national safety and quality health service standards
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National Safety and Quality Health Service Standards. Standard 3 – Preventing and Controlling HAIs. Sue Greig Senior Project Officer, ACSQHC. The NSQHS Standards. Standard 2 Partnering with Consumers. Standard 1 Governance for Safety and Quality in Health Service Organisations. - PowerPoint PPT PresentationTRANSCRIPT
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National Safety and Quality Health Service Standards
Standard 3 – Preventing and Controlling HAIs
August 25, 2014
Sue GreigSenior Project Officer, ACSQHC
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Standard 7Blood and Blood
Products
Standard 10Preventing Falls and
Harm from Falls
The NSQHS Standards
Standard 1Governance for Safety and
Quality in Health Service Organisations
Standard 2Partnering withConsumers
Standard 4Medication Safety
Standard 3Healthcare AssociatedInfections
Standard 8Preventing and
Managing Pressure Injuries
Standard 9Recognising and
Responding to ClinicalDeterioration in Acute
Health Care
Standard 5Patient Identificationand ProcedureMatching
Standard 6ClinicalHandover
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National Safety and Quality Standards
• Approved by health ministers September 2011
• Address areas where:• Large numbers of patients effected• Known gap between current situation
and best practice outcomes• Evidence based, achievable
improvement strategies exist
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Key points
1. Standards are about safe patient care
2. Safety and quality is an organisational responsibility
3. Communicate and plan together
4. Gap analysis and risk assessment
5. Prioritising – decision grid
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A patient’s perspective of health care …
I have a right to safe and high quality care.
This means:- To be free of being infected by my hospital or health
worker- To be given the right medications at the right time- To be assessed for the risk of VTE- To have the correct procedure, operation, test, x-ray- To be rescued if my condition unexpectedly
deteriorates
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The quality and safety problem
• The gap between the delivery of recommended care and the care that is actually provided can be as high as 50%.
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Why ? • Is it …
• Ignorance
• Lack of training• The lack of applied ‘common sense’• Mobility of HCWs• Inconsistent curriculums and assessment of competence• Inconsistent practices and resources• Lack of access to evidence based information• Care is too complex• Patients are too complex• We are too busy • Not enough staff• Clinicians don’t care
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Is it all just too hard????
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Standard 3 – Preventing and Controlling Healthcare Associated Infections
•Applied in conjunction with
• Standard 1, ‘Governance for Safety and Quality in Health Service Organisations’
• Standard 2, ‘Partnering with Consumers’• Standard 4, ‘Medication Safety’• Standard 6, ‘Clinical Handover’
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Why have a Standard about preventing infection?
• preventable
• common
• increase morbidity, mortality, pain & suffering
• cost to patients, hospital staff, health system
• no single solution
• range of strategies
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Criteria for Standard 3
• Governance and systems for IPC and surveillance• Strategies for IPC• Managing patients with infections or colonisation• AMS• Cleaning, disinfection or sterilisation• Communicating with patients and carers
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Benefits of Standard 3
• Reduce risk of patient harm and death• Clarifies roles, responsibilities and
accountabilities • Improves information • Antimicrobial stewardship • Improves organisational governance • Tracking of invasive, reusable devices• Increases focus on specific evidence based
strategies
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Priorities for Standard 3
• Effective governance • Identifying what is working well• Knowing your risks and/or gaps• Having systems to gather, review and report
evidence• Having a plan to address risks and respond • Aim for the best (either 0 or 100%)• Ability to demonstrate progress/improvement• Engage with others in the organisation
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What is different?
• Responsibility of governance and management systems
• Making a difference to patient safety• Managing risk• Evidence of process, systems and outcomes• Recognition of the consumer as a partner
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Top tips for responding to Standard 3
• Assess the current situation• Risk assessment • Current governance arrangements• Current policies, processes and resources• Data currently collected • Any audit results • Current resistance patterns, infections
• Raise awareness• Share results, ask for interested people to be
involved
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How have organisations performed so far?
• 737 organisations assessed against Std 3 - organisational wide (275), mid-cycle (445) and interim assessments (17)
• 1352 public, private and day procedure services eligible to be assessed in Australia
• In 2013, of the 1352 eligible services >50% have been surveyed and have met Standard 3 requirements
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How have organisations performed so far?
In 2013:•55% were private organisations•45% were public organisations•60% of public organisations met all core actions at initial assessment•55% of private organisations met all core actions at initial assessment•90% of organisational wide surveys had core and developmental actions to be addressed within 120days•32% of organisational wide surveys had core only actions to be addressed within 120days
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Where to from here
• Review of the current Standards by 2017• Ongoing accreditation of health service
organisations• Review of the accrediting agencies accreditation
scheme• Improve on inter-ratter reliability• Further review of the data received on the first 12
months• Ongoing support for organisations and agencies
with development of resources to assist with responding to the Standards
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Criteria for Standard 3
• Governance and systems for IPC and surveillance• Strategies for IPC• Managing patients with infections or colonisation• AMS• Cleaning, disinfection or sterilisation• Communicating with patients and carers
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Cleaning, disinfection and sterilisation
Links between Standard 1 and Standard 3 as well as within Standard 3 with criteria – Governance and Cleaning, Disinfection and Sterilisation
•3.15 – Environmental cleaning•3.16 – Reprocessing reusable medical equipment, instruments and devices•3.17 – Identification of patients on whom reusable medical devices have been used (traceability)•3.18 – Competency based training for those who are involved in decontamination of reusable medical devices
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How times have changed….
• 1941 – “Husbands are like Kleenex – soft, strong and dependable” Ball of Fire
• 1985 – “Husbands are like Kleenex – soft, strong and disposable” Clue
• Sterilising services are an area that has experienced change in the last 30 years both with technology and scope of services.
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“I am a pushover for Streptococcus”Sugarpuss O’Shea (Barbara Stanwick), Ball of Fire, 1941
3.16.1 - Reprocessing reusable medical equipment, instruments and devices in accord with relevant national or international standards and manufacturer instructions.
Why?• Minimise risks of infection to patients and the workforce
How?• Governance - 3.1.1 organisational risk assessment and policy,
procedures and/or protocols
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3.16.1 When looking at risk consider:
• What reprocessing the organisation needs to consider based on services provided
• Are there policies, procedures and protocols to cover the scope of services provided
• How will the organisation achieve this – equipment and consumables
• Outsourcing to external providers• Single use items• Purchase of sterile stock• Providing reprocessing services to other
organisations/individuals
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What other evidence supports 3.16.1
• Product selection • Equipment and environmental maintenance that
includes schedules, fault and variance reporting• Quality control systems that include document control,
audit and compliance reports• Incident reports• Education or training for the introduction of new products
and equipment
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“Tag ‘em and bag ‘em” Platoon 1986
3.17.1 - Identification of patients on whom reusable medical devices have been used (traceability)
Why?•Minimise risk to patients of contracting infection from reusable medical devices
How?•Look at what current systems are and can they be improved?
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“Dobby didn’t mean to kill – Only maim and seriously injure” Harry Potter and the Deathly Hallows, 2011 – Dobby the house elf
What are the risks relating to traceability?
•Can the organisation identify reusable medical devices?
•Can the organisation identify on which patient these items were used?
•Can the organisation do this retrospectively?
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“ Practice makes perfect” Clue 1985
3.18.1 - Competency based training for those who are involved in decontamination of reusable medical devices.
Why?•Appropriate and correct decontamination is critical to reprocessing of reusable medical devices to reduce risk of infection
How?•Provision of appropriate training to those who undertake decontamination and assessing competence of the relevant workforce.
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“What we’ve got here is a failure to communicate” Cool Hand Luke, 1967– Paul Newman
What are some of the risks to consider:
•Look at where decontamination occurs and who undertakes the task?•Have they been trained?•How and by what method?•Is the training current and in line with best practice?•Is the training consistent?•Do they have the resources to safely undertake decontamination?•Is competency assessed and if so – by whom/how?
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“The subconscious does not make mistakes” Ball of Fire, 1941- Gary Cooper, Barbara Stanwick
The key points for an organization to consider for cleaning, disinfection and sterilization of reusable medical devices are:•Risk assess the scope of services in the organisation•Engage with governance to respond to identified risks•Have policies, procedures and protocols to cover the scope of services•Have a system to identify patients on whom reusable medical devices have been used (traceability)•Identify and then provide or access competency based training for those who are involved in decontamination of reusable medical devices.
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Last ‘classic’ quote……
Let whoever is in charge keep this simple question in her head – not how can I always do this thing right myself, but
how can I provide for this right thing to be always done?
Florence Nightingale
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