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Can We Halve GN-BSI, Kiernan, Oct.20.20

[…] motivated by providing relief of symptoms of distress, pain or breathlessness Cause of retention not considered Post-operative retention: intermittent not used Constipation and faecal impaction None could recall education on the causes of retention Alternative methods of output measurement not considered Pad weight Beuscher (2014) J Wound Ostomy Continence Nurs 13 Preventability in hospitals? Boswell, T. et al J Hosp Infect (2019) Enhanced surveillance Oct 2017-Jan 2018...

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Diagnostic Stewardship Teleclass Slides, Jul.25.19

[…] specimen diversion device 6-month prospective controlled pragmatic study on a medical ward ; historical contamination rate of 4% Intervention: initial specimen diversion device (integrated needle or attachment to a newly placed IV); controls – standard method. 671 BCs included 464 cultures taken without device: 5.2% contamination rate; 207 cultures taken with the device: 1.0% contamination rate p = 0.008 No significant difference in true-positive rates Zimmerman FS,...

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Surveillance in the Era of Electronic Health Data Teleclass Slides, Apr.3.19

[…] 2013 12. Humphreys et al. ClinMicro Inf2008 13. Magidet al. Infection, Disease and Health 201712 13 Aim•Describe the findings of a systematic review on the impact of electronic surveillance software (ESS) on infection prevention resources14 Method•Medline & CINAHL•1 January 2006 and 31 December 201615 Inclusion/ Exclusion•cohort studies, case–control studies, cross-sectional studies, observational studies, randomised controlled trials or case reports of HAI•refer to the impact of electronic surveillance...

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Implementing Infection Control Teleclass Handout, 2-page

[…] Webber paul@webbertraining.comwww.webbertraining.com1121¤This is the time to put all your knowledge and engagement into visible action ²the better you do your job normally, the less your work is recognized¤Time to stress the importance of new typing methods, rapid diagnostic test or an IPC measure that so far weren’t funded ²VRE outbreak: cleaning wipes²Flu-threat: GeneXpertand others22 ImplementingInfectionControl –WaystoGet Yo u rHospitaltoTa l k AboutInfectionControlProf. Andreas Vo s s, Radboud...

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Hepatitus C Infection in Prison Teleclass SLIDES

[…] have been considered in such calculation, it is unlikely to change the overall benefit and such availability appears more linked to political endorsement of a HCV elimination program. Regarding the survey main limitations concern the method: data were extracted retrospectively from clinical files so that some variables, in particularly the counseling approach was not properly recorded and the concomitant psychiatric condition and diagnosis was not always clear,...

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LGV-Order-Form-2020

Job title Your name Name of Facility Address City Post code Telephone Email Number of kits NumKits Shipment method Shipment Mail Pickup Method of payment Payment Cheque Name on credit card Credit card number Expiry Date Cost of Kit Subtotal cost Postage cost Provincial Infection Control Network of BC Vancouver, BC V6H 4B1 The kit will be mailed to you and a confirmation email will be sent once...

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Future of IC Bright or Bleak SLIDES

[…] Performance feedback was almost real-time on video screens During the intervention period 32 Maintenance Period Weekly Feedback 33 Reporting 34 My perfect HH monitoring system 35 Fully automated Who has the time? Standardisation of counting method Includes all five moments Objective not subjective Instant, personalised reporting At the end of the shift, person logs off and they get a personal printout of how they did for the...

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Nurse-Driven Antibiotic Stewardship SLIDES

[…] Nurse-Driven Antibiotic Stewardship Practice Recommendations #1 • Documenting drug allergy information accurately #2 • Encouraging the safe conversion of intravenous (IV) to oral (PO) antibiotics. #3 • Initiating an antibiotic "time- out" with prescribers. 20 Methods Qualitative study §Two urban academic hospitals oPediatric o Adult Data collection §Focus groups & interviews § March –June 2017 § Clinical nurses, nurse managers, infection preventionists o Intensive care units &...

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PICNet_Annual_Report_05_06

[…] identified urgent or emerging issues that PICNet could consider addressing in the area of healthcare associated infections. And the Surgical Site Infection Surveillance (SSI) Working Group was developed to provide a framework for a standard method of surgical site infection surveillance and reporting that can be applied according to the needs of acute care hospitals in BC. In the fall of 2005, an ad hoc working group...

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PICNet_2018Conference_RegistrationForm_Feb18

Part 1 - Registration Information First name Surname Organization/Affiliation Address City Phone Email Cheque Cancellation policy: Please send cheques to: Credit card number: Number YesNo Food allergies or dietary requirements Please select your method of payment: Payment Visa MasterCard Yes No Job Title Part 2 - Payment Information Salutation (Mr, Ms, Dr.) Name of cardholder (name printed on card): 1001 West Broadway, Suite 504 Vancouver, BC V6H 4B1 Area...

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PICNet_2018Conference_RegistrationForm_Jan18

Part 1 - Registration Information First name Surname Organization/Affiliation Address City Phone Email Cheque Cancellation policy: Please send cheques to: Credit card number: Number YesNo Food allergies or dietary requirements Please select your method of payment: Payment Visa MasterCard Yes No Job Title Part 2 - Payment Information Salutation (Mr, Ms, Dr.) Name of cardholder (name printed on card): 1001 West Broadway, Suite 504 Vancouver, BC V6H 4B1 Area...

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PICNet_2018Conference_RegistrationForm_Dec15

Part 1 - Registration Information First name Surname Organization/Affiliation Address City Phone Email Cheque Cancellation policy: Please send cheques to: Credit card number: Number YesNo Food allergies or dietary requirements Please select your method of payment: Payment Visa MasterCard Yes No Job Title Part 2 - Payment Information Salutation (Mr, Ms, Dr.) Name of cardholder (name printed on card): 1001 West Broadway, Suite 504 Vancouver, BC V6H 4B1 Area...

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PICNet_2018Conference_RegForm_Nov

Part 1 - Registration Information First name Surname Organization/Affiliation Address City Phone Email Cheque Cancellation policy: Please send cheques to: Credit card number: Number YesNo Food allergies or dietary requirements Please select your method of payment: Payment Visa MasterCard Yes No Job Title Part 2 - Payment Information Salutation (Mr, Ms, Dr.) Name of cardholder (name printed on card): 1001 West Broadway, Suite 504 Vancouver, BC V6H 4B1 Area...

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PICNet_2018Conference_RegistrationForm_Nov

Part 1 - Registration Information First name Surname Organization/Affiliation Address City Phone Email Cheque Cancellation policy: Please send cheques to: Credit card number: Number YesNo Food allergies or dietary requirements Please select your method of payment: Payment Visa MasterCard Yes No Job Title Part 2 - Payment Information Salutation (Mr, Ms, Dr.) Name of cardholder (name printed on card): 1001 West Broadway, Suite 504 Vancouver, BC V6H 4B1 Area...

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SocialMediaTeleclass HelenEvans ActiveLinks

[…] •Aim:to improve internal medicine residents’ (IMR) knowledge of  correct antimicrobial use and increase their uptake of clinical pathways  and order sets through the use of social media.  •Methodology: The investigators enrolled 55 IMRs, and asked them to  follow the hospital’s antimicrobial stewardship program (ASP) on  Facebook or Twitter for  6 months.  –posted statements on the social media sites promoting the hospital’s ASP website  and clinical pathways, focusing on the pathway for community‐acquired  pneumonia. –posted and tweeted questions about antimicrobial prescribing.  – residents were encouraged to respond, and answers were posted and tweeted by  the research team the next business day  •Pretest and post‐test surveys were completed by 39 IMRs –median scores for Abx knowledge increased from 12(interquartile range, 8‐13) to  13(interquartile range, 11‐15; P = .048) –IMRsknowing how to access the ASP website increased from 70% to 94%.  –More IMRs indicated that they used the clinical pathways"sometimes, frequently,  or always" after the intervention (33% vs 61%, P = .004) •Conclusions:Social media is a valuable tool to reinforce ASP initiatives while encouraging the use of ASP resources to promote antimicrobial  mindfulness. Social media as a tool for antimicrobial  stewardship (Pisano et al., 2016) 48 •These positive results are notable; however, it is possible they were the result of  maturation rather than the social media intervention. … Without a control group, it is  difficult to sort out maturation effects from intervention effects. •Despite the threat of maturation bias, this study is important because it suggests  a  relatively simple and inexpensive  method for raising awarenessof appropriate  antimicrobial prescribing. As the authors point out, it is difficult to draw health care  providers’ attention to the prescribing tools that are available to them. Because social  media platforms such as Facebook and Twitter exist to draw attention to issues,  it  would seem neglectful not to use them to educate and engage providers about  antimicrobial stewardship.  •There is no conclusive evidence that social media is effective for improving medical  students’ clinical performance. Similarly, there is no solid evidence that social media  sites are more or less effective than traditional educational platforms . • However, research has shown that medical students find Twitter and Facebook useful  as supplementsto traditional educational strategies. • Practicing physicians and nurse practitioners also find social media acceptable for  continuing education. Journal club: Social media as an antimicrobial  stewardship tool (Conway & Knighton, 2017) 49 •Given this broad acceptance, could social media be used for  other topics in infection control besides ASPs? A study by Pan  et al suggest it could be. Pan et al created a hand hygiene  promotional video on YouTube and posted linksto it on their  hospital website, employee e‐mail list,  and Facebook page. •Their results showed that the video was accessed most  frequently on social media sites. Fewer than 1% of website  and e‐mail subscribers opened the link, but 6% of Facebook  subscribers opened it. Similarly, only 12% of total views  occurred via the hospital website and e‐mail, whereas...

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Hand Hygiene

[…] microorganisms can be spread by anyone, hand hygiene is everybody’s responsibility: staff, patients, residents, visitors, and volunteers. Either alcohol based hand rub (ABHR, also known as hand sanitizer) or soap and warm water are accepted methods of hand hygiene: soap and water is preferred if you have contact with a patient who is known to have C. difficile or norovirus, or if your hands are visibly soiled...

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Impact of VRE changes in BC

[…] unitsEnd admission  screening Discontinued. VRE was removed  from electronic flagging systemMar 2013 Interior HealthEnd admission and pre‐ surgical screeningDiscontinued isolation Dec 2013 NHA, PHSA and PHCContinue active screening, contact precautions and isolation * Excludes PHC. High‐risk units include wards for intensive care, burn‐trauma, and bone marrow and solid organ transplant Results Rate of VRE infection and colonization in health authorities that made changes 3. Vancouver Coastal Health (excludes PHC) 1. Island Health 4. Interior Health 2. Fraser Health Other impacts of VRE policy changes •Focus more on syndromic management •Cost avoidance from VRE screening and testing •Free‐up resources for other IPAC programs •Improve patient flow Results Rate of VRE infection and colonization in health authorities that made NO changes Results * Part of Va n c o u ve r Coastal Health Provincial Health Services Authority Northern Health Providence Health Care* •No known negative impacts were observed  following changes in four health authorities •Concerns over potential transmission within  facilities and unexpected impacts on other  facilities  •Debate continued among BC health authorities  over the value of VRE screening, contact  precautions and Isolation and its impacts on  patient safety Discussion Limitations •Variations in VRE control policy, surveillance  method,  and case definition •Small number of VRE infections • Changes made at different times • Other potential impacts were not evaluated Discussion •No known negative impacts were observed after  discontinuing VRE screening and isolation •VRE continues to be closely monitored  • Further evaluations are needed  Conclusion Acknowledgements Fraser Health: Tara Donovan, Louis Wong Interior Health: Dr. Julie Mori, Dr. Bing Wang Island Health: Dr. Pamela Kibsey, Anthony Leamon Northern Heath: Deanna Hembroff Providence Health Care: Dr. Elisa Lloyd‐Smith Vancouver Coastal Health: Leslie Forrester, Dr. Elizabeth Bryce Provincial Health Service Authority: Jun Chen Collet...

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Introduction to Critical Appraisal

[…] modules are intended to refresh your memories on some of the key elements used in critical appraisal so that you will be more confident using PHAC’s toolkit. It is not meant to take the place of a research methods course. This course has audio, so you will need a computer with speakers or headphones. Estimated duration: Module 1: about 30 min; Modules 2 & 3: about an hour each. The...

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