The document discusses improving safety in dialysis units. It identifies that 10% of hospital patients experience preventable safety incidents and 60% of equipment-related incidents are due to improper usage. The document then analyzes safety incident data from dialysis units in England and Wales and identifies common incident types, including failures of dialysis techniques and equipment. It provides recommendations to improve safety, such as ensuring proper sanitary environment and hand hygiene practices, staff training, and documenting patient information.
Healthcare Associated Infections (HAIs) are the fourth leading cause of death in the USA. About 1.8 million patients suffer annually from care-related infections. HAIs cause 99,000 deaths every year in the US alone, at a cost of $3.1 billion dollars in excess healthcare costs in acute care hospitals. Besides HAIs kill more people than AIDS, breast cancer and auto accidents combined.
It is estimated that 271 people died each day from healthcare-associated infections (HAIs) such as Methicillin-resistant Staphylococcus aureus (MRSA) infections. Which is equivalent to one airline crash per day.
Healthcare Associated Infections (HAIs) are the fourth leading cause of death in the USA. About 1.8 million patients suffer annually from care-related infections. HAIs cause 99,000 deaths every year in the US alone, at a cost of $3.1 billion dollars in excess healthcare costs in acute care hospitals. Besides HAIs kill more people than AIDS, breast cancer and auto accidents combined.
It is estimated that 271 people died each day from healthcare-associated infections (HAIs) such as Methicillin-resistant Staphylococcus aureus (MRSA) infections. Which is equivalent to one airline crash per day.
Using the Central Line Bundle
Hand Hygiene
Remove Unnecessary Lines
Use of Maximal Barrier Precautions
Chlorhexidine for Skin Antisepsis
Avoid femoral lines
Report CLABSI rates to the units
Celebrate success!!
Importance of infection control in ICU
Ventilator-associated Pneumonia definition and bundles, Central line-associated infection and its bundles and foley's catheter-associated infection and its bundles
this presentation in reference to CDC and IMO
Infection Control Considerations for COVID-19: Lessons LearnedHarriet Hopf
Participants should be able to:
-Apply infection control principles to protect themselves and their patients
-Select anesthesia equipment and supplies that reduce vulnerability to supply chain interruptions during a pandemic
Visually-guided urinary catheterizations can reduce trauma and urethral injuries which can decrease CAUTI rates. Very useful for hospitals seeking to reduce CAUTI rates and avoid government penalties under CMS' Hospital-Acquired Conditions Program. Improve patient care and safety!
Abdominal Surgeries during Covid 19 Pandemic - Literature Review & Current Gu...Vishal Soni
A brief review of current (April 2020) literature reviews & International Surgical guidelines in Surgical decision making & performing safe surgeries to optimize outcomes.
Experience with the implementation of the WHO checklist and briefing in the operating theatre. Krishna Moorthy. IV Internacional Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Evidence Based Practice: Assassination of Myths CAUTI (Catheter Associated Ur...man0032
Evidence Based Practice: Assassination of Myths CAUTI (Catheter Associated Urinary Tract Infections) reviews some of the myths healthcare teams use to perpetuate the need for indwelling urinary catheters (aka foleys) and replaces these myths with Evidence Based Practices. Citations and hyperlinks are included for all recommendations and are current as of Spring 2013. This presentation was presented to the Emory Healthcare system-wide CAUTI prevention retreat both in 2013 and 2014 and has been the basis for both entity and unit-based education to healthcare professionals.
Ventilator associated pneumonia (VAP) was defined as per the Center of Disease Control (CDC) as a pneumonia that occurs in a patient who was intubated and ventilated at the time of or within 48 h before the onset of the event. Pneumonia was identified using a combination of radiological, clinical, and laboratory criteria
Using the Central Line Bundle
Hand Hygiene
Remove Unnecessary Lines
Use of Maximal Barrier Precautions
Chlorhexidine for Skin Antisepsis
Avoid femoral lines
Report CLABSI rates to the units
Celebrate success!!
Importance of infection control in ICU
Ventilator-associated Pneumonia definition and bundles, Central line-associated infection and its bundles and foley's catheter-associated infection and its bundles
this presentation in reference to CDC and IMO
Infection Control Considerations for COVID-19: Lessons LearnedHarriet Hopf
Participants should be able to:
-Apply infection control principles to protect themselves and their patients
-Select anesthesia equipment and supplies that reduce vulnerability to supply chain interruptions during a pandemic
Visually-guided urinary catheterizations can reduce trauma and urethral injuries which can decrease CAUTI rates. Very useful for hospitals seeking to reduce CAUTI rates and avoid government penalties under CMS' Hospital-Acquired Conditions Program. Improve patient care and safety!
Abdominal Surgeries during Covid 19 Pandemic - Literature Review & Current Gu...Vishal Soni
A brief review of current (April 2020) literature reviews & International Surgical guidelines in Surgical decision making & performing safe surgeries to optimize outcomes.
Experience with the implementation of the WHO checklist and briefing in the operating theatre. Krishna Moorthy. IV Internacional Conference on Patient Safety. (Madrid, Ministry of Health and Consumer Affairs, 2008)
Evidence Based Practice: Assassination of Myths CAUTI (Catheter Associated Ur...man0032
Evidence Based Practice: Assassination of Myths CAUTI (Catheter Associated Urinary Tract Infections) reviews some of the myths healthcare teams use to perpetuate the need for indwelling urinary catheters (aka foleys) and replaces these myths with Evidence Based Practices. Citations and hyperlinks are included for all recommendations and are current as of Spring 2013. This presentation was presented to the Emory Healthcare system-wide CAUTI prevention retreat both in 2013 and 2014 and has been the basis for both entity and unit-based education to healthcare professionals.
Ventilator associated pneumonia (VAP) was defined as per the Center of Disease Control (CDC) as a pneumonia that occurs in a patient who was intubated and ventilated at the time of or within 48 h before the onset of the event. Pneumonia was identified using a combination of radiological, clinical, and laboratory criteria
Prevention of Surgical Site Infection- SSI [compatibility mode]drnahla
Infection Control Guidelines for Prevention of Surgical Site Infection- SSI
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
This focuses on the Consensus Recommendations on the Prevention and Management of Surgical Site Infections in the Philippine Setting by Saguil, Bermudez, Antonio and Cochon, PJSS 2017.
Hospital Acquired Infections/Health care associated infections/Nosocomial infection .
More useful for MBBS ,PG (MD/MS) Students to get a brief idea about HAI.
This document help to hand hygiene; use of gloves, gown, mask, eye protection or face shield, depending on the anticipated exposure; and safe injection practices
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International-Patient-Safety-GoalsGoal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Plagiarism is the "wrongful appropriation" and "stealing and publication" of another author's "language, thoughts, ideas, or expressions" and the representation of them as one's own original work.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
1. Maroof International Hospital
Dialysis Unit
IS OUR DIALYSIS UNIT SAFE? ARE THERE OPPORTUNITIES TO
IMPROVE SAFETY?
Dr Junaid Nazar
MBBS,MPH,FRSPH,MD INTERNAL MEDICINE, FWAMS, MSC NEPRHOLOGIST
Specialist Registrar Nephrologist/Chairman Nephrology Section WAMS
Maroof International Hospital, Islamabad, Pakistan
Email;dr.cmjnazar@live.co.uk
2. OBJECTIVES
Identify and learn from incidents and risks
Improve renal patient safety
Pilot project with NPSA
Experience Sharing
3. BACKGROUND
• 10% of patients in hospital experience suffer
from some type of patient safety incident
– Up to half are preventable.
• 60% of incidents related to equipment are as a
result of failure of usage
• Patient Safety is a must hospital priority
4. NPSA Incident Data Analysis
• NPSA data
• Estimated ~ 725 incidents/year occur in renal
units in England and Wales
– Result in death or potential death (n=55)
– severe harm (n=120)
– or moderate harm (n=550)
• 10 or more / unit / year
– ? Significant underreporting
5. Incidents and risk-prone situations
reported
30 month period
31 incidents and 5 risks identified
Circulated by email to renal unit clinical directors and
lead nurses.
Source of information about incidents
Renal units (42%) - incl. nurses and technologists
NPSA (28%)
MHRA (30%)
17 were circulated as NPSA or MHRA alerts.
6. Incidents and risk-prone situations
reported
The largest number of incidents (36%) were due to failure of dialysis
techniques or dialysis machine usage
Failure of dialysis machines (19%)
Failure of dialysis equipment or disposables
(22%)
Medication (19%)
7. Failure of dialysis techniques
• Venous needle dislodgement
• Fatal Pulmonary Embolus from an attempt to
unblock an occluded arteriovenous fistula
• Air embolism from haemodialysis catheter
disconnection
• Bleeding from an infected fistula needling site
• Bleeding from removal of femoral line
8. Failure of dialysis equipment usage
Setting excessive ultrafiltration on HD
Lack of mixing of bicarbonate haemofiltration
bags (ICU)
Nikkiso conductivity setting (Na 170)
Fresenius dialysate line configuration
9. SANITARY ENVIRONMENT
Recommendations for Preventing
Transmission of Infections Among Chronic
Hemodialysis Patients.” (includes procedures
and comprehensive program)
Hand Hygiene
Gloves
Cleaning & Disinfecting of contaminated
surfaces, medical devices and equipment
10. HBV+ ISOLATION ROOM/AREA NEW
REGULATIONS
Effective Feb 9, 2009, every new facility MUST
include an isolation room for treatment of
HBV+ patients, unless the facility is granted a
waiver of this requirement
For existing units in which a separate room is
not possible, there must be a separate area
for HBsAg positive patients
11. CHRONIC DIALYSIS FACILITIES HAVE A SELF
AUDIT
Survey of this Condition requires:
• observations of care delivery,
• interviews with staff and patients,
• review of medical records, facility logs, policies and procedures and quality assessment and
performance improvement (QAPI) documentation.
Medical and administrative records should demonstrate recognition of any potential
infection and actions taken to decrease the transmission of infection within the dialysis
facility.
If deficient practices noted in infection control, techniques are multiple, pervasive, or of an
extent to present a risk to patient health and safety, Condition level non-compliance should
be considered.
12. CHRONIC DIALYSIS CONDITIONS
Sanitary Environment:
“Recommendations for Preventing Transmission
of Infections Among Chronic Hemodialysis
Patients.” (includes procedures and
comprehensive program
Hepatitis: “Recommendations for Preventing
Transmission of Infections Among Chronic
Hemodialysis Patients,” (precautions, testing,
immunization, isolation, surveillance, response,
training
13. HOSPITAL CONDITIONS IN INFECTION
CONTROL
The hospital must provide a sanitary environment
to avoid sources and transmission of infections
and communicable diseases.
There must be an active program for the
prevention, control, and investigation of
infections and communicable diseases.
The hospital’s program for prevention, control
and investigation of infections and communicable
diseases should be conducted in accordance with
nationally recognized infection control practices
or guidelines
14. COMMON PATIENT SAFETY COMPLAINTS
Staff are not washing their hands
Staff do not change gloves between patients
Staff not wearing appropriate PPE
Given the wrong medication
Given the wrong dialyzer
Staff not performing safe procedure (catheter
care)
Staff unskilled in cannulation
Staff not performing appropriate patient
assessments
15. TEAM APPROACH HAS GREATER ROLE IN
SAFE PRACTICES
Personnel: All team approach
Patient safety committee
Time: management in shortage of staff
Training staff
Educating patients
Evaluating ongoing patient safety
Technology:
Modifying systems as needed
17. Protocols
Hypotension
Hyperkalemia
Hypertensive emergencies and chronic hypertension
on hemodialysis
Cardiac arrest on hemodialysis
Emergency exit process
Cramps
Anticoagulation
Anemia
Air embolism
Sepsis
18. Staff training
The staff should receive initial and on-going education on the basic
principles and practices of dialysis, infectious risks and potential
adverse events, and IPC practices.
The patient should receive education on access site and dressing
care, signs and symptoms of infection, and the importance of
reporting potential infections
Staff should receive hepatitis B vaccination.
Pathways need to develop
Patients education
1. Diet
2. vaccinations
3. regular dialysis
19. SUMMARY
• Dialysis (HD or PD) is a lifeline for patients with ESRD or renal failure
and or awaiting kidney transplant.
• Patients receiving dialysis treatments are at increased risk of
infection. IPC programs includes:
• Hand hygiene,
• Appropriate PPE to provide a barrier to contact with blood,
• body fluids, Non-intact skin or mucous membranes,
• Immunization of patients & HCW’s,
• Aseptic technique----------------------------to reduce patient/client
exposure to microorganisms,
• Management of sharps, blood spills, linen, and
• Waste management to maintain a safe environment,
• Routine environmental cleaning.
20. Conclusion
Infection control is a responsibility of
everyone involved with the dialysis treatment
process.
Implementation of IPC procedures and a safe
environment including water, all are critical in
eliminating or mitigating infection risk for both
patients and HCW.
Patients’ education is also an essential to
prevent infections associated with dialysis.