Driver: In 2015/16 Bedford Hospital declared 23 cases of CDI.
Therefore we commenced an improvement plan with the view to ensure and decrease lapses in care in relation to CDI.
Two wards were chosen for the 90 day collaborative. A project team including the Corporate Nursing Team , IPC, Matron, Ward Manager and Business Administrator was formed.
We developed a driver diagram and project initiation document and developed a new stool assessment chart.
The two wards testing the chart were supported using the plan,do,study,act service improvement model.
Results Ward 1: 40% Baseline compliance increasing to 65% week 9.
Results Ward 2: 60% Baseline compliance increasing to 91% week 9
The new stool chart required a significant cultural shift.
We now required staff to document what a normal stool was for a patient, as well as documenting bowel movement every day. the new chart means that all the information required to assess and document risk and action is all in one place.