infection prevention & control monitoring programme in public … · 2019-09-09 · 2017...
TRANSCRIPT
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Infection Prevention & Control Monitoring Programme in Public Acute
Hospitals
Kathryn Hanly: Inspector Health Information and Quality Authority
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Overview
Functions & structure of HIQA
National standards for the prevention & control of healthcare associated infection 2017
2018/2019 inspection methodology & key findings
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HIQA Functions
Health Technology Assessment (HTA)
Health Information and Standards
Regulation
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Four pillars delivering programmes of regulation in HIQA:
Older people’s services
Disability services
Children’s services
Healthcare
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2018: Inspections of acute hospitals
PCHCAI Medication Maternity
17
10
5
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2017 National Standards for the prevention and control of healthcare-associated infections in acute healthcare services
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Governance and management structures
Monitoring and evaluation systems including risk management
Implementation of evidence-based best practice
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Implementation of national guidelines
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Decontamination and reprocessing of reusable medical devices
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Inspection Methodology
Business Intelligence
Regulatory findings / unsolicited information
Self-assessment responses and related documents
HSE hospital performance indicators.
National Patient
Experience Survey
Publically reported
information
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Sample one-day unannounced hospital inspection schedule
Close out meeting
Interviews- Infection prevention & Control Committee
Review of documentation
Clinical areas inspections
Interviews –Decontamination Committee
Meet with CEO or General Manager and documentation request
Arrive on site for unannounced inspection
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Areas of good practice identified in 2018/ 2019
• Improved national oversight.
• Strengthened governance and management arrangements.
• Alert organism and alert condition surveillance
• Improved antimicrobial stewardship/ antimicrobial restriction
• Outbreak management
• Environmental hygiene and oversight of same
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Communication/ patient discharge communication
Infrastructure
Maintenance
Equipment hygiene and oversight of same
Compliance with national CPE screening guidelines
influenza vaccine uptake
Areas for further improvement
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Decontamination of reusable medical devices Areas of good practice identified in 2018 / 2019:
Governance & oversight
Risk and incident management systems
RMD Inventory
Academic training and education progressing.
Automated validated decontamination systems
National electronic track and trace systems
progressing.
AED audit technical aspects all sites
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Decontamination of reusable medical devices: Areas for further improvement in 2018/ 2019
Facility design; ventilation, storage.
microbiological environmental and equipment
testing.
Aging decontamination equipment.
Continuous audit, feedback and quality
improvement cycles.
Cleaning specifications / auditing