LEARNING LESSONS FROM IMPROVEMENT OF MANAGEMENT OF

Transcript:LEARNING LESSONS FROM IMPROVEMENT OF MANAGEMENT OF:
LEARNING LESSONS FROM IMPROVEMENT OF MANAGEMENT OF HEALTHCARE ACQUIRED INFECTION GSAS Sponsored Seminar / Workshop Professor Charles Egbu PhD University of Salford, UK Qatar National Convention Centre, Doha – Qatar 14th June 2014 2 HAI in Context FM in Context The Role of FM in the Control of HAI The Role of Knowledge Management and Knowledge Mapping in Controlling HAI Performance Management and FM in the Control of HAI Structure of Presentation 3 HAI by definition means the infection was neither present nor incubating at the time of admission but has developed during the course of a stay in hospital or other facility (Haley, 1986 as cited in Horton and Parker 2002; Comptroller and Auditor General, 2000; Public Health Laboratory Service, 2000; Scottish Executives Action Plan, 2002; World Health Organisation, 2002; Montana State Hospital, 2003). Healthcare Associated Infection (HAI) Home Care Acute Care Facility Outpatient/ Ambulatory Facility Long Term Care Facility The Healthcare System  More than Just Hospitals Source: Alice Guh, MD, MPH – (CDC) She was progressing in the neonatal intensive care unit until she developed a bloodstream infection related to her umbilical catheter. Your baby was born prematurely. Source: Alice Guh, MD, MPH – (CDC) The surgery goes well but he later dies in a nursing home of a MRSA wound infection that developed after surgery. Your father has open heart surgery. Source: Alice Guh, MD, MPH – (CDC) 7 HAI is recognised as presenting a significant problem in terms of quality of care and cost for hospitals, governments and consumers in most countries (Department of Human Services, 1998). In prevalence surveys of hospital infection in the UK, and other developed countries, the acquired infection rate was approximately 10% (which means approximately 10% of patients in hospitals at any one time have acquired an infection from hospitals). The control of HAI exists as a major concern, and the high frequency of HAI is seen as evidence of poor quality of health service delivery, which has significant cost implications (WHO, 2002). Healthcare Associated Infection (HAI) 8 The costs associated with HAI have medical and economic ramifications. HAI has ramifications for patients and healthcare facilities; and associated costs are exacerbated during an outbreak which also affects patients’ confidence in the service. The economic consequences include lost bed days and increased work load with some estimates showing that 380,000 bed days per annum are lost to HAIs. This is equivalent