英文医院感染控制PPT.ppt

* Targeted Surveillance for Outcomes NI Rate: VAP CR-BSI UTI Foley related Non-Foley related Drives Intervention For: Pneumonia prevention CR-BSI prevention Foley-care, d/c program Peri-care / hydration * 1. Is There an Important Problem? Ventilator - associated pneumonia is a major infection risk for patients increased mortality excess length of stay excess cost * Example: Challenge for Targeted Surveillance Reduce ventilator associated pneumonias (targeted adverse event) by 50% # VAP infections # 1000 ventilator days * Reduction of VAP with Targeted Surveillance and Interventions Kwan KL, Baker SP, Fontecabio SA. Impact of a program of intensive surveillance and interventions targeting ventilated patients in the reduction of ventilator-associated pneumonia, and its cost effectiveness ICHE 2003;24;11:859-63. * Reduction of VAP with Targeted Surveillance and Interventions Inverventions: Raise head of bed Sterile water for tube feedings In-line suction catheters from 24 - 48 -72- as needed Cost savings $350,000 in one year. * 1. Is There an Important Problem? Catheter-related bloodstream infections are a serious infection risk device-related morbidity and mortality extra length of stay additional medical costs Targeted Surveillance for Nosocomial Infections Barbara M. Soule, RN, MPA, CIC Chinese Society for Nosocomial Infections July 4-5, 2004 Suzhou, China * IC Practitioner (ICP) Activities Surveillance Program Management Education Miscellaneous Outbreak Investigation Consultation * Surveillance has an Epidemiologic foundation Study the distribution of problems and events within a defined (targeted) population at risk for developing specific infections in order to plan implement interventions. * 3 Key Surveillance Methods Hospital-wide Traditional Surveillance All infections – complete- time consuming Limits time for interventions Periodic Surveillance Selected infections or populations periodically over time Miss some infecti