Phase II: Data Collection & Surveys

 Phase II: Data Collection & Surveys:

• A comprehensive "baseline assessment" about the infection control behavior of the hospital nurses was also done in August 2007, just before the first delivery of supplies to the hospital and before starting our Supervision program. 135 procedures (IV sampling and cannulation) were observed in details. This involved 17 volunteers and 57 man-hours of actual observation.  (See Annex I)
• "Focus-group discussions" to analyze the roots of the infection control problem were continuously performed with house officer and student volunteers who were in direct contact with the problem. This was done during all stages of the program in the vision, orientation and planning workshops.
• "Focus-group discussions" were also performed with nurses in the communication workshop described above to analyze with them the roots of the infection control problem.
• Data collection measuring the numbers of IV samples taken per day in the period from 8:30 to 10:00. Based on this survey we found that this is the highest risk period because approximately 70% of injections occurred in this period. (See Appendix II)
• Data collection for insulin availability in the Internal Medicine Hospital-Kasr Al Aini (See Annex II)
• Data collection for the availability of life saving drugs (See Annex II )
• Comprehensive data collection about the supply availability both objectively (number of each item available) and subjectively (satisfaction of nurses, house officers & residents with the available supplies) in all of the floors of the Kasr Al Aini, Internal Medicine Hospital to know the exact needs of the hospital progressively. (See Appendix V) This was done just before the proposal to EFG-Hermes Foundation for fund-raising.

1. a)    A detailed study just before the first delivery of supplies to the Internal Medicine Hospital (The delivery was in the beginning of September 2007 and the survey was in August 2007)
2. b)    A sample study just after the delivery of the first supplies to the hospital
3. c)     A detailed study just before the delivery of the second group of supplies to the hospital supplies to the hospital (The delivery was in the beginning of February 2008 and the survey was in the end of January 2008)
4. d)    A detailed study in March 2008, after the delivery of the second supplies to the hospital.

• When our supply availability surveys showed that frequently supplies were not available enough to the final consumer in spite of their presence in the internal medicine hospital stores, we concluded that we needed to improve the supply management system. Thus, in February 2008, an accurate descriptive survey was done to measure the exact flow of supplies from the outside sources (including governmental supplies and donations) until it reaches the final consumer.
• Data collection about the improvement of the infection control behavior of the hospital nurses was done right after the supervision program started. It was done in the form of a comprehensive ongoing assessment throughout our Supervision program. Data before and after the supervision program was compared, and a  tremendous improvement in the infection control behavior was demonstrated (See Annex II)