2019 IHI National Forum on Quality Improvement in Health Care
In 2016 Providence St. Patrick Hospital Serious Infection Rate (SIR) for Hospital Acquired C. difficile Infections (HACDI) was well above the acceptable standard. Several departments were working independently of each other to develop and implement interventions. However, these efforts did not result in sustained improvement and in some cases there where downstream consequences that made the problem worse.
Villegas, Emily, "Winning the Battle and the War Against C. difficile" (2019). Articles, Abstracts, and Reports. 2764.