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CURRENT ISSUES IN RISK MANAGEMENT - HEALTHCARE ASSOCIATED INFECTION

CURRENT ISSUES IN RISK MANAGEMENT - HEALTHCARE ASSOCIATED INFECTION. Risk Management. Identification Assessment – analyse / evaluate risk Action - eliminate / reduce risk Monitor and review. RISK OF HAI. Exposure to micro-organisms : Person to person spread e.g., hands

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CURRENT ISSUES IN RISK MANAGEMENT - HEALTHCARE ASSOCIATED INFECTION

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  1. CURRENT ISSUES IN RISK MANAGEMENT - HEALTHCARE ASSOCIATED INFECTION

  2. Risk Management • Identification • Assessment – analyse / evaluate risk • Action - eliminate / reduce risk • Monitor and review

  3. RISK OF HAI Exposure to micro-organisms: • Person to person spread e.g., hands • Medical devices e.g., surgical instruments • Airborne / droplet e.g, sneezing, contaminated humidifiers air conditioning • Environment e.g., contamination present floors fittings, in dust etc. • Contaminated food

  4. RISK OF HAI Other factors: • High prevalence of micro-organism e.g., high carriage in staff or patients • Concentration of compromised patients e.g., broken skin, reduced immunity • Potential routes of transmission e.g., invasive devices

  5. Control Measures for HAI Result from risk identification and analysis but will include: • Policies / procedures / guidance e.g., • Infection Control • Health & Safety

  6. Key Guidance • Handwashing • PPE • Decontamination • Sharps use • Laundry • Waste • Patient isolation • Patient personal care/hygiene • Aseptic techniques

  7. The Patient! They Look Alright To Me!

  8. PATIENT INFECTION RISK ASSESSMENT • Part of care planning cycle • Systematic process • Identify patients who might develop an infection or to be source of infection • Identification of hazards or risks to health • Target preventative measures

  9. INFORMATION • Observation • Patient • Family • GP • Laboratory • Other professionals e.g., continence advisor

  10. INFECTION CONTROL CARE PLANNING Infection risk assessment/reassessment Is patient a risk to others? Is patient at increased risk? No No Yes Yes No further action Assess degree of risk No further action Plan patient’s care Protect staff, other patients & visitors Protect the patient at risk Implement care Evaluate care Ref: Bowell 1992

  11. RISK TO OTHERS • What is infected? • How is infection spread? • What symptoms affect degree of risk? • What could be contaminated? • How can contamination be prevented?

  12. RISK TO OTHERS ASSESSMENT TOOL Ref: Bowell 1990

  13. POLICY GUIDANCE ? Required for consistent approach • high standard of care: • appropriate to needs; • to routine activities

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