EDUCATION ON INFECTION CONTROLNEED FOR ACCREDITATION AND CERTIFICATION

1. EDUCATION ON INFECTION CONTROL
NEED FOR ACCREDITATION AND
CERTIFICTION
Dr,T.V.Rao MD
dr
5/1/2018 Dr.T.V.Rao MD 1

2. A TRUE BEGINING IN SAFE HEALTH CARE
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3. WHO INFORMS
• Very few studies from developing countries
assessed HCAI impact and no report provided
national estimates. Increased length of stay
associated with HCAI varies between 6 and 23
days in non-critically ill patients. In developing
countries, crude excess mortality in adult
critically ill adults affected by ventilator-
associated pneumonia is reported to be as
high as 27.5%.5/1/2018 Dr.T.V.Rao MD 3

4. India at a Glance
WHAT IS MORE RISKY
OUR LIVING OR HOSPITALS
• Population:
1,314,097,616
• Per capita income:
$5,760
• Life expectancy at
birth women/men:
69/68 yrs
• Infant mortality rate:
42/1,000 live births
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5. INDIFFERENT PROFESSIONALS IN
HOSPITALS CAN BE DANGEROUS
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6. WHY INFECTIONS MATTER SUPERBUGS AND
ANTIBIOTIC RESITIANCE
• Antimicrobial
resistance (AMR) and
the spread of
multidrug resistant
bacteria is a global
patient safety
problem and a major
public health concern5/1/2018 Dr.T.V.Rao MD 6

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8. HOSPITALS ARE BECOMING BEST PLACES FOR
BUGS
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9. Impact of HCAI
• According to the available evidence, the
impact of HCAI implies prolonged hospital
stay, long-term disability, increased
resistance of microorganisms to
antimicrobials, massive additional
financial burden for health systems, high costs
for patients and their family, and unnecessary
deaths.5/1/2018 Dr.T.V.Rao MD 9

10. Expanded Roles of Infection Control Teams
and Microbiology Labs
• Increasingly complex
and demanding work
Increasing resistance
Emerging pathogens
New technology
Monitoring
resistance
Implementation of
molecular epidemiology5/1/2018 Dr.T.V.Rao MD 10

11. Role of the Microbiology
Laboratory in Infection Control
• Specimen Collection
• Accurate Identification and Susceptibility Testing
• Laboratory Information Systems
• Rapid Diagnostic Testing
• Reporting of Laboratory Data
• Outbreak Recognition and Investigations-Molecular
• Typing
• Organism Storage
• Cultures of Specimens from Hospital Personnel and the
Environments

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13. Infection Control
• Shift toward focused
surveillance
ICUs
Devices
Antimicrobial
resistance
Control strategies are
more proactive
Active intervention
Control of resistance5/1/2018 Dr.T.V.Rao MD 13

14. HAND WASHING THE TRUE BEGINING FOR
INFECTION CONTROL
• Practicing hand hygiene
is a simple yet effective
way to prevent infections.
Cleaning your hands can
prevent the spread of
germs, including those
that are resistant to
antibiotics and are
becoming difficult, if not
impossible, to treat.5/1/2018 Dr.T.V.Rao MD 14

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16. HOSPITAL ASSCOIATED INFECTIONS ARE
COMMON
• On average, healthcare
providers clean their
hands less than half of
the times they should.
On any given day,
about one in 25
hospital patients has at
least one healthcare-
associated infection.5/1/2018 Dr.T.V.Rao MD 16

17. Standard Precautions for All Patient Care
• Standard Precautions are used for all
patient care. They’re based on a risk
assessment and make use of common
sense practices and personal protective
equipment use that protect healthcare
providers from infection and prevent the
spread of infection from patient to patient.
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18. THE PURPOSE WE LEARN ABOUT
INFECTION
•The very first
requirement in
a hospital is
that it should
do the sick no
harm5/1/2018 Dr.T.V.Rao MD 18

19. INFECTION CONTROL EDCUATION A
PRIORITY
• Although healthcare
facilities and infection
control experts have
made significant
progress in preventing
some types of
infections, there is still a
great deal of work to do.
• INFECTION CONTROL
EDCUATION A PRIORITY5/1/2018 Dr.T.V.Rao MD 19

20. HOW TO TRAIN
Target audience:
• Primary care
physicians
• Public health and
preventive medicine
specialists
• Emergency medicine
physicians
• Pharmacists5/1/2018 Dr.T.V.Rao MD 20

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22. Caring the Health Care Areas is Important
• Not forgetting
everyone in the
Hospital who has
oversight for,
prepares, and/or
administers
injectable
medications.5/1/2018 Dr.T.V.Rao MD 22

23. Critical concerns with Dressing rooms
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24. Reliable Data Created with Optimal
surveillance
• The main purpose of
conducting routine
surveillance of healthcare
associated infections is to
provide data that can
lead to the
implementation of
effective prevention
strategies to reduce the
incidence of drug resistant5/1/2018 Dr.T.V.Rao MD 24

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26. NEED FOR NATIONAL
ACCREDAITON ON
INFECTIOUS DISEASES
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27. Understanding Accredaiton
• Accreditation is usually a
voluntary program in which
trained external peer
reviewers evaluate a
healthcare
organization's
compliance and compare
it with pre-established
performance standards.
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28. Infection Control covers every aspect of the
Hospitals
• The field of infection
prevention emerged from
the results of the Study of
the Efficacy of
Nosocomial Infection
Control (SENIC), which
demonstrated that
strategies such as
surveillance and feedback
led to sizeable decreases in
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29. Hospital Infection Control
committees control the maters
• Subsequently, regulatory
mandates led to the
establishment of formal
infection prevention
programs, typically
supervised by physicians
and/or trained nurses and
overseen by hospital
committees.
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30. Laboratory Accrediation
Why Get Accredited?
• Since 1994, JCI is the
world’s largest health
care accreditor. Each
organization seeks the
universally recognized
Gold Seal of Approval®
as part of a continuous
performance-
improvement journey.
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31. JCI standards
• JCI standards support a
complete, accurate, and
objective assessment of
laboratory processes
and management
practices that provide
essential services for
patients.
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33. INDIAN HOSPITAL ACCREDITED WITH
NABH AND NABL
• Accreditation helps
laboratories
demonstrate their
efficiency, accuracy,
and cost-
effectiveness while
keeping the main
focus on quality and
patient safety.5/1/2018 Dr.T.V.Rao MD 33

34. NEED FOR NATIONAL ACCREDIATION
• Establishing and expanding
government led networks to
strengthen infection
prevention and control and
healthcare associated
infection surveillance are
essential to effectively
tackleantimicrobial
resistance
• Soumya Swaminathan and
colleagues
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35. Surveillance a Growing Priority
• In healthcare clinics
and hospitals,
surveillance systems
are important not
only to increase
security, but also for
controlling costs.
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36. ACTIVE SURVEILLANCE
• Active surveillance shall be done at least
for high risk areas.
• High risk areas under various setting include:
• • Intensive care units (Neonatal ICU, Pediatric
ICU, ICUs – CardioThoracic Vascular
Surgery, Respiratory infections (H1N1)
units). • Operation Theatres
•
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37. ACTIVE SURVEILLANCE IS A PRIORITY
• • Dialysis Unit
• • Burns Unit
• • Transfusion services
unit
• • Food handlers
• • Drinking water
• • Central Sterile
Services Department
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38. Modern Hospitals Monitored
with Digital Methods
• Video monitoring can
help protect patients and
hospital employees from
security breaches. They
can also provide valuable
evidences that can be
used to prevent
dishonest claims and to
increase productivity
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39. NABH
• NABH is currently operating in India with 201
large hospitals already accredited and nearly
700 hospitals in various phases of accreditation
• With patient safety and quality healthcare
becoming key concerns across India, NABH
(National Accreditation Board for Hospitals &
Healthcare Providers) and Becton Dickinson
India (a medical technology company) are
launching NABH-Safe-I Infection Control5/1/2018 Dr.T.V.Rao MD 39

40. THE ESSENTIALS FOR ACCREDAITON
STANDARDS
• The Accreditation standards outline the key routine
practices and additional precautions necessary for an
effective IPC program, including:
• Point-of-care risk assessment
• Hand hygiene
• Aseptic techniques
• Personal protective equipment
• Cleaning and disinfection of the physical environment
• Handling waste and linen5/1/2018 Dr.T.V.Rao MD 40

41. Promoting a collaborative approach to protecting the safety
of clients and staff,
• The Infection Prevention
and Control Standards
contain the following
sections:
• Planning and Developing
the IPC Program
• Implementing the IPC
Program
• Evaluating the Impact of
the IPC Program
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42. INFECTION CONTROL A GRWOING
CHALLENGE TO EVERY HOSPITAL
• Strengthening broader institutional capacity for
infection prevention and control is also a
priority. Each network facility has completed a
self assessment using a standardized World
Health Organization tool to collect information
on the core components of infection prevention
and control, such as administrative and staff
support and laboratory and monitoring capacity
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43. ANTIMICROBIAL DRUG RESSITANCE IS
CONCERN TO ALL LIVING
• Tackling AMR requires a multipronged effort.
Healthcare associated infections and infection
control are linked with other factors associated
with the emergence of AMR. Inadequate
infection prevention and control practices
provide greater opportunities for new drug
resistant infections to emerge in healthcare
settings.
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46. PATIENT SAFETY IS THE TOPIC PRIORITY
• Surveillance of
healthcare associated
infections and
infection prevention
and control
programmes not only
help tackle AMR but
also contribute to
overall patient safety.5/1/2018 Dr.T.V.Rao MD 46

47. INDIA PROGRESSING FOR WITH CURRENT
CHALLENGES
• Incorporating the initiatives started by the
Indian Council of Medical Research and the
National Centre for Disease Control within
broader clinical care and patient safety
initiatives— including accreditation and
certification programmes implemented by the
National Accreditation Board of Hospitals
and the National Health Mission
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48. Technology
• Technology The analytical and
logistic technology has to be
available on a level which
fulfils the minimal
requirements for quality and
service to the physicians and
patients. Be aware that it is
not necessary that the newest
technology has to be
introduced, but that know and
robust technology is more
useful.5/1/2018 Dr.T.V.Rao MD 48

49. WORKING WITH REALTIES
A TURE SUCCES STORY
• Very essential is the delivering just in time of
spare parts and consumables. The extent of the
local distribution system of a company is more
important than the costs of the investment of
the equipment. The newest technology without
the support of the local providers and without
the easy access to reagents, disposables and
spare part is a negative approach
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50. IMPORTANCE OF THE LABORATORY
INFORMATION SYSTEM
• Although a LIS is not
essential for the analytical
results of the laboratory
tests, it will enhance the
quality of work substantially.
The majority of the errors in
the laboratory are caused by
human acts. These errors
can be reduced by the
automation of the
laboratory process by
the introduction of a LIS.
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51. LIS reduces errors and
improves the service
• The LIS will also
reduce the work
load of the
technicians. In
the business
plan the costs of
the introduction
of the LIS has to
be discussed in
relation to the
required quality
level.
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52. HAND HYGINE SAVES MANY LIVES THAN MANY OTHER
METHODS
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53. EGOISM IS THE KILLER OF THE SYSTEM
• Ego is the Enemy,
especially for
Academics
• To accomplish the
world-changing work
we set out to achieve
as academics, we
need to get our egos
under control5/1/2018 Dr.T.V.Rao MD 53

54. TEAM WORK IS THE MOST ESSENTIAL COMPONENT
OF INFECTION CONTROL
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55. PATIENT SAFETY IS THE GRWOING RESPONSIBILITY
OF EVERY ORGANIZION
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