Transcript Document
Infection Prevention & Control Neil Wigglesworth Nurse Consultant, Infection Control 23rd June 2008 Context • Infection Prevention and Control – Top priority for our patients and their families – Top priority for the Trust • Integral part of Trust Quality Improvement Strategy – Top priority for external bodies • Department of Health/NHS bodies • Healthcare Commission • Local Authority Sustained investment • 2006 – Nurse Consultant – Infection Control • 2007 – Antibiotic Pharmacist – Intravenous Nursing Team – Cleaning Team • 2008 – Increased screening for MRSA – Increase in Matrons – Environmental and hygiene improvements Recognition • Healthcare Commission ratings – ‘excellent’ • NHS Litigation Authority – level 3 • Department of Health Performance Improvement Team… Cont… • “The Improvement team were pleased to be invited into your organisation and wish to acknowledge your progress in addressing the issue of health care associated infections (HCAI`s) and noted several areas of good practice which include: • • • • Strong leadership from the CEO and the Executive Board Clear evidence of strong medical engagement from most clinicians High level of engagement with the infection prevention agenda Managers and staff alike are open to suggestions about improving infection prevention and control (IPC) practice, and accepting of the areas identified for improvement. An enthusiastic and cohesive IPC Team who are engaged with the wards as `facilitators rather than doers` A culture of challenge throughout the organisation Strong stewardship of antibiotic use Domestic services are well managed in house 24 hour cleaning services are provided and most areas visited by the team were spotlessly clean” • • • • • Outcomes MRSA Bacteraemia 30 25 20 15 10 5 0 Q1 Q2 Q3 2005/06 Q4 Q1 Q2 Q3 2006/07 Q4 Q1 Q2 Q3 2007/08 Q4 Clostridium difficile C. difficile collaborative/ Scale-up and Spread Outcomes C. difficile Incidence, Care of the Elderly April 2006 - March 2008 16 Start of collaborative 14 12 8 6 4 2 2007/8 0 2006/07 No. of cases 10 Apr May Jun Jul Aug Sep Oct Mean number of cases per month Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Outcomes 2006 2007 2008 Next steps… Clean 1. Reduction of infection Clostridium difficile Central and peripheral line Surgical site infection Urinary catheter infection Ventilator associated pneumonia 2. Environment 1. Toilets and bathrooms