1. Perceptions of Quality Care How patients view their surroundings

2.  A busy GI Lab with a high patient turn over rate  The area is small with very little storage  Procedure and recovery room turnover includes cleaning of equipment and stretchers, but the soiled linen and garbage bags fill to maximum capacity The Challenge

3. What does the patient see?

4. Perception = Quality “Patients view cleanliness as a marker of safety and quality” (Kehoe,2013)

5. Surveys and comments How do we know what the patients are thinking?

6. Our last survey scores were our lowest for the quarter

7.  Procedures running behind schedule  Not enough time between cases  Emergencies  Not part of their routine  Other duties to perform  Immune to the appearance Why does staff let this continue?

8.  Time constraints  Space in dirty utility room  Staff compliance  Staff ownership Barriers

9.  Educate staff- let staff know what the patient sees and that it reflects poorly on the department and the care that we give  Facilitate bag changes-place several bags in receptacle at once making changes easier and faster  Environmental services to increase rounds for garbage and linen pick up through the day  Self governance-engage staff Action Plan

10.  Department coordinator  Shared governance committee  Environmental services  All staff Team Members

11.  Improved survey scores  Staff is engaged  Department remains tidy even during heavy patient turn over  Positive patient comments on the facility Goals

12. Kehoe, B. (2013). Keeping score on cleanliness. Health Facilities Management, 9-10. Bibliography