Audit in infection control

Hay, A.

doi:10.1016/j.jhin.2005.09.008

Cited by 20 publications

(19 citation statements)

References 58 publications

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“…The results concerning the effectiveness of our infection control interventions were mixed and the impact of our hospital's accreditation on infection control remains to be determined. The findings of our study suggest that the educational intervention and hospital accreditation process influenced adherence to infection control measures, especially for hand hygiene [23,24]. Our data corroborated that of a survey of Japanese hospitals, the authors of which identified a significant association between infection control performance scores and hospital accreditation status [25].…”

Section: Discussionsupporting

confidence: 86%

Long-term effectiveness of infection and antibiotic control programs on the transmission of carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex in central Taiwan

Chen

Lin

Chang

et al. 2015

Médecine et Maladies Infectieuses

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Section: Discussionsupporting

confidence: 86%

Long-term effectiveness of infection and antibiotic control programs on the transmission of carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex in central Taiwan

Chen

Lin

Chang

et al. 2015

Médecine et Maladies Infectieuses

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“…Reports and studies of quality audits in high income countries have shown gradual improvement over time in compliance, although these were mainly in hospitals [22e24]. The completion of a full audit cycle that includes monitoring implementation of changes and follow-up audits has been shown to improve impact [22,25]. With regard to the PHC a study in the Netherlands has evaluated the determinants of the impact of a primary medical care practice accreditation programme.…”

Section: Discussionmentioning

confidence: 99%

Repeat Auditing of Primary Health-care Facilities Against Standards for Occupational Health and Infection Control: A Study of Compliance and Reliability

Cloete

Yassi

Ehrlich

2020

Safety and Health at Work

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a b s t r a c tBackground: The elevated risk of occupational infection such as tuberculosis among health workers in many countries raises the question of whether the quality of occupational health and safety (OHS) and infection prevention and control (IPC) can be improved by auditing. The objectives of this study were to measure (1) audited compliance of primary health-care facilities in South Africa with national standards for OHS and IPC, (2) change in compliance at reaudit three years after baseline, and (3) the inter-rater reliability of the audit. Methods: The study analyzed audits of 60 primary health-care facilities in the Western Cape Province of South Africa. Baseline external audits in the time period 2011e2012 were compared with follow-up internal audits in 2014e2015. Audits at 25 facilities that had both internal and external audits conducted in 2014/2015 were used to measure reliability. Results: At baseline, 25% of 60 facilities were "noncompliant" (audit score<50%), 48% "conditionally compliant" (score >50 < 80%), and only 27% "compliant" (score >80%). Overall, there was no significant improvement in compliance three years after baseline. Percentage agreement on specific items between internal and external audits ranged from 28% to 92% and kappa from -0.8 to 0.41 (poor to moderate). Conclusion: Low baseline compliance with OHSeIPC measures and lack of improvement over three years reflect the difficulties of quality improvement in these domains. Low inter-rater reliability of the audit instrument undermines the audit process. Evidence-based investment of effort is required if repeat auditing is to contribute to occupational risk reduction for health workers.

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“…This auditing must not be seen as isolated actions, aiming only to verify data consistency. Its implementation must be wide and educationally planned in cycles of continuous improvement (24) . However, in the Brazilian regions evaluated, data auditing actions are incipient.…”

Section: Discussionmentioning

confidence: 99%

Governmental surveillance system of healthcare-associated infection in Brazil

Junior

Padoveze

Lacerda

2014

Rev. esc. enferm. USP

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Objective: This study aimed to describe the structure of governmental surveillance systems for Healthcare Associated Infection (HAI) in the Brazilian Southeastern and Southern States. Method: A cross-sectional, descriptive and exploratory study, with data collection by means of two-phases: characterization of the healthcare structure and of the HAI surveillance system. Results: The governmental teams for prevention and control of HAI in each State ranged from one to six members, having at least one nurse. All States implemented their own surveillance system. The information systems were classified into chain (n=2), circle (n=4) or wheel (n=1). Conclusion: Were identified differences in the structure and information flow from governmental surveillance systems, possibly limiting a nationwide standardization. The present study points to the need for establishing minimum requirements in public policies, in order to guide the development of HAI surveillance systems.

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Audit in infection control

Cited by 20 publications

References 58 publications

Long-term effectiveness of infection and antibiotic control programs on the transmission of carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex in central Taiwan

Long-term effectiveness of infection and antibiotic control programs on the transmission of carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex in central Taiwan

Repeat Auditing of Primary Health-care Facilities Against Standards for Occupational Health and Infection Control: A Study of Compliance and Reliability

Governmental surveillance system of healthcare-associated infection in Brazil

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