ears-net: taustatietojen keruu

EARS-Net: taustatietojen keruu

Outi Lyytikäinen ja Jari Jalava

6.10.2014 EARS-Net / O Lyytikäinen 1

6.10.2014 Esityksen nimi / Tekijä 2

Laboratory Questionnaire

General characteristics

EARS-Net Laboratory code FI00C

Postal code of the laboratory 70211

City Kuopio

Number of hospitals served by your laboratory 1

Number of these hospitals that will complete/have completed the Hospital questionnaire 1

EARS-Net hospital codes for all hospitals served by your laboratory 1 FI00C

2

3

4

5

6

7

8

Service Characteristics 2011

If available, please provide us with:

1. The total number of blood culture requests (sets)* in 2013 19563

(If not available, please calculate by dividing the total number of blood culture bottles processed, by the total number of bottles per blood culture

request (set))

2.

Please specify the total number of blood culture

requests (sets)* in 2013 per hospital that your

laboratory serves:

(If not available, please calculate by dividing the total number of blood culture bottles processed, by the total number of bottles per blood culture

request (set))

EARS-Net hospital code Hospital-specific number of blood

culture requests

FI00C 19563


Hospital Questionnaire

General characteristics

EARS-Net Hospital code FI00C (for example NL001A)

EARS-Net laboratory code FI00C (for example NL001)

Postal code of the hospital 70211

City of the hospital Kuopio

Care level

1=

Primary level, often referred to as a district hospital or first-level referral. Have few

specialities, mainly internal medicine, obstetrics-gynaecology, paediatrics, and general surgery,

or only general practice; limited laboratory services are available for general, but not for

specialized pathological analysis; bed capacity ranges from 30 to 200 beds.

1.

The level of care of the hospital 1-4 (IMPORTANT: check the definitions!)

3

2=

Secondary level, often referred to as provincial hospital. Highly differentiated by function with

five to ten clinical specialities; bed capacity ranging from 200-800 beds.

3=

Tertiary level, often referred to as central, regional or tertiary-level hospital. Highly specialized

staff and technical equipment, e.g., cardiology, ICU and specialized imaging units; clinical

services are highly differentiated by function; may have teaching activities; bed capacity ranges

from 300 to 1,500 beds.

4=

Specialist-other, please specify (any single specialty)

If you have any remarks regarding your answer to this question, please type here

Hospital size

2. Best estimate of catchment population of your hospital in 2013* 248000 (number)

(contact hospital administration)

* We realise that university/teaching hospitals may also serve as district hospitals, thereby actually serving two different populations.

If this is the case for your hospital, please provide the catchment population for the university/tertiary care service

3. Hospital size in beds in 2013 771 (number of beds)

4. Number of intensive care beds in 2013 44 (number of beds)

5.a Total number of patient days* in 2013 158222 (number of patient days)

OR (if not available at all)

5.b The average occupancy rate in 2013 (%)

* Patient-days: The number of patient days is the number of days spent in the institution for all patients occupying a bed.

A day is measured at midnight, and the day of discharge is not counted as an extra day. This means that a

patient admitted today and discharged tomorrow will have one patient day. Day patients will have

zero patient days as they do not stay past midnight and must not be included in the total count.

6. Total number of patient admissions in 2013 414732 (number of admissions)

Thank you very much for your collaboration!

Please send the completed laboratory questionnaire as well as the hospital questionnaire from the corresponding

hospitals to your national contact person by e-mail.

END

Julkinen raportointi/O Lyytikäinen

• Resurssikartoitukset 2000 ja 2008

6.10.2014 4

Julkinen raportointi/O Lyytikäinen 6.10.2014 5

ECDC PPS of HAIs and antimicrobial use in acute care hospitals, 2011-2012

www.ecdc.europa.eu/en/publications/Publications/healthcare-associated-infections-antimicrobial-use-PPS.pdf


Euroopan prevalenssitutkimus: Sairaalan tiedot

Sairaalan tunnus:

Tutkimusaika: Alkaa __ / __ päättyy: __ / __ / ____

pp / kk pp / kk / vvvv

Sairaalan koko (kaikki vuodepaikat)

Akuuttivuodepaikat

Tehohoitopaikat

Osastoja jätetty tutkimuksen ulkopuolelle? EI

Kyllä, määrittele mitkä osastotyypit:

_______________________________________________

_______________________________________________

Tutkimukseen otetut vuodepaikat:

Tutkimukseen osallistuneet potilaat:

Sairaalan tyyppi Aluesairaala/ Terveyskeskuksen

erikoissairaanhoitoa tarjoava yksikkö

Keskussairaala

Yliopistosairaala

Erikoistunut, määrittele

Sairaalan erikoisala: ______________________

Tiedot koskevat: Yksittäistä sairaalaa

Laajempaa sairaalakokonaisuutta

Lkm Vuosi

Tutkimus-

osastot/

Kaikki

(1)

Hoitojaksojen lukumäärä Tutk. os./

KaikkiHoitopäivien lukumäärä

Käsihuuhdekulutus litraa/vuosiTutk.os./

Kaikki

Potilashuoneiden lukumäärä Tutk. os./

KaikkiYhden hengen huoneiden lukumäärä

Hygieniahoitajien lukumäärä Tutk. os./

KaikkiLääkärien lukumäärä

Kommentteja/huomioita: ___________________________

______________________________________________

______________________________________________

______________________________________________Sairaala on osa kansallista edustavaa otosta?

Ei Kyllä Ei tietoa

Alla: THL täyttää

(1) Sairaalan tiedot ainoastaan tutkimukseen osallistuneilta osastoilta (tutk. os.) tai

koko sairaalasta (Kaikki)

ECDC PPS in acute care hospitals: structure and process indicators

Three indicators in 2011-2012: single bed rooms, infection prevention and control staffing, alcohol hand rub consumption

Additional indicators in ECDC PPS II (2016-2017): revised PPS protocol and software on 5/5/2015

Percentage of beds in single rooms Alcohol hand rub consumption

*Poor data representativeness; Source: ECDC PPS, 2011-2012. Report available from http://www.ecdc.europa.eu/en/publications/Publications/healthcare-associated-infections-antimicrobial-use-PPS.pdf

Prevention indicators: objectives

Increase awareness for HAI/AMR prevention through surveillance/repeated PPS

Add local value to surveillance by inter-hospital comparison and follow-up of key preventive measures (=> increase participation to HAI-Net surveillance?)

Inter-country comparison and follow-up of implementation of key preventive measures in EU/EEA countries

Follow-up of implementation of ECDC guidance and Council Recommendation 2009/C 151/01

At the longer term: linking evolution of prevention indicators with outcome indicators trends

Indicators: criteria

Should measure:

- Capacity/Preparedness

AND

- Behaviour/Practices

Evidence-based

Feasible

Valid & reproducible

Sufficient variability

Change over time

Limited number, best selection for EU-level surveillance

Infection Prevention and Control

Surveillance process

Antimicrobial Stewardship

Hospital denominator data

Conceptual framework: ARHAI surveillance networks

EARS-Net

HAI-Net

Lab001

Lab002

ESAC-Net

Hospital-based

antimicrobial

consumption

PPS

ICU

SSI

CDI

Hosp12

Hosp34

Hosp56

Hosp78

Standardised

hospital

codes

Specific

indicators

Hospital indicators

and denominator data (1 record per hospital and per

surveillande period/ year)

6.10.2014 Julkinen raportointi/O Lyytikäinen 12

EARS-Net: taustatietojen keruu

• Laboratorio

– Sairaala: erikoissairaanhoito? tk-vuodeosastot?

– Veriviljelytutkimuspyynnöt (ei pullojen lukumäärä): totaali ja per sairaala?

• Sairaala

– Hoidon taso (primary/secondary/tertiary/specialized/unknown)

– Väestöpohja?

– Vuodepaikat? tehopaikat?

– Hoitopäivät? kuormitus?

• Bakteerikanta

– Veri/likvor, sukupuoli, ikä

– Sairaalan osasto (teho, sisätaudit, kirurgia, muu, tuntematon)?

– Sairaalaan tulopäivä?


ears-net: taustatietojen keruu

Health & Medicine