1 © 2010 tmit nqf-endorsed ® safe practices for better healthcare student projects safe practice...
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1© 2010 TMIT
NQF-Endorsed®
Safe Practices for Better Healthcare
Student Projects
Safe Practice 24Multidrug-Resistant Organism Prevention
2© 2010 TMIT
NQF Safe Practices: Brought to you by The Quality Choir
3© 2010 TMIT
Culture SP 1
2010 NQF Report
4© 2010 TMIT
Overview
Key Points:
Part I – Background: Definition of what we’re trying to prevent: Multidrug-
Resistant Organisms (MDROs) Why should you care about MDROs?
Part II – Barriers: What impedes prevention of MDROs in the healthcare
setting?
Part III – Strategies: How can students contribute to stopping the spread of
MDROs on a variety of levels?
Part IV – Resources: Tools for further education
5© 2010 TMIT
The Objective
Multidrug-Resistant Organism Prevention
• Prevent healthcare-associated multidrug-resistant organism (MDRO) infections, including methicillin-resistant Staphylococcus aureus (S. aureus) (MRSA), vancomycin-resistant enterococci (VRE), and Clostridium difficile infections (CDIs).
6© 2010 TMIT
Background
Safe Practice 24Multidrug-Resistant Organism Prevention
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Background
As health professions students, it is paramount that we be aware of these infections and how to prevent
their spread in order to save patient lives.
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The Problem
© Dr. John Sinnott
Increasing incidence
High mortality
High associated cost
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The Problem
Increasingly common sequelae of antibiotic therapy incidence
Toxin-mediated intestinal wall infection that can lead to toxic megacolon – frequently fatal
High mortality/cost
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Barriers to Solutions
Safe Practice 24Multidrug-Resistant Organism Prevention
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Barriers
1) Lack of understanding of the sequelae
and prevention of MDROs amongst
health professions students and hospital
staff
What hinders us as health professions students from preventing MDRO
infections?
© Joint Commission
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Barriers
2) Existence of hospital hierarchy creating
a lack of power/fear amongst health
professions students to engage in and
advocate for MDRO prevention
What hinders us as health professions students from preventing MDRO
infections?
© Joint Commission
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Strategies: Health Professions Students’ Implementation of Solutions
Safe Practice 24Multidrug-Resistant Organism Prevention
14© 2010 TMIT
Strategies
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Strategies
Perform a risk assessment of spread of
hospital-acquired infections
Perform a risk assessment of spread of
hospital-acquired infections
Organize hand-washing campaigns! Organize hand-washing campaigns!
Study MDRO-related issues in health professions studentsStudy MDRO-related issues in health professions students
Spread NQF modules or create your own! Spread NQF modules or create your own!
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Strategies
“We must remember that one determined person can make a significant difference, and that a small group of determined people can change the course of history.” -Sonia Johnson
http://www.ihi.org/IHI/Programs/IHIOpenSchool/CheckABoxSaveALife.htm
Get involved with, or start a chapter of , “Check a Box. Save a Life,” Atul
Gawande’s effort to empower health professions students to decrease
surgical infections.
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Strategies
Educate patients colonized with MRSA and their families about healthcare-associated infections and infection prevention strategies
Thorough patient handout about living with MRSA
WebMD link for MRSA patients
CDC MRSA patient information website
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Resources
Safe Practice 24Multidrug-Resistant Organism Prevention
19© 2010 TMIT
Additional Resources
1. Great interactive resource for MDRO information and beyond:Antibiotic Stewardship. IHI Improvement Map. Cambridge (MA): Institute for Healthcare Improvement (IHI); 2009. http://www.ihi.org/imap/tool/#Process=584d97d9-d698-478f-8a10-ee60362d7462
2. Management of Multidrug-Resistant Organisms in Health Care Settings, 2006. Siegel JD, Rhinehart E, Jackson M, et al. Am J Infect Control 2007 Dec;35(10 Suppl 2):S165-93.http://www.cdc.gov/ncidod/dhqp/pdf/ar/MDROGuideline2006.pdf
3. Discussion of the systemic barriers to MDRO prevention:Are You Infected? Denham CR. J Patient Saf 2009 Sep;5(3):188=96.http://www.safetyleaders.org/QuickStart/SP24/resources/QuickStart_Article_SP24_A.pdf
Feel free to explore the rest of this module’s website as well!