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Multidisciplinary Task Force

The Cdiff project commenced as a hospital-wide initiative in 2009 due to elevated hospital-acquired Cdiff rates. Defined as a new positive toxin test occurring more than 48 hours post-admission, the 2009 incidence rate was 25.27. The goal was to achieve a 10% reduction in infection rates through targeted strategies in environmental cleaning, antibiotic use, and standardized clinical care for Cdiff patients. Key actions included enhanced cleaning protocols, antibiotic stewardship, and improved specimen handling, aimed at significantly lowering hospital-acquired infection rates.

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Multidisciplinary Task Force

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  1. Cdiff Project Multidisciplinary Task Force Infection Preventionist Administration Physicians Environmental Services Personnel Pharmacy Registered Nurses Project Facilitator

  2. Selection & Purpose • The Clostridium difficile (Cdiff) project was initiated as a hospital-wide priority when hospital associated incident rates were high in 2009. • Hospital acquired Cdiff was defined in 2009 as a new positive toxin test greater than 48 hours from admission date. • The 2009 hospital acquired Cdiff incidence rate was 25.27. • An initial target of a 10% (22.74) reduction was set. • The plan for 2010 was to work in decreasing our hospital acquired Cdiff incidence rate using a step wise plan.

  3. Analysis Cdiff Project Cdiff task force decided on 3 main focuses: • Environmental Cleaning • Broad Spectrum Antibiotic Use • Standardization of Clinical Care of Cdiff Patients

  4. The specific solutions in the 3 main focuses, environmental cleaning, broad spectrum antibiotic use and standardization of clinical care of Cdiff patients, were as follows: Environmental Cleaning Laundry water temperatures adjusted Microfiber cloths were added to cleaning equipment (more cloths/larger items) Dedicated toilet scrubbers stored in bleach Twice a day bathroom cleaning of Cdiff isolation rooms. “ 2 HAIs too many” = 3 day course of bleach cleaning Once per week cleaning with bleach in the ICU Decluttering of isolation patient care area Proper use of bath basin Additional sinks were added in the ICU Isolation and hand hygiene fall outs were provided immediate feedback Pharmacy Chart reviews of all HAI cases PPI tracking in relation to HAI infections Clinical Care of Cdiff patient Cdiff order set Authority policy for RN to send 1st Cdiff test without physician order Improvement of specimen collection and transport Solutions

  5. Hospital Acquired Cdiff Housewide Quarterly Incidence Rate per 10,000 Patient Days

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