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