Patient safety and infection control

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PATIENT SAFETY AND INFECTION CONTROL Astrid Grgurich

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Transcript of Patient safety and infection control

Page 1: Patient safety and infection control

PATIENT SAFETY AND INFECTION CONTROL

Astrid Grgurich

Page 2: Patient safety and infection control

Infection control...

Protection of those vulnerable to infection

Hygiene basic principle

(Image taken from Clipart).

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Nosocomial infection

Acquired in hospital or health-care setting AND: Patient admitted

for reason other than that infection

Infection was not present or incubating at time of admission

(Image taken from Clipart).

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Semmelweis

(Best & Neuhauser, 2004).

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So basically...

Contact with an

infectious patient

Inadequate infection

control

Transferral of bacteria

to next patient

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Hand hygiene

(WHO, 2009).

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Why?

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20–30% of hospital-acquired infections are considered preventable by utilising hygiene and control programmes!!!!

(European Centre for Disease Prevention and Control, 2011).

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The literature...

the lack of imperative or precise wording

The lack of easily identifiable instructions specific to each profession

the lack of concrete performance targets

the lack of timely and adequate guidance on personal protective equipment and other safety measures

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More literature...

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A little more literature...

Skills and curriculum for training of infection-control professionals

Ratio of infection-control professionals to workload

Strategies for implementation

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Where does the responsibility lie?

Management Infection control teams Physicians Microbiologists Pharmacists Nursing staff Sterilization staff Food, laundry and housekeeping services Visitors

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References Best, M., & Neuhauser, D. (2004). Ignaz Semmelweis and the b irth of infection control. Quality

safety health care, 13, 233-234. Ducel, G., Fabry, J., & Nicolle, L. (Eds.). (2002). Prevention of hospital-acquired infections: A

practical guide (2nd ed.). Geneva, Switzerland: World Health Organisation. European Centre for Disease Prevention and Control. (2011). Healthcare-associated infections.

Retrieved from http://www.ecdc.europa.eu/en/healthtopics/Healthcare-associated_infections/Pages/index.aspx

Hand Hygiene Australia. (2012). What is hand hygiene? Retrieved from http://hha.org.au/AboutHandHygiene.aspx

Macias, A., & Ponce-de-Leon, S. (2005). Infection control: Old problems and new challenges. Archives of medical research,36, 637-645.

Timen, A., Hulscher, M., Rust, L., Steenbergen, J., Akkermans, R., Grol, R., & van der Meer, J. (2010). Barriers to implementing infection prevention and control guidelines during crises: Experiences of health care professionals. American journal of infection control, 38(9), 726-733.

World Health Organisation. (2008). Core components for infection prevention and control programmes. Retrieved from http://whqlibdoc.who.int/hq/2009/WHO_HSE_EPR_2009.1_eng.pdf

World Health Organisation. (2009). WHO guidelines on hand hygiene in health care: First global patient safety challenge clean care is safer care. Geneva, Switzerland: Author.

World Health Organisation. (2011). Infection control. Retrieved from http://www.who.int/topics/infection_control/en/

Yokoe, D., & Klassen, D. (2008). Improving patient safety through infection control: A new healthcare imperative. Infection control & hospital epidemiology, 29(1), 3-11.