Healthcare Associated Infection prevention and managemet
News and updates from todays Healthcare Associated Infection conference looking at improving practice and monitoring compliance against the NICE National Quality Standard for Healthcare Associated Infections: Prevention and Management.
The New National Quality Standard for Healthcare Associated Infection
Dr Bharat Patel Consultant Medical Microbiologist & AMR & HCAI Lead for Public Health Laboratory London National Infection Service, Public Health England
Dr Patel began his presentation by looking back at examples of HCAI epidemics and their control, and the introduction of national guidelines for infection control that followed. He said; "we need to have a big revival...infection prevention and control and surveillance of HCAIs." He said individual ownership is needed on what is clean and good hand hygiene, there needs to be individual responsibility and accountability reliant on leadership. Dr Patel said that the National Patient Safety Agency will be relaunced and releasing the national specification for cleanliness in the NHS in April 2017.
On the NICE quality improvement statements, Dr Patel said in his opinion the board level engagement for HCAI prevention that was there isn't at the moment. He suggested that the infection control team should have a training session for their board. Dr Patel went on to discuss the more recent NICE Quality Standard for Healthcare Associated Infections released in February 2016 and the high priority areas for quality improvement.
Moving forward Dr Patel looked at where are we now and what more can be done, he said a sustained effort is still required; for MRSA and CDiff the last year things went up again.
The ‘Power’ of the Patient? - Involving patients to reduce HAI
Derek Butler Chairman MRSA Action UK
Derek's presentation was based on family experience of healthcare associated infection and his background of working in the nuclear industry. He strongly believes that combating HCAI is not just about clinicians and healthcare workers, it must include patients, families and the public working together.
Suppoting abstract of Derek's presentation
The NHS today is a distant reflection on the service that was conceived over 70 years ago with treatments and conditions that could only have been dreamed of by healthcare professionals when they began their careers in this national institution.
We could say that the NHS has been a victim of its own success in its application of how it treats patients and the outcomes for improving their health and healthcare. One of its biggest successes is that it has increased the average lifespan of the majority of people within the United Kingdom, but that this has brought its own unique set of circumstances, along with it at the same time, all the complications of an ageing population.
The people who use the NHS have also changed since its conception, they no longer see a health service with all the answers to their many problems regarding their healthcare. When the NHS was formed all those years ago, patients using the NHS were not as aware of the fact that it was their health that was being treated, or in the main, the families of those patients did not involve themselves in the care of their loved ones because they felt that the NHS and the healthcare professionals had all the answers.
Today in the 21st Century this is now changing, in a more enlightened society with information technology readily available, people’s perceptions on how they would wish to receive their own healthcare has been and is being transformed. Patients and their families now wish to be involved in their own healthcare, no one knows the patient better than themselves, or their immediate loved ones.
Patients and their families want to be kept informed by healthcare staff who are treating and looking after them of their condition, and they also want to know what the diagnosis and prognosis is for their treatment, even around healthcare associated infections. NICE guidelines on HCAI are clear that patients and the public can expect Trusts to provide opportunities for them to be involved with planning and decision-making on quality improvement activities to prevent and control infections.
My presentation will show how when patients and their families are not involved or given the information around healthcare associated infections (HCAI), how the outcome does not always bode well, for both them and healthcare staff. I will also show in my presentation the opposite, where patients and their families were involved and given the information around these infections, the outcome was much different.
We must remember that none of us are immune from these bacteria when we or our loved ones are receiving treatment within any healthcare establishment, and that bacteria have no boundaries, they do not discriminate or choose who to infect, and where it is possible, we must involve patients and their families in their own healthcare.
I firmly believe that combating HCAI is not just about clinicians and healthcare workers, it must include patients, families and the public working together.
Future events of interest:
Eliminating Avoidable Pressure Ulcers
Eliminating Heel Pressure Ulcers
Root Cause Analysis: 2 Day Intensive Training Course
20 April 2016