Evidence Data Catalogue of the ARK Platform
Care Bundle Tool for Medical Device Management
OECD and the cost of central line infections in hospitals
National data on direct observational hand hygiene compliance audits in acute hospitals were collated and reported for two audit periods during 2018. For both periods (Period 15: June/July and Period 16: October/December), 53 hospitals participated (HSE: 44, private: 9).
HPSC Hand Hygiene in Ireland: Annual Report 2018
Procedure for prevention of peripheral and central venous catheter related infection
HSE standards for central line infections
HSE standard for prevention of pvc and cvc related infection guidance
Pharmacist-Managed Intravenous to Oral Therapy Interchange Protocol
ISO standard for IT and data governance includes the information related to the mechanism for improving data governance and transparency.
A pdf file including a preview of the ISO standard on IT and data governance.
HSE Hospital patient safety indicator report
HSE Hospital Patient Safety Indicator Report
Hospital Patient Safety Indicator Report.pdf
Economic burden of antimicrobial resistance
Point Prevalence Survey of Hospital‐Acquired Infections & Antimicrobial Use in European Acute Care Hospitals: May 2012
POLICY FOR THE INSERTION AND CARE OF CENTRAL VENOUS ACCESS DEVICES (CVAD) IN HOSPITAL
HSE National Framework for developing Policies, Procedures, Protocols and Guidelines (PPPGs)
HSE National Framework for developing Policies, Procedures, Protocols and Guidelines
Study on the cost attributable to central venous catheter-related bloodstream infection and its influencing factors in a tertiary hospital in China
The cost of central line infection in China
Central line infection costs in China.pdf
Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy
Hospital costs of central line infections in Italy
Using Care Bundles to Improve Health Care Quality
Prevent Central Line Associated Bloodstream Infection
Rate of infections detected per 1000 bed days. There is national average/target and hospital annual rate
S. aureus (MRSA and MSSA) - S. aureus (MRSA and MSSA) rate in inpatient acute beds
Continuous / Intermittent (In response to Outbreak)
Numbers who attended training sessions (No headcount)
Water testing carried out to minimise risk. Water Temperature testing PCHCAI chair also noted would like data on maintenance of controls of risk e.g. shower head changes and flushing ater outlets
Legionella Not Tramsmissible Person-to Person Incident - Single - Water testing
PPE donning and doffing - Eye Protection (If appropriate)
Nursing Metrics Audit-PIVC Care - Is the PIVC site assessment completed daily?
Percentage of admissions that got their HCAI screening on admission - Covid screening
Nursing Metrics Audit-PIVC Care - PIVC Overall compliance
Increased Incidence confirmed as Outbreak / cluster with genome sequence testing (relationship between events)
Denominator = 100 hospital bed days used, numerator = defined daily dose of antimicrobial(a WHO standardised measure of antimicrobial use)
Hospital Antimicrobial Consumption (calculated using the WHO DDD/100 BDUs) - Consumption as measured from EPR administration data- monitor year on year
Percentage of Staff that have attended for their OH screening
Rate of CVAD infections per 1000 catheter days in Ward/Unit
Vaccination Rates - Hepatitis B (induction)
PPE donning and doffing - Hand Hygiene prior to Donning PPE
Vaccination Rates - Covid (1,2, booster)
Denominator = number of antimicrobials prescribed Numerator = number of antimicrobials prescribed that are approved by micro/infectious disease
Infection specialist input - Micro/ID approved
patients on antimicrobials Denominator = number of hospital inpatients Numerator = number of patients prescribed antimicrobials
Annual Point Prevalence Survey (PPS) reported externally to HPSC (Group of measures) - Antimicrobial Point Prevalence for the hospital;
Denominator = number of restricted antimcirobials prescribed Numerator = number of restricted antimcirobials approved by clinical microbiology and/or infectious diseases
Restricted antimicrobials - Resticted antimicrobials that were micro/ID approved
Inpatient 37 inpatient areas; 90% using risk based assessment intermittently Ambulatory care areas to commence Q2 2022 Hygiene Environment Assessment results uploaded to Power BI.
Environment Hygiene and maintenance - Number of Areas that have completed the hospital Environment Hygiene Assessment monthly (As required)
No of Staphyloccocal Aureus Blood Stream infections attributed to an IV Device - Central Line
Nursing Metrics Audit-PIVC Care - Is there any inflamation at the PIVC site?
Nursing Metrics Audit-Urinary Catheter Care - Does the patient have urinary catheter care plan? (Orders-Nursing-Urinary catheter Care plan)
VAP - ICU and HDU - The patient has been assessed for target RASS (Sedation Score) today
Nursing Metrics Audit-Urinary Catheter Care - Urinary Catheter Care Compliance
PPE donning and doffing - Removed gown/apron without touching front and used appropriate rolling technique
Demographic profile of patients (e.g. age, gender etc)
Hospital Antimicrobial Consumption (calculated using the WHO DDD/100 BDUs) - ICU consumption as measured from the ICCA administration system - monitor year on year:
(iView-Lines & Devices-CVAD - click into 'CVAD Line Care')
Nursing Metrics Audit-CVAD care - Is there evidence of needleless connectors ('blue clave') change as per hospital policy?
(Plan to gather this don’t gather this currently )
Environment Hygiene and maintenance - Number of Low Risks identifed in each clinical ares (inpatient)
PPE Stock levels - PPE purchases (Procurement - check re stock levels 3 / 6 months & quality of stock)
Nursing Metrics Audit-PIVC Care - Has the VIP Score been recorded in the last 24 hours?
Patient been in other hospital in last 3 months
Adherence to care: Peripheral Intravenous Devices / Peripherally Inserted Venous Catheter (PIVC) Care bundles
Nursing Metrics Audit-PIVC Care - Is the reason for PIVC insertion recorded?
Monthly and In response to Activity (Construction or High Risk Patient)
Air Sampling - Aspergillus Spore counts - Against an established local Aspergillus baseline
C diff episodes - rate of infections detected per 1000 bed days. There is national average/target and hospital annual rate
C. difficile - Rate of CDI in inpatient population - Rate of CDI in Acute Beds
Wound Infections detected per 100 Operations. There is national average/target and hospital annual rate
PPE donning and doffing - Hand hygiene performed at all appropriate times during doffing
Twice weekly on medical AMS rounds * 6months. Once weekly on surgical AMS rounds * 6months.Also collected in annual PPS audit
Denominator = number of IV antimicrobials prescribed Numerator = number of IV antimicrobials that can be administered through the PO route
No of patient that are suitable for oral antimicrobials switch from IV - IV antimicrobials suitable for PO switch
PPE donning and doffing - Mask (Appropriate selection)
Denominator = number of antimicrobials prescribed Numerator = number of antimicrobials prescribed that are in line with local guidance or deemed appropraite by AMS team
Appropriate antimicobial prescription - Adherence to local guidance or deemed appropraite by AMS team
Nursing Metrics Audit-Urinary Catheter Care - Urinary Catheter Care Overall Compliance
VAP - ICU and HDU - PEPTIC ULCER PROPHYLAXIS
No of Staphyloccocal Aureus Blood Stream infections attributed to an IV Device - Peripheral Line
Surgical site infections - Breast wound (Mastectomy only)
PPE donning and doffing - Removed face shield/goggle without touching face or front of shield/goggles
Number of Patients identifed as requiring isolation (by IPC Definition) who are in isolation / Number of Patients identifed as requiring isolation (by IPC Definition)
Environment Hygiene and maintenance - Number / Percentage of Patients identifed as requiring isolation who are not in isolation rooms - Not currently monitored AIRs submitted in relation to environment
number of patients with allergies to antimicorbials; to capture the prevalence of allergies to antimicrobials
Allergy prevalence - Allergy status of the patient
Twice weekly on medical AMS rounds * 6months. Once weekly on surgical AMS rounds * 6months
The length of antimicrobial therapy at time of review
Day of therapy at point of review - Day of therapy (Duration of the drug)
PPE donning and doffing - Nursed in negative pressure room
COVID-19 - The number of SARS 2 (Covid) positive inpatients in hospital weekly and the reported source
Neg / Pos-IGRA / DNA reading / % DNA / 2nd 2TU / Negative / Pos-IGRA / 2DNA / % DNA. ( Interferon Gamma Release Assay (IGRA) detects interference in relation to live infection - blood test)
Health screening at induction - TB screening
PPE donning and doffing - Eye Protection on (If appropriate)
COVID-19 - Rate of positive Covid tests in staff
Nursing Metrics Audit-PIVC Care - Is there a date on the PIVC dressing?
Number of New Staff (Induction Register) whyo complate IPC training
Number / Percentage of Staff that are provided with access to IPC training at time of Induction
Nursing Metrics Audit-PIVC Care - Does the PIVC have an extension set attached?
Denominator = number of recommendations made by AMS team, numerator = number of recommendations accepted by AMS team
Uptake of recommendation - Uptake of recommendations
Environment Hygiene and maintenance - Number of High Risks identifed in each clinical areas (inpatient)
Percentage of admissions that got their HCAI screening on admission - CPE screening
Advisory (guidance) to primary team to optimise antimicrobial prescribing for that patient
AMS advice given - Recommendation from AMS team
PPE donning and doffing - Mask removed outside room (or left on if sessional use appropriate)
For status immune/low response/non-immunce/unknown %immune/low-response/non-immune
Health screening at induction - Hepatitis B status on induction
Nursing Metrics Audit-PIVC Care - Is the PIVC dressing intact?
Surgical site infections - Upper GI / Gastrectomy or Oesophagectomy
PPE donning and doffing - Once donned did not touch/adjust mask or unprotected body/clothing
For status immune/non-immune/unknown - % immune; % non-immune
Health screening at induction - VZV (Varicella) status on New Starters
Increased at times of building / excavation activity
Aspergillus Not Tramsmissible Person-to Person Incident - Single - Air sampling undertaken monthly
Number of Staff Exposed Number of Staff exposed wgo contracted Infection Number of exposured staff where treatment / intervention was required
Exposure Incidents: Infection e.g. TB, Covid - Number of Persons Exposed - Nature / Location of Exposure
Nursing Metrics Audit-CVAD care - CVAD Care overall compliance
National HH audit (bi-annually) goes HPSC - observation 5 monents HH
COVID-19 - Total number of new positive Covid -19 cases in hospital Inpatient Population per week
Data collected once weekly for 6 months at surgical AMS rounds
Is antimicrobial therapy targeted or empiric - empiric (broad cover) or targeted (narrow cover)
Environment Hygiene and maintenance - Number of reported risks closed out in a timely manner * (Not defined)