West Bank Hospital-Acquired Infections Collaborative Tools

A learning collaborative is a facilitated approach to driving complex change process in multiple organizations.  It is paired with an improvement methodology to help participants manage their project with a structured approach. These data-driven methods assist participants to know when the interventions tested or implemented lead to measurable results.  

The collaborative for the Palestinian Authority to implement a sustainable system for infection prevention and control (IPC) and antimicrobial stewardship (AMS) created these guiding documents to reach the overall aim of reducing hospital-acquired infections (HAI) in their health system:

HAI Improvement Collaborative Coaching Checklist
The coaching checklist was developed to standardize the coaching teams to approach to support of the hospitals improvement team.  It would be helpful for any large-scale change initiative that has a team of coaches with varying experience levels.

HAI Improvement Collaborative Measurement Plan
The family of measures for this improvement collaborative includes process measures for the IPC scope.  This six-month long effort focused in on these foundational areas to set up the hospitals for success in the more complex bundles of care interventions. The measurement plan would be useful to any local, regional, or national IPC improvement activity.

HAI Improvement Collaborative Change Package
A change package is a set of evidence-based interventions that a facility or system can test and implement to reach its improvement aim.  The PA HAI Improvement Collaborative change package includes several key interventions that would be important for any health system building toward a reliable and comprehensive IPC and Patient Safety program.

HAI Improvement Collaborative Driver Diagram
A driver diagram uses a basic tree diagram structure to visually display the common aim of the project and several key drivers or elements that the local and international technical experts believe will lead to that aim. It is a useful organizational framework tool to keep a complex improvement effort focused on its scope.  It is also an adaptable framework that can be added to or edited out as the collaborative participants and technical experts learn what interventions are most effective. This Driver Diagram would be useful for any local, regional or National quality initiatives trying to drive improvement in IPC and AMS. It was designed as a phased plan that as the hospitals gained expertise and implemented processes and systems they could move into the more complex changes.

8 Steps for Optimal Improvement Action Plans Guide
The Action plan (or workplan) guide was created to assist health care facility teams with planning their improvement project through a set of targeted short-term self-identified goals.

Plan-Do-Study-Act (PDSA) Cycle Forms in Arabic
The Plan-Do-Study-Act (PDSA) cycle is a basic learning tool for a large change or intervention broken down into small iterative tests.  This simple form will help an improvement team to write down their tests of change for optimal learning and adaptation.  This version of the PDSA cycle was translated into Arabic and would be useful for any improver from predominantly Arabic speaking countries.

QI Assessment Tool in Arabic: Model for Understanding Success in Quality (MUSIQ)
This assessment tool was developed by the Institute for Healthcare Improvement to assess an organizations facilitators and barriers to reaching their improvement aims. It was translated into Arabic by our Collaborative evaluation experts (Dr Maesa Irfaeya) to aid the West Bank hospital staff to use the tool most effectively and for our projects evaluation to gain optimal insight into their capability without language as a barrier.

USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project/URC
ASSIST publication: 
ASSIST publication
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