Infection Control in Modern Hospitals
Infection Control in Modern Hospitals
Infection Control in Modern Hospitals
definitions,
Hospitals surveillance and practice
Dr.T.V.Rao MD
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WHAT IS
Process of
Care
• Process of care refers to an
evidence based action or
intervention performed during
the delivery of patient care.
Process of care measures reflect
a healthcare facilities' ability to
execute and comply with
recommended best patient care
practices.
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WHAT IS
Infection control
process
• Infection control process
measures provide
actionable and
measurable indicators
for performance
improvement, and
provide opportunities to
reduce risk healthcare
associated infections
(HAIs).
3
IMPORTANCE
OF infection
control
processfacilities
• Healthcare
use infection control
process measures to
improve quality of
care and to
implement risk
reduction
interventions and
reduce hospital
acquired infections
(HAIs)
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Key principles
related to process of
care measures are:
•
Measurement
and feedback
compliance
impact
• Active
interventions are
required to
produce a change
i n c ompliance
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What process of care
principles are necessary
for effective infection
control?
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Current
Controversies
on Surveillance
• Controversy exists as to
whether meticulous
surveillance and feedback
of process of care measures
will fully increase
adherence to recommended
best practices and result in
a concomitant reduction or
eliminating HAIs.
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Applications of
Interventions
• Application
interventions from
observational
studies remain
controversial.
Potential biases in
the original clinical
outcome studies
are a concern.
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• Owing to the
diversity of both
process of care
study designs and
populations, definitive
conclusions are
problematic and results
may not be generalized
to all patient
populations.
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What national and international guidelines exist for
process of care measures and infection control?
• The most significant International Guidelines that
include process of care measures for infection
control are written by the World Health
Organization (e.g., Practical Guidelines for
Infection Control in Health Care Facilities and
Hand Hygiene, etc.) and nationally the Centers for
Disease Control and Prevention (CDC)'s Hospital
Infection Control Practices Advisory Committee
(HICPAC)
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Regulation on Hand Hygiene
• Guidelines for Hand Hygiene in Healthcare Facilities).
Professional organizations that have contributed
guidelines or position papers include: the Association of
Professional in Infection Control and Epidemiology (APIC),
the Society of Healthcare Epidemiology of America
(SHEA), the Surgical Infection Society (SIC), the Infectious
Disease Socity of America (IDSA), the Pediatric Infectious
Disease Society (PIDS), as well as governmental and
regulatory agencies including: the Centers for Medicare
and Medicaid (CMS),
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SAFETY
RECOMMENDATION BY
OSHA
•
The Joint Commission (TJC),
and the Occupational Safety
and Health Organization
(OSHA) all with a focus on HAI
control and prevention use the
expertise of their members and
staff to develop and publish a
wide variety of useful
recommendations and
guidelines containing process
measures for infection control.
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WHY THE WORLD SWITICHING TO CDC
GUIDELINES ON HEALTH CARE SAFETY
• The CDC Guidelines and
Professional Societies' consensus
papers are developed from review
of the evidence-based literature,
and provide the basis on which
standards process of care
measures are used for developing
institutional healthcare policies
and procedures. The use of
process measures as performance
indicators has been proposed in
HICPAC CDC Guidelines.
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• Noncompliance with
nationally recognized
guidelines (e.g., CDC's
NHSN Guidelines,
AORN Standards, etc.)
with evidence based
recommended for
infection control
practices (e.g., hand
hygiene, surgical
antibiotic prophylaxis,
central venous and
urinary catheter
insertion and
What are the consequences of maintenance) results in
ignoring key process of care suboptimal patient
safety and clinical care.
principles regarding infection
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CLEAN HANDS SAVE THE LIVES
HAND WASHING THE BEST CHOICE TO SAVE
LIVES
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Infection
control
Role for
everyone
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References
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