Objective: The Healthcare AssociatedInfection (HCAI) content areaaims to reduce all healthcare associated infections through a series of evidence based interventions coupled with monitoring of outcome measure throughout the healthcare community in Wales fom primmary through to secondary and teritary care. The involvement of primmary careas well as the acute sector of healthcare in the patient safety work was an unique feature of the campaign in Wales. An overview of the work of the HCAI content area is provided.
Methods: Nine key interventions,
- implementing the recomendations of HCAI strategy for Wales,
- standard precutions,
- isolation precautions,
- decontamination of enviroment & equipment,
- antimicrobial stewardship,
- manegment of medical device,
- central line bunsle,
- ventilator bundle,
- preventions of surgical site infection
- early detection and rsponse system
were identified as the drivers for the prevention and transmission of healthcare associated infection. For each intervention, compliance with specific process measures data was collected and reported to the campaign hand hygiene observational audits, antimicrobial usage and compliance with CVC and VAP care bundles, as well as key outcome measure of reducing healthcare associated infection.
Results: Results from each organisation have varied, with some organisation managing to spread the different intervention to a number of wards. A hand hygiene compliance observational audit has been widely successful with an average rate of 89% and median of 93.89% for
Conclusions: The 1000 Lives Campaign aims to save 1000 lives and 50,000episodes of harm in Wales during the 2 years of the Campaign. A key area within the campaign is the content area devoted to reducing HCAI. The emphasis withinthe HCAI content area has been on reducing all types of HCAi not just MRSA and Clostridium difficile through evidence based interventions. Success has been seen in increasing compliance with hand hygiene across the healthcare community. reduction in Cl.difficile infecions, Central venous catheter infectins on critical care units and urinary catheter related infectins has been seen.