instituting measures that control hospital-acquired infections. These stakeholders will be taken through the economic costs of HAIs, the advantages to the hospital’s brand name and outcomes, and the savings in both lives and resources, that could made were the hospital to adopt a change. The second to third week of the change implementation plan will involve the sensitization of the hospital staff – its doctors, nurses, janitorial, and technical staff, about some of the things they are expected to do as part of their new routine. After having carried out a gap assessment to verify what the latest information in preventing infections is against what the current hospital practice is, relevant information and skills on preventing HAIs will then be disseminated to these members of staff. Members of staff who are not up to date with their recommended vaccines can have them administered at this point so that the risk of transmission to co-workers and patients is reduced. From the fourth week going onwards, surveillance will be carried out at periodic intervals to gather data about infection patterns and on how well the infection prevention protocols are holding up or even being followed so that outcomes can be measured (Vaidya, 2013).

Steps of Implementation

Potential Barriers


Mehta, Y., Gupta, A., Todi, S., Myatra, S.N., Samaddar, D.P., Patil, V., Bhattacharya, P.K., & Ramasubban, S. (2014). Guidelines for prevention of hospital acquired infections. Indian Journal of Critical Care Medicine, 18(3), 149-163. Doi: 10.4103/0972-5229.128705

Monegro, A.F., & Regunath, H. (2017). Hospital acquired infections. Treasure Island, FL: StatPearls Publishing. PMID: 28722887

Stubblefield, H. (2016). What are nosocomial infections? Healthline. Retrieved from

Vaidya, A. (2013). 10 best strategies for infection prevention and control. Becker’s Hospital Review. Retrieved from