Quality Assurance for UTI Infection Treatment in Healthcare

This article discusses the management issues and interventions for UTI infection treatment in healthcare. It provides recommendations for patient care, including proper diet and water consumption, and emphasizes the importance of maintaining a hygienic environment. The article also covers the best practices for quality assurance and monitoring patient progress.

Quality assurance

Table of Contents
Question 1........................................................................................................................................1
Question 2........................................................................................................................................2
Question 3........................................................................................................................................2
Question 4........................................................................................................................................2
Question 5........................................................................................................................................2
Question 6........................................................................................................................................4
Question 7........................................................................................................................................4
REFERENCES................................................................................................................................6
APPENDIX......................................................................................................................................7
Question 2........................................................................................................................................7
Question 3........................................................................................................................................8

Question 1
Cross contamination Management issues Interventions
The possible contamination of
UTI due to the bacteria because
the one lady admitted with the
UTI symptoms which spread the
infection to all the female
patient of that ward.
The infection is spread due to
the common ward and nursing
staff using the same treatment
equipment for all the 6 female
patients. UTI are caused by
micro organization which is
bacteria that spread into the
urethra and bladder which lead
to cause the infection of UTI.
This can also infect the kidney
and other human organ
(Garallah and Al-Jubori, 2020).
Management issues
generated due to healthcare
provider and nursing staff
because they could provide
the sanitary equipment which
causes the high risk of
spreading infection to the
other 5 female patient.
Nursing staff do not aware
about the infections of UTI
and not using the sanitization
syringes and other necessary
needs of female patient.
Nursing staff do not clean the
catheter and urine bags
which is also the major cause
of contamination of UTI to
other female patients.
The interventions followed by
the nursing staff and patients
in the ward includes-
Healthcare provider should
maintain the good hygiene
around the patient, clean the
catheter daily with the proper
sanitization change the urinary
bag on proper time and using
the dispose gloves while
giving treatment to all six
female patient present in the
ward.
Nursing staff should provide
effective information to the
admitted patient.
Proper hand wash before or
after contact with all six
female and the catheter.
Hospital permissive should
provide the closed drainage
system for avoiding the
contamination of infection to
other female patient (Mattoo,
Shaikh and Nelson, 2021).
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Question 2
Completed in Appendix
Question 3
Completed in Appendix
Question 4
Patient experiencing the uncomplicated UTI occurs in this situation, doctor
recommended to take proper treatment for curing the UTI infection. Doctor recommended to
take proper hygienic food and environment and void to contact with the another UTI infected
patient. The list of recommendation includes-
It is recommended to the healthcare provider and nursing staff that the direct assessment
criterion is not enough to implement the intervention on the patients with the UTI infection.
Doctors should have to diagnosis the properly and ensure about the symptoms and causes of UTI
patient. Only direct observation is not enough to starting the further treatment of patient. Patient
should also be advised to have generous water consumption (Ross and Hickling, 2022).
It is recommended to all nursing staff that the most important practice is to analysing the
patient history which helps in recognizing the other health issues of patient. All healthcare
provider should have aware about the treatment of patient and provides them proper sanitization
environment which avoid to spread the infection to other patient admitted in hospital .Patient and
nursing staff should have to follow the assessment criterion and implement them in nursing
practices. Inform patient to not using the cathetere and urinary bag for long term and doctors
should sanitized hands before and after contact with patients having UTI infections. Doctors
should advised to their patient for taking the proper treatment and diagnosis on the right time
with effective treatment (Kakde, Redkar and Yelale, 2018).
Question 5
Recommendation Action Plan
Take healthy diet to decrease the inflammation Patient is advised to eat cranberries or
blueberries as they contain proanthocyanidin
which shows positive effect in fighting with
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the bacterial growth. Other than this they are
advised to incorporate probiotic loaded foods
in their daily meals and the fibre rich diets
which helps body to accelerate the bowel
movement. Additionally, fibres reduces the sac
pressure. Spicy or the sweetens foods need to
be avoid as it can irritate the bladder (Fenton
and et. al., 2018).
Proper diagnosis need to be done. Physicians need to make a proper relationship
with their patient so as patients can covey the
every changes either positive or negative to
them without any hesitations.
Not using catheter or urinary bag for long time. AS long term usage can increase the bacterial
inflammation. They should be aware of the
complications that may be occurred.
Physicians should advice or educate the
patient about the after removal care that is
mandatory and they need to update if any
alteration faced after the removal of catheter.
Need to drink a lot of drink To regulate the water count either physician or
family member can make a chart or they can
update details in available online tracking
apps. Patients are advised to consume on
around 12-8 ounce of water cups daily. They
regularly need to take essential fruit juices
which revert back the energy loss during the
infection and treatment. These consumptions
of fluids will flush out the bacteria through
urination from the body (Qin and et. al., 2020).
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Question 6
UTI can monitor through various methods which includes by analysing the urine sample
and examine the patient physical conditions. Data collection of all six patients which includes
the clinical information, patient history and details of their diseases about the symptoms. The
effective treatment should identified by providing the hygienic environment and the hospital
wards should have closed drainage system so that another patient do not caused by the UTI
infection (Viner, 2020). The management should have to provide the best facilities and medical
treatment equipment which can provides the best treatment to all the UTI patient. These are
important to identify the patient progress report are the intervention provided to the patients are
effective or not. Additionally, the result can be compared in 6 different patients and the best
result can be further provided to other to get the foremost outcome from the interventions
provided. Methods to monitor the effectiveness of patients is check the progress report of the
patient, how they are feeling after the treatment. The physicians can witnessed the internal
changes in body due to the intervention through different test. Other than this physician should
ensure observation outcomes of the patients to know the effectiveness of the intervention
provided (Tan and et. al., 2019).
Question 7
Intervention Reassessment
Take proper diet As different berries are advised to patient
which has shown the significant reduction in
bacterial infection caused in ureter.
Consumption of curd daily alters the faecal
bacteria activeness as curd contains
lactobacilli.
Examination of reports through test. Ureter palpation is done on regular basis so as
to ensure the monitoring of urinary
inflammation rate. Other than this patient can
on go for the regular test including urine
culture or urine-analysis through it urine
alterations can be determined. The minute
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alteration can be used by doctor to safeguard
patient from upcoming associated risk (Samimi
and et. al., 2021).
Drink water Other than having plenty of water
consumption, patient is advised to avoid to
consume alcohol, coffee or citric juices.
Heating pad They can be advised to use the heating pad
which will decrease the pain of abdomen
which occur due to abdomen pain.
Alteration in treatment Foremost patient is advised the high doses
medicines as it will benefit the patient
condition more immensely and speedily. Since
the improvement is shown the dose time and
consumption frequencies decreases according
to the growth report seen in patient (Arnold
and et. al., 2021).
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REFERENCES
Books and Journals
Arnold, S.H., Jensen, J.N., Bjerrum, L., Siersma, V., Bang, C.W., Kousgaard, M.B. and Holm,
A., 2021. Effectiveness of a tailored intervention to reduce antibiotics for urinary tract
infections in nursing home residents: a cluster, randomised controlled trial. The Lancet
Infectious Diseases, 21(11), pp.1549-1556.
Fenton, N., Morgan, S., McCoubrie, P. and Darby, M., 2018. Never say never again–
radiological assessment of nasogastric tube position. Clinical Radiology, 73, p.e24.
Garallah, E.T. and Al-Jubori, S.S., 2020. Molecular detection of glpT and uhpT genes as
fosfomycin pathways in UTI infection patients. Gene Reports, 21, p.100930.
Girija AS, S. and Priyadharsini J, V., 2021. Prevalence of Acb and non-Acb complex in elderly
population with urinary tract infection (UTI). Acta Clinica Belgica, 76(2), pp.106-112.
Kakde, P., Redkar, N.N. and Yelale, A., 2018. Urinary Tract Infection in Elderly: Clinical
Profile and Outcome. The Journal of the Association of Physicians of India, 66(6),
pp.14-17.
Mattoo, T.K., Shaikh, N. and Nelson, C.P., 2021. Contemporary management of urinary tract
infection in children. Pediatrics, 147(2).
Narula, N., Lillemoe, H.A., Caudle, A.S., Chemaly, R.F., Anderson, J.J., Segal, C., Porter, C.A.,
Swisher, S.G., Levenback, C.F. and Aloia, T.A., 2019. Postoperative urinary tract
infection quality assessment and improvement: the STOP UTI program and its impact
on hospitalwide CAUTI rates. The Joint Commission Journal on Quality and Patient
Safety, 45(10), pp.686-693.
Qin, X., Coyle, M.E., Yang, L., Liang, J., Wang, K., Guo, X., Zhang, A.L., Mao, W., Lu, C.,
Xue, C.C. and Liu, X., 2020. Acupuncture for recurrent urinary tract infection in
women: a systematic review and meta‐analysis. BJOG: An International Journal of
Obstetrics & Gynaecology, 127(12), pp.1459-1468.
Ross, J. and Hickling, D., 2022. Medical Treatment for Urinary Tract Infections. Urologic
Clinics, 49(2), pp.283-297.
Samimi, P., Ackerman, A.L., Handler, S., Eilber, K.S. and Anger, J., 2021. Recurrent urinary
tract infection in women: primary care referral patterns in a tertiary care center. Female
Pelvic Medicine & Reconstructive Surgery, 27(2), pp.118-120.
Tan, N.C., Koong, A.Y.L., Ng, L.P., Hu, P.L., Koh, E.Y.L., Tan, K.T., Moey, P.K.S., Tan,
M.X., Wong, C.S., Tan, T.Y. and Ho, H.J.A., 2019. Accuracy of urinary symptoms and
urine microscopy in diagnosing urinary tract infection in women. Family
Practice, 36(4), pp.417-424.
Viner, S., 2020. Urinary Tract Infection Knowledge of Long-Term Care Nursing Staff: The
Effect of an Educational Intervention. Urologic Nursing, 40(1).
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APPENDIX
Question 2
Contamination Reason
Management Issues
Interventions for the treatment
7
Single patient of UTI was
admitted in ward
Due to common
room they share
and the staff used
same equipment
while treating all
patients,
Contamination in
ward increases.
Disease auxiliary
spread to all the 6
women’s.
Inflammatory
syringes are used
by the staff.
Nursing staff haven’t
changed the
cathether which
increased the risk of
inflammation in
other 5 patients
They weren’t
aware about the
UTI patient
conditions
Good hygienic
conditions should
be maintained in
the ward.
Catheter should be
cleaned daily to
maintain the hygiene
conditions.
Patient should be
educated about their
condition regularly.
Nursing staff should incorporate
the regular use of gloves while
checking patient.
Sanitation should be maintained and
proper diet and water consumption
need to be provided.

Question 3
RCA assessment criteria performed by direct and indirect observation
 Direct observation:- Healthcare providers should observe the frequency of urination, pain
below the abdomen pelvic area and in the lower back part of the female patient. In some
cases patient having fever due and back pain due to the kidney infection it may also
causes the nausea and vomiting. The direct observation helps physician and nursing staff
to start immediate treatment action. Root causes analysis helps in identifying the both
direct and indirect observation of patient. These infection can spread into the blood
which cause the other health issues.
 Indirect observation:- Patient having the minor symptoms that doctors should not
identified by the physical appearances then doctor examine the sample of urine and
diagnosed which are sign of infection. The diagnosis helps doctors to provide the
effective treatment to the patient. UTI also causes blood in the urine which indicates the
infection. These indirect observation are helpful for the healthcare provider and the
patient. Doctor prescribed female patient to take the tests which includes ultrasound, CT
scan and urinary examine test (Girija AS and Priyadharsini J, 2021).
Sample assessment criterion for direct observation
ASSESSMENT CRETERIA OBSERVED OR NOT
Urination frequency and colour changes Observed
Fever and lower back pain Observed (indicated kidney infections)
Haematuria in non catheterized patients Observed
Dysuria Partially observed
Changes in urine volume,colour,odour and
concentration.
Observed
Blood in urine NOT observed
Pain while urinating Observed
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