Quality Concepts

Author(s):
Kathy Auten, MSN, RN, CIC Director, Infection Prevention

Children’s Mercy Kansas City

Elizabeth Monsees, PhD, MBA, RN, CIC, FAPIC Senior Director, Infection Prevention and Stewardship Integration

Children’s Mercy Kansas City, Kansas City, MO

Revised Publication:
August 1, 2024
Original Publication:
October 2, 2014
Declarations of Conflicts of Interest:
  • Kathy Auten declares no conflicts of interest.
  • Elizabeth Monsees was an APIC Text Clinical Editor while authoring the Quality Concepts Chapter. She did not handle the chapter in an editorial capacity and her editorial role did not impact chapter revision. Elizabeth Monsees declares no other conflicts of interest.
Acknowledgments:

The APIC Text thanks Elizabeth Monsees for drafting the previous 2014 chapter in addition to co-authoring the 2024 revision. 

Abstract

An effective infection prevention and control program involves interdisciplinary collaboration and communication, an accurate understanding of community risks and resources, and continual quality improvement efforts. To that end, infection preventionists will work with colleagues and organization leaders to plan, implement, and evaluate strategies to improve patient safety; reduce the risk of infection to patients, families, staff, and the communities served; ensure compliance with evidence-based practices and accreditation standards; and advance the delivery of high-quality infection prevention and control services. There are many approaches and strategies that can be used to achieve quality improvement. Tools include the plan, do, study, act cycle; gap analysis; root cause analysis; apparent cause analysis; failure modes and effects analysis; strength, weaknesses, opportunities, threats analysis; multivoting; goal-directed checklists; statistical process control and run charts; clinical practice guidelines; affinity diagrams; Pareto charts; Six Sigma and Lean methodologies; and various customer satisfaction metrics.