HEALTHCARE AUDIT SYSTEMS
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Robust leadership in infection prevention and control is essential for effective decision-making, efficient use of resources and ensuring the provision of high quality, safe, effecitve, person-centred care (HIS, 2015)
Every year over 300,000 patients in England acquire a healthcare associated infection whilstin hospital. These infections cost the NHS more than £1 billion a year
Management of MRSA in Residential Care Settings
MRSA – Methicillin Resistant Staphylococcus Aureus is responsible for approximately 10% of Healthcare associated infections (HAI). Rates of blood stream infection with MRSA have fallen right across the EU over the past 10 years. However rates of MRSA colonisation are unknown as there is little monitoring of colonisation rates especially in long term care facilities (LTCF). The research available would suggest rates of MRSA among residents can vary from 8.6% (Bode et al, 2010) to 78% (Cafferkey et al, 1986) in Ireland.
MRSA colonisation of itself causes no symptoms or issues for the person who is healthy and well. Unless the resident is due to have surgery in the near future there is no concern.
Provided the resident doesn’t have an active leg ulcer or post operative wound, there are few reasons to decolonise. Indeed research has demonstrated that residents in care home settings are likely to be recolonised within 4-5 months.
Emphasis in the residential care setting should be on prevention of MRSA acquisition. Therefore standard precautions and hand hygiene according to the 5 moments form the corner stone of MRSA management in these settings
Screening routinely for MRSA in the non acute setting is not considered necessary. However when residents are being scheduled for elective surgery such as cataract extraction and joint replacement, MRSA screening is essential.
Patients colonised with MRSA are much more likely to develop a serious infection following surgery than those who do not have MRSA.
Screening should be carried out a few weeks before surgery to allow for decolonisation if necessary.
Auditing of compliance with hand hygiene is a necessary quality initiative in every healthcare facility. Tracking improvements over time can demonstrate management and staff commitment to improving practice. Care homes and Nursing homes and long term care facilities are no exception.Yet they have fewer resources and their community based IPCNs can have hours to travel between the numerous healthcare settings under their remit.
Residents of long term care facilities are, by their age and existing co- morbidities not only more likely to acquire infections, but also much more likely to develop serious complications from infections.
Hand Hygiene Saves Lives – Putting resources into improving hand hygiene will save lives, save time and it will save you money.
Audit with feedback is the gold standard for improving hand hygiene compliance (Cochrane review, 2012)
Our technology system, TS + provides automated, immediate results of your hand hygiene audits –As you audit .. Click here to see how