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Integrating Process and Outcome Indicators in Staphylococcus aureus Bacteraemia Management

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This resource explores the linkage between process indicators, such as hand hygiene (HH) compliance rates, and outcome indicators related to Staphylococcus aureus bacteraemia (SAB) rates. The National Hand Hygiene Initiative (NHHI) aims to improve HH compliance and accurately measure staphylococcal disease rates, targeting a reduction in healthcare-associated infections (HCAIs). Key strategies include effective education and credentialing on HH and infection control, making these practices core components of healthcare institutions in Australia.

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Integrating Process and Outcome Indicators in Staphylococcus aureus Bacteraemia Management

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  1. Staphylococcus aureus bacteraemia Data

  2. Measurements • Process Indicators should be linked to Outcome Indicators PROCESS - HH Compliance rates OUTCOME - Staph. aureus bacteraemiarates

  3. The key aims of the NHHI • Achieve sustained improvements in HH compliance rates • Accurately measure rates of staphylococcal disease • a key outcome measure of the program • Reduce the rates of HCAIs • Develop an effective education and credentialing system to improve knowledge about HH and infection control • Make HH and infection prevention ‘core business’ for all healthcare institutions and the wider Australian community

  4. Staph. aureus CSI !! SAB healthcare associated or community associated

  5. SAB MSSA/MRSA <48 hrs >48 hrs

  6. Healthcare associated SAB SAB MSSA/MRSA >48 hrs

  7. SAB MSSA/MRSA <48 hrs

  8. SAB is a complication of the presence of an indwelling medical device (e.g. Intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site SAB was diagnosed within 48 hours of a related invasive instrumentation or incision SAB is associated with neutropenia (Neutrophils: <1 x 109/L) contributed to by cytotoxic therapy

  9. SAB is a complication of the presence of an indwelling medical device (e.g. Intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site SAB was diagnosed within 48 hours of a related invasive instrumentation or incision SAB is associated with neutropenia (Neutrophils: <1 x 109/L) contributed to by cytotoxic therapy Healthcare associated SAB SAB MSSA/MRSA <48 hrs X

  10. SAB is a complication of the presence of an indwelling medical device (e.g. Intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site SAB was diagnosed within 48 hours of a related invasive instrumentation or incision SAB is associated with neutropenia (Neutrophils: <1 x 109/L) contributed to by cytotoxic therapy Community associated SAB SAB MSSA/MRSA <48 hrs Noninpatient Healthcare-associated SAB Healthcare-associated SAB

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