1 / 23

HAVE PARTICIPATED! WHAT NEXT?

LECTURE 8. HAVE PARTICIPATED! WHAT NEXT?. LECTURE OBJECTIVES. To describe how information can be used for action. To outline how to feed back results. Who should get feedback? What information should be included? To explain how feedback should be delivered. When? How?

stefan
Télécharger la présentation

HAVE PARTICIPATED! WHAT NEXT?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. LECTURE 8 HAVE PARTICIPATED! WHAT NEXT?

  2. LECTURE OBJECTIVES • To describe how information can be used for action. • To outline how to feed back results. • Who should get feedback? • What information should be included? • To explain how feedback should be delivered. • When? • How? • To illustrate how care of residents can be improved. • To describe how the HALT study experience can be evaluated.

  3. Information for action

  4. SURVEILLANCE • Systematic collection and analysis of data and the use of this information for actione.g. • Improve care for residents • Reduce the occurrence of preventable HAI • Reduce inappropriate antimicrobial use • Compare with other facilities with same patient mix

  5. AUDIT CYCLE

  6. Preparing to report back results

  7. Consult your local infection prevention and control team (IPCT) for assistance to: • Place your results in context with other local/national/international data • Targeting feedback to different staff groups • Explain risk factor data • Develop action plans to address any areas of concern

  8. WHO SHOULD GET FEEDBACK? • Senior operational management team. • Infection prevention and control committee. • All relevant healthcare staff (medical, nursing, allied health, care assistants etc). • Residents and families/ carers. • External reporting may be required by some countries (e.g., public health departments, regulators).

  9. WHAT INFORMATION? (1) • National coordinating centre may provide a local report. • If YOU create the report include: • Number of eligible residents • % of residents with an infection • Type of infections • % of residents were on antimicrobials • Include type of antimicrobials and why prescribed (therapeutic/prophylaxis) • % of residents have risk factors for infection • % of residents with urinary catheter/vascular catheters/wounds/pressure sores etc • Infection prevention and control resources • Antimicrobial stewardship resources

  10. WHAT INFORMATION? (2) • Compare with similar facilities. • Compare with 2010 HALT study if undertaken in your facility. • Caution when comparing infection rates as definitions used in 2013 are not the same as 2010 • Antimicrobial and risk factor data largely unchanged in 2013 and can be compared. • Heudorf et al compared the data from 6 HALT studies in 2012 which may be useful.

  11. Heudorf U et al. Eurosurveillance 2012;17(35)

  12. Delivering the results

  13. WHEN? • Quickly after the survey so action can occur. • Aim to have results available within 3-4 months and preferably not later than 6 months after the study.

  14. HOW TO DELIVER FEEDBACK? • Each facility should decide how best to deliver the results to the different groups. • Formal and informal presentations • Written report • Leaflets • Include results in regular education programmes

  15. How can resident care be improved?

  16. AUDIT CYCLE

  17. ACTION PLAN • Senior management of the LTCF must prepare and implement action plan. • Action plan should have time lines and named person(s) responsible for each element. • Senior management of the facility should: • Review implementation of the action plan. • Develop a plan to undertake repeat surveillance/audit to ensure that the action plan addressed the issues.

  18. EXAMPLES OF ACTION PLANS • High level of antimicrobial use reported in Irish Long-term care facilities in 2010 & 2011.

  19. Implement an audit and monitoring checklist to measure compliance with all infection prevention and control guidelines. • Empower nurses to review urine laboratory results. • Circulate national guidance to prescribers: Diagnosis & management of urinary tract infections in long-term care residents’. • Pilot an antimicrobial care bundle. Moran & Rooney; Patient Safety Conference, Royal College of Physicians, Dublin 2012

  20. AUDIT CYCLE

  21. EVALUATE HALT • Review your experience of undertaking the study in your facility. • Consider • Was training sufficient? • How long did the study take to complete? • What problems occurred? • How could the survey be improved? • Would your facility be interested in repeating the survey? • Feed back your comments to your national coordinator.

  22. SUMMARY • Undertaking any surveillance project requires commitment and resources. • However, residents will only benefit if: • Results are communicated to staff. • An action plan is developed to address any gaps and deficiencies identified.

  23. RESOURCES • Heudorf U et al. Healthcare-associated infections in long-term care facilities (HALT) in Frankfurt am Main, Germany, January to March 2011. Euro Surveill. 2012;17(35):pii=20256. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20256 • Bradley S. Strategies to improve outcomes in nursing home residents with modifiable risk factors for respiratory tract infections. Pennsylvania Patient Safety Advisory; 2011; 8 (4): 131-7 http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2011/dec8(4)/Pages/131.aspx • National Clinical Guideline Centre: Infection: prevention and control of healthcare-associated infections in primary and community care. 2012 http://www.nice.org.uk/nicemedia/live/13684/58654/58654.pdf • HSE/HPSC 2011. Diagnosis & Management of Urinary Tract Infection in Long Term Care Residents >65yrs. http://www.hpsc.ie/hpsc/A-Z/MicrobiologyAntimicrobialResistance/InfectionControlandHAI/Guidelines/File,12929,en.pdf

More Related