Practical Guide Book for Hospital Infection Risk Assessment, Prevention & Control Shishir Basarkar
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1Practical Guide Book for Hospital Infection Risk Assessment, Prevention and Control2
3Practical Guide Book for Hospital Infection Risk Assessment, Prevention and Control
Shishir Basarkar MBBS PGD (HM) MDPM Dip T and D PGC (HM) CHCWM CDM Certified Six Sigma Green Belt Chief Operating Officer Marble City CARE Hospital Jabalpur, Madhya Pradesh, India,
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Practical Guide Book for Hospital Infection Risk Assessment, Prevention and Control
First Edition: 2016
9789352501144
Printed at:
5Dedicated to
My Family Members and Teachers
Preface
Infection in healthcare facility is a serious concern for the management as it costs valuable resources and increases agony to the patients and their families. Concerted efforts are being done, so as to minimize the incidences of hospital- acquired infection through various modalities and control them as well.
With knowledge explosion about infections, it affects on physical, emotional and economical wellbeing among the patients and their families, somewhere the efforts are getting less than required to control the prevalence of infection.
The lack of awareness and training about the infection prevention and control practices among hospital staff sometimes plays a role in not decreasing the prevalence of hospital-acquired infection among patients.
The book is written by making an effort to getting in-depth knowledge about the risk assessment of infection and the precautions, governance and audit methodologies to make a comprehensive document. This edition of the book will try to fill the gap in the knowledge, attitude and practice in the area of infection prevention and control practices in every healthcare facility and also in clinics, nursing homes and students of medical, nursing and hospital management.
I have tried to simplify the subject by presenting each topic into subtopic (SOT) as to provide more information on particular area. Wherever essential, I have given charts and process flow diagrams to make the concept easy to understand. Attempts have been made to make each part of the book complete in itself. At the end, various supplements have been given which are covering various areas of infection prevention and control practices and these will help to be taken as ready-reckoner to understand the issues.
Shishir Basarkar
Acknowledgments
I wish to express my sincere thanks and indebtedness to my all teaching mentors for their valuable teaching, which made me capable to conceptualize and bring out this book.
I like to extend my gratitude to my family members, who everytime unconditionally supported me in my every academic endeavor.
I also express my thanks to my seniors in the field of hospital management, who showed undoubted faith in my capabilities and this book is result of that faith.
My life partner Dr Rashmi deserves special complements for giving me moral support and handled all the odds when I was busy with this project. My daughters Nimisha and Samiksha also need special mention in the same regards.
Last but not least, I would like to thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Mr Tarun Duneja (Director–Publishing), Mr KK Raman (Production Manager) and staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for publishing and printing the book.
Introduction
Infection prevention is one of the aspects of delivering quality healthcare to the patients and developing safe work environment in healthcare settings world over. Hospital-acquired infection (HAI) is one of the most common complications which leads to unnecessary suffering to the patients and their families and increase in the cost of treatment because of prolong hospital stay.
Before thinking of mitigating or controlling healthcare infection, it is imperative to have knowledge about the risk and take steps to reduce such risks. Methodically, these risks should be assessed, recorded, acted on and monitored, so as to ensure the effective preventive and control practices. In order to prevent and control the infection, the risk has to be assessed which is mainly because of system or human factor and in time action taken will result in mitigating and controlling the infection incidences in healthcare settings. As thought, the HAI is not an unpredictable event rather it is preventable adverse event and its rate can be effectively reduced by applying simple measures of awareness, following infection control policies and regular monitoring.
The organization should take immense proactive steps to assist its healthcare workers to deliver quality care thus, promoting and facilitating the overall goals of infection prevention and control.
Though there will be Infection Control Committee and team, however, it is to remember that infection control is cumulative responsibility in the organization and not the singular staff or department. There is need of understanding of the mode of infection transmission and knowledge about applying basic principles of infection prevention and control. This approach will ensure that infectious agents are managed effectively. In case, the principle of infection prevention is incorporated into all services and building developments will by itself result in establishment of an environment for better control and prevention of infection.
Formulation of policies, standard operating procedures (SOPs) and guidelines will help to resolve the problem of infection as the readymade answer is available for the particular problem. As we all know that infection knows no boundaries of healthcare workers and systems in the healthcare settings hence, there is need of ensuring that each and everyone in the organization practices good standard practice of infection control and prevention. The organization need to keep all the elements of programme and infrastructure for infection mitigation in place.