Improve hand hygiene compliance at AIIMS, New Delhi

Improve Hospitals, Quality Improvement
To improve the compliance of hand hygiene among nurses, doctors and other staff in a cubicle of trauma surgical ICU from 50 % to 80% in one month time. Despite continuous education and awareness, compliance with hand hygiene guidelines has remained low. The change ideas applied were:  Education of all caregivers regarding the procedure and significance  Actual bed side demonstration  Video presentation  Posters applied  Gentle reminders by counter nurse  
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Reducing “GA Waiting Area” Time in Eye OT

Improve Hospitals, Quality Improvement
To reduce average waiting time in GA (general anesthesia) waiting area for admitted patients by 50% in 4 weeks in a single retina unit eye operation theatre of Dr R.P. Centre, AIIMS. Only 1 case is operated in single general anesthesia (GA) OT at any time, but a large number of children are present in GA waiting area. This leads to unnecessary crowding, chaos, with many patients sitting on floor! Moreover, there is difficulty in coordination, increased risk of infection, and prolonged long fasting period for small babies. It adds to the anxiety of child and attendant.
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Improving asepsis during Intravenous procedures among neonates

Improve Hospitals, Quality Improvement
Hospital acquired infections are a major risk in the newborn intensive care unit (NICU). The staff in the NICU were not feeling confident of aseptic measures taken in the unit and avoided placing central venous lines and admitting out born neonates. By using QI approaches, the SDH Hospital was able to achieve asepsis in 80% of phlebotomy and cannulation procedures carried out in NICU in 3 months and even expanded the work to central lines. The QI team members, as well as the whole unit staff, is more confident, motivated, and looking forward to taking up more QI projects for the improvement of their facility. The QI coach and team leader also give credit to using Whats App for team communication. The quality improvement team at SWAMI DAYANAND HOSPITAL consisted of Dr.…
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Improving scrub time of surgical team to reduce infection rates

Improve Hospitals, Quality Improvement
Hand hygiene is one of the top improvement projects being undertaken at hospitals around the world and mostly revolve around increasing compliance at ward level. In this initiate, nurses decided to work to improve scrub time of the surgical team in one scrub room of eye OT to recommended 2 Minutes from current 1.4 minutes in three months. This initiative was undertaken by Yangchen Dolma, Asha Rajput, Anie Joji, Parijat Chandra at R. P. Center, AIIMS, New Delhi.
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Early Initiation of Emergency Management of Sick Neonate from 2 hours to 30 mins

Improve Hospitals, Quality Improvement
Initiation of emergency treatment of sick new born within 30 minutes will reduces mortality and provide timely treatment . Early treatment will reduce complications ( like organ damage ) thus reduces hospital stay of neonate. It also reduces morbidity and long term sequale in neonate. It reduces the financial burden of the family and as a whole cost of therapy. In a prospective cohort study of 91 infants and children presenting to community hospitals with septic shock (defined by hypotension or delayed capillary refill), each hour delay in initiation of appropriate resuscitation or persistence of hemodynamic abnormalities was associated with a clinically significant increased risk of death (odds ratio [OR] 1.5 and 2.3, respectively) This initiative was undertaken at Nilratan Sircar Medical College & Hospital, Kolkata by Dr. Asim Kumar Mallick (Leader ),Dr.…
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Think4India – Crowdsourcing ideas for India’s health problems

Improve Hospitals
We recently started an experiment called Think4India. Very simply we are going to post some tough problems to India's most difficult social problems starting with Health and see if the wisidom and intelligence of the internet can help us solve it. Our first challenge is to get people to visit local government clinics rather than show up at the hospital straight. We feel the hospital is for serious problems and common cough and cold can be taken care locally. We also feel the hospital and the local clinic are of similar quality. Can you help us find the solution? Write to us at Sushrat.org/ideas
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Promoting Hand Hygiene by Engaging Patients. Sushrat supports the “It’s Ok to Ask” Initiative

Promoting Hand Hygiene by Engaging Patients. Sushrat supports the “It’s Ok to Ask” Initiative

Improve Hospitals
In the most resourceful and perfect hospitals around the world, hand hygiene compliance levels are as low and hospital administrators have been unable to improve hand hygiene levels. Since hand hygiene is the cornerstone of patient safety and globally doctors and caregivers have ben unable to increase compliance, we started thinking - what if patients ask staff to clean their hands before touching them. After all, it's patient who gets the complications and infections because of poor staff hand hygiene. What if, we could just give a Rs. 20 bottle of hand rub to every patient, and the patient just shows it to doctors and nurses. Would that increase compliance? Well, scientific studies in the UK and the USA prove that this works. HAI or hospital acquired infection rates fall…
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Problems we are looking to solve

Improve Hospitals
Sushrat Foundation is working on the following simple problems and creating solutions. Incase you would like to pitch in with ideas, time or references, please contact us. Patient Flow through Hospital Reduce the number of places a patient needs to go and provide correct signages, timing, instructions to reduce the time a patient has to spend to achieve a task Staff Soft Skills Staff needs to be sensitized on how to interact with patients and relatives, how to answer difficult questions and direct them to the right person for escalation Preventing leakages of services How do you ensure patients are not sent out of the hospital to buy medicines, get tests and scans or completely sent out to a private hospital for treatment? This can be due to both ->…
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Reduce Hospital Staff Stress to Improve Quality & Quantity of Care

Reduce Hospital Staff Stress to Improve Quality & Quantity of Care

Improve Hospitals
The heart of any hospital is it's staff. The biggest most beautiful buildings with the fanciest equipment can not cure a single patient, if not for motivated and empathetic staff. Everybody from the the supritendent to the gaurds at a hospital have a very important role to play in the healing of EVERY patient. Yet, when you enter any government hospital, big or small, the staff is extremely demotivated, unempathetic or simply missing. The number 1 problem you ask anybody will be - we are short staffed and can not manage the load of patients. When we entered one such hospital as part of our Government Hospital Improvement Project, everybody from the top to the bottom came up with lists of how many more staff to hire for their work.…
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