Implementation of the Infection Risk Scan
Background A tool, the Infection Risk Scan has been developed to measure the quality of infection control and antimicrobial use. This tool measures various patient-, ward- and care-related variables in a standardized way. We describe the implementation of this tool in nine hospitals in the Dutch/Bel...
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| creator | Verelst, Ma Willemsen, Ina Weterings, Veronica De Waegemaeker, Pascal Leroux-Roels, Isabelle Nieuwkoop, Ellen Saegeman, Veroniek van Alphen, Lieke van Kleef-van Koeveringe, Stefanie Kluytmans-van den Bergh, Marjolein Kluytmans, Jan Schuermans, Annette van den Braak, Nicole Broucke, Caroline Buiting, Anton Coorevits, Liselotte Dequeker, Sara Dewulf, Jeroen Dhaeze, Wouter Diederen, Bram Ewalts, Helen Goossens, Herman Gyssens, Inge den Heijer, Casper Hoebe, Christian Jamin, Casper Jansingh, Patricia De Koster, Sien Lammens, Christine Leroux-Roels, Isabel Masson, Hanna Van Oosten, Anita Selva, Natascha Perales Postma, Merel Raven, Stijn Savelkoul, Paul Sleeckx, Nathalie van der Slikke, Krista Stegeman, Arjan Tobias, Tijs Tolsma, Paulien Veenemans, Jacobien van der Vegt, Dewi Verhulst, Carlo Wijkmans, Clementine Willemse-Smits, Patricia |
| description | Background A tool, the Infection Risk Scan has been developed to measure the quality of infection control and antimicrobial use. This tool measures various patient-, ward- and care-related variables in a standardized way. We describe the implementation of this tool in nine hospitals in the Dutch/Belgian border area and the obtained results. Methods The IRIS consists of a set of objective and reproducible measurements: patient comorbidities, (appropriate) use of indwelling medical devices, (appropriate) use of antimicrobial therapy, rectal carriage of Extended-spectrum beta-lactamase producing Enterobacterales and their clonal relatedness, environmental contamination, hand hygiene performance, personal hygiene of health care workers and presence of infection prevention preconditions. The Infection Risk Scan was implemented by an expert team. In each setting, local infection control practitioners were trained to achieve a standardized implementation of the tool and an unambiguous assessment of data. Results The IRIS was implemented in 34 wards in six Dutch and three Belgian hospitals. The tool provided ward specific results and revealed differences between wards and countries. There were significant differences in the prevalence of ESBL-E carriage between countries (Belgium: 15% versus The Netherlands: 9.6%), environmental contamination (median adenosine triphosphate (ATP) level Belgium: 431 versus median ATP level The Netherlands: 793) and calculated hand hygiene actions based on alcohol based handrub consumption (Belgium: 12.5/day versus The Netherlands: 6.3/day) were found. Conclusion The Infection risk Scan was successfully implemented in multiple hospitals in a large cross-border project and provided data that made the quality of infection control and antimicrobial use more transparent. The observed differences provide potential targets for improvement of the quality of care. Keywords: Infection prevention, Guidelines, Benchmarking, Surveillance |
| doi_str_mv | 10.1186/s13756-022-01083-1 |
| format | Article |
| fullrecord | <record><control><sourceid>gale</sourceid><recordid>TN_cdi_gale_infotracmisc_A699488382</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A699488382</galeid><sourcerecordid>A699488382</sourcerecordid><originalsourceid>FETCH-LOGICAL-g672-d4a244be9744dae12d1d479d0d79c232a192836448202b06be91ac2493ff753</originalsourceid><addsrcrecordid>eNptj0tLQzEQhUNRsLT9A64uuHKRmkymeSxL8XGhUKjuS5pHTb03V8z9_xjURReeWczh8M3AIeSWsyXnWj4ULtRKUgZAGWdaUD4hU2CoKBiDVxf-hixKObMqqVglp-S-7T-70Ic82jENuRliM76Hps0xuJ9gn8pH8-psnpPraLsSFn97RvZPj2-bF7rdPbeb9ZaepALq0QLiMRiF6G3g4LlHZTzzyjgQYLkBLSSiBgZHJivJrQM0Ika1EjNy9_v0ZLtwSDkO45d1fSrusJa1gNZCQ6WW_1B1fOiTG3KIqeYXB99HQ1Fe</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Implementation of the Infection Risk Scan</title><source>Springer Nature - Complete Springer Journals</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><source>Springer Nature OA Free Journals</source><creator>Verelst, Ma ; Willemsen, Ina ; Weterings, Veronica ; De Waegemaeker, Pascal ; Leroux-Roels, Isabelle ; Nieuwkoop, Ellen ; Saegeman, Veroniek ; van Alphen, Lieke ; van Kleef-van Koeveringe, Stefanie ; Kluytmans-van den Bergh, Marjolein ; Kluytmans, Jan ; Schuermans, Annette ; van den Braak, Nicole ; Broucke, Caroline ; Buiting, Anton ; Coorevits, Liselotte ; Dequeker, Sara ; Dewulf, Jeroen ; Dhaeze, Wouter ; Diederen, Bram ; Ewalts, Helen ; Goossens, Herman ; Gyssens, Inge ; den Heijer, Casper ; Hoebe, Christian ; Jamin, Casper ; Jansingh, Patricia ; De Koster, Sien ; Lammens, Christine ; Leroux-Roels, Isabel ; Masson, Hanna ; Van Oosten, Anita ; Selva, Natascha Perales ; Postma, Merel ; Raven, Stijn ; Savelkoul, Paul ; Sleeckx, Nathalie ; van der Slikke, Krista ; Stegeman, Arjan ; Tobias, Tijs ; Tolsma, Paulien ; Veenemans, Jacobien ; van der Vegt, Dewi ; Verhulst, Carlo ; Wijkmans, Clementine ; Willemse-Smits, Patricia</creator><creatorcontrib>Verelst, Ma ; Willemsen, Ina ; Weterings, Veronica ; De Waegemaeker, Pascal ; Leroux-Roels, Isabelle ; Nieuwkoop, Ellen ; Saegeman, Veroniek ; van Alphen, Lieke ; van Kleef-van Koeveringe, Stefanie ; Kluytmans-van den Bergh, Marjolein ; Kluytmans, Jan ; Schuermans, Annette ; van den Braak, Nicole ; Broucke, Caroline ; Buiting, Anton ; Coorevits, Liselotte ; Dequeker, Sara ; Dewulf, Jeroen ; Dhaeze, Wouter ; Diederen, Bram ; Ewalts, Helen ; Goossens, Herman ; Gyssens, Inge ; den Heijer, Casper ; Hoebe, Christian ; Jamin, Casper ; Jansingh, Patricia ; De Koster, Sien ; Lammens, Christine ; Leroux-Roels, Isabel ; Masson, Hanna ; Van Oosten, Anita ; Selva, Natascha Perales ; Postma, Merel ; Raven, Stijn ; Savelkoul, Paul ; Sleeckx, Nathalie ; van der Slikke, Krista ; Stegeman, Arjan ; Tobias, Tijs ; Tolsma, Paulien ; Veenemans, Jacobien ; van der Vegt, Dewi ; Verhulst, Carlo ; Wijkmans, Clementine ; Willemse-Smits, Patricia</creatorcontrib><description>Background A tool, the Infection Risk Scan has been developed to measure the quality of infection control and antimicrobial use. This tool measures various patient-, ward- and care-related variables in a standardized way. We describe the implementation of this tool in nine hospitals in the Dutch/Belgian border area and the obtained results. Methods The IRIS consists of a set of objective and reproducible measurements: patient comorbidities, (appropriate) use of indwelling medical devices, (appropriate) use of antimicrobial therapy, rectal carriage of Extended-spectrum beta-lactamase producing Enterobacterales and their clonal relatedness, environmental contamination, hand hygiene performance, personal hygiene of health care workers and presence of infection prevention preconditions. The Infection Risk Scan was implemented by an expert team. In each setting, local infection control practitioners were trained to achieve a standardized implementation of the tool and an unambiguous assessment of data. Results The IRIS was implemented in 34 wards in six Dutch and three Belgian hospitals. The tool provided ward specific results and revealed differences between wards and countries. There were significant differences in the prevalence of ESBL-E carriage between countries (Belgium: 15% versus The Netherlands: 9.6%), environmental contamination (median adenosine triphosphate (ATP) level Belgium: 431 versus median ATP level The Netherlands: 793) and calculated hand hygiene actions based on alcohol based handrub consumption (Belgium: 12.5/day versus The Netherlands: 6.3/day) were found. Conclusion The Infection risk Scan was successfully implemented in multiple hospitals in a large cross-border project and provided data that made the quality of infection control and antimicrobial use more transparent. The observed differences provide potential targets for improvement of the quality of care. Keywords: Infection prevention, Guidelines, Benchmarking, Surveillance</description><identifier>ISSN: 2047-2994</identifier><identifier>EISSN: 2047-2994</identifier><identifier>DOI: 10.1186/s13756-022-01083-1</identifier><language>eng</language><publisher>BioMed Central Ltd</publisher><subject>Adenosine triphosphate ; Belgium ; Beta lactamases ; Comorbidity ; Health aspects ; Hospitals ; Hygiene ; Infection ; Infection control ; Medical care ; Medical equipment ; Muscle proteins ; Netherlands ; Physiological apparatus ; Quality management ; Risk factors</subject><ispartof>Antimicrobial resistance & infection control, 2022-02, Vol.11 (1)</ispartof><rights>COPYRIGHT 2022 BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids></links><search><creatorcontrib>Verelst, Ma</creatorcontrib><creatorcontrib>Willemsen, Ina</creatorcontrib><creatorcontrib>Weterings, Veronica</creatorcontrib><creatorcontrib>De Waegemaeker, Pascal</creatorcontrib><creatorcontrib>Leroux-Roels, Isabelle</creatorcontrib><creatorcontrib>Nieuwkoop, Ellen</creatorcontrib><creatorcontrib>Saegeman, Veroniek</creatorcontrib><creatorcontrib>van Alphen, Lieke</creatorcontrib><creatorcontrib>van Kleef-van Koeveringe, Stefanie</creatorcontrib><creatorcontrib>Kluytmans-van den Bergh, Marjolein</creatorcontrib><creatorcontrib>Kluytmans, Jan</creatorcontrib><creatorcontrib>Schuermans, Annette</creatorcontrib><creatorcontrib>van den Braak, Nicole</creatorcontrib><creatorcontrib>Broucke, Caroline</creatorcontrib><creatorcontrib>Buiting, Anton</creatorcontrib><creatorcontrib>Coorevits, Liselotte</creatorcontrib><creatorcontrib>Dequeker, Sara</creatorcontrib><creatorcontrib>Dewulf, Jeroen</creatorcontrib><creatorcontrib>Dhaeze, Wouter</creatorcontrib><creatorcontrib>Diederen, Bram</creatorcontrib><creatorcontrib>Ewalts, Helen</creatorcontrib><creatorcontrib>Goossens, Herman</creatorcontrib><creatorcontrib>Gyssens, Inge</creatorcontrib><creatorcontrib>den Heijer, Casper</creatorcontrib><creatorcontrib>Hoebe, Christian</creatorcontrib><creatorcontrib>Jamin, Casper</creatorcontrib><creatorcontrib>Jansingh, Patricia</creatorcontrib><creatorcontrib>De Koster, Sien</creatorcontrib><creatorcontrib>Lammens, Christine</creatorcontrib><creatorcontrib>Leroux-Roels, Isabel</creatorcontrib><creatorcontrib>Masson, Hanna</creatorcontrib><creatorcontrib>Van Oosten, Anita</creatorcontrib><creatorcontrib>Selva, Natascha Perales</creatorcontrib><creatorcontrib>Postma, Merel</creatorcontrib><creatorcontrib>Raven, Stijn</creatorcontrib><creatorcontrib>Savelkoul, Paul</creatorcontrib><creatorcontrib>Sleeckx, Nathalie</creatorcontrib><creatorcontrib>van der Slikke, Krista</creatorcontrib><creatorcontrib>Stegeman, Arjan</creatorcontrib><creatorcontrib>Tobias, Tijs</creatorcontrib><creatorcontrib>Tolsma, Paulien</creatorcontrib><creatorcontrib>Veenemans, Jacobien</creatorcontrib><creatorcontrib>van der Vegt, Dewi</creatorcontrib><creatorcontrib>Verhulst, Carlo</creatorcontrib><creatorcontrib>Wijkmans, Clementine</creatorcontrib><creatorcontrib>Willemse-Smits, Patricia</creatorcontrib><title>Implementation of the Infection Risk Scan</title><title>Antimicrobial resistance & infection control</title><description>Background A tool, the Infection Risk Scan has been developed to measure the quality of infection control and antimicrobial use. This tool measures various patient-, ward- and care-related variables in a standardized way. We describe the implementation of this tool in nine hospitals in the Dutch/Belgian border area and the obtained results. Methods The IRIS consists of a set of objective and reproducible measurements: patient comorbidities, (appropriate) use of indwelling medical devices, (appropriate) use of antimicrobial therapy, rectal carriage of Extended-spectrum beta-lactamase producing Enterobacterales and their clonal relatedness, environmental contamination, hand hygiene performance, personal hygiene of health care workers and presence of infection prevention preconditions. The Infection Risk Scan was implemented by an expert team. In each setting, local infection control practitioners were trained to achieve a standardized implementation of the tool and an unambiguous assessment of data. Results The IRIS was implemented in 34 wards in six Dutch and three Belgian hospitals. The tool provided ward specific results and revealed differences between wards and countries. There were significant differences in the prevalence of ESBL-E carriage between countries (Belgium: 15% versus The Netherlands: 9.6%), environmental contamination (median adenosine triphosphate (ATP) level Belgium: 431 versus median ATP level The Netherlands: 793) and calculated hand hygiene actions based on alcohol based handrub consumption (Belgium: 12.5/day versus The Netherlands: 6.3/day) were found. Conclusion The Infection risk Scan was successfully implemented in multiple hospitals in a large cross-border project and provided data that made the quality of infection control and antimicrobial use more transparent. The observed differences provide potential targets for improvement of the quality of care. Keywords: Infection prevention, Guidelines, Benchmarking, Surveillance</description><subject>Adenosine triphosphate</subject><subject>Belgium</subject><subject>Beta lactamases</subject><subject>Comorbidity</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Hygiene</subject><subject>Infection</subject><subject>Infection control</subject><subject>Medical care</subject><subject>Medical equipment</subject><subject>Muscle proteins</subject><subject>Netherlands</subject><subject>Physiological apparatus</subject><subject>Quality management</subject><subject>Risk factors</subject><issn>2047-2994</issn><issn>2047-2994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptj0tLQzEQhUNRsLT9A64uuHKRmkymeSxL8XGhUKjuS5pHTb03V8z9_xjURReeWczh8M3AIeSWsyXnWj4ULtRKUgZAGWdaUD4hU2CoKBiDVxf-hixKObMqqVglp-S-7T-70Ic82jENuRliM76Hps0xuJ9gn8pH8-psnpPraLsSFn97RvZPj2-bF7rdPbeb9ZaepALq0QLiMRiF6G3g4LlHZTzzyjgQYLkBLSSiBgZHJivJrQM0Ika1EjNy9_v0ZLtwSDkO45d1fSrusJa1gNZCQ6WW_1B1fOiTG3KIqeYXB99HQ1Fe</recordid><startdate>20220228</startdate><enddate>20220228</enddate><creator>Verelst, Ma</creator><creator>Willemsen, Ina</creator><creator>Weterings, Veronica</creator><creator>De Waegemaeker, Pascal</creator><creator>Leroux-Roels, Isabelle</creator><creator>Nieuwkoop, Ellen</creator><creator>Saegeman, Veroniek</creator><creator>van Alphen, Lieke</creator><creator>van Kleef-van Koeveringe, Stefanie</creator><creator>Kluytmans-van den Bergh, Marjolein</creator><creator>Kluytmans, Jan</creator><creator>Schuermans, Annette</creator><creator>van den Braak, Nicole</creator><creator>Broucke, Caroline</creator><creator>Buiting, Anton</creator><creator>Coorevits, Liselotte</creator><creator>Dequeker, Sara</creator><creator>Dewulf, Jeroen</creator><creator>Dhaeze, Wouter</creator><creator>Diederen, Bram</creator><creator>Ewalts, Helen</creator><creator>Goossens, Herman</creator><creator>Gyssens, Inge</creator><creator>den Heijer, Casper</creator><creator>Hoebe, Christian</creator><creator>Jamin, Casper</creator><creator>Jansingh, Patricia</creator><creator>De Koster, Sien</creator><creator>Lammens, Christine</creator><creator>Leroux-Roels, Isabel</creator><creator>Masson, Hanna</creator><creator>Van Oosten, Anita</creator><creator>Selva, Natascha Perales</creator><creator>Postma, Merel</creator><creator>Raven, Stijn</creator><creator>Savelkoul, Paul</creator><creator>Sleeckx, Nathalie</creator><creator>van der Slikke, Krista</creator><creator>Stegeman, Arjan</creator><creator>Tobias, Tijs</creator><creator>Tolsma, Paulien</creator><creator>Veenemans, Jacobien</creator><creator>van der Vegt, Dewi</creator><creator>Verhulst, Carlo</creator><creator>Wijkmans, Clementine</creator><creator>Willemse-Smits, Patricia</creator><general>BioMed Central Ltd</general><scope/></search><sort><creationdate>20220228</creationdate><title>Implementation of the Infection Risk Scan</title><author>Verelst, Ma ; Willemsen, Ina ; Weterings, Veronica ; De Waegemaeker, Pascal ; Leroux-Roels, Isabelle ; Nieuwkoop, Ellen ; Saegeman, Veroniek ; van Alphen, Lieke ; van Kleef-van Koeveringe, Stefanie ; Kluytmans-van den Bergh, Marjolein ; Kluytmans, Jan ; Schuermans, Annette ; van den Braak, Nicole ; Broucke, Caroline ; Buiting, Anton ; Coorevits, Liselotte ; Dequeker, Sara ; Dewulf, Jeroen ; Dhaeze, Wouter ; Diederen, Bram ; Ewalts, Helen ; Goossens, Herman ; Gyssens, Inge ; den Heijer, Casper ; Hoebe, Christian ; Jamin, Casper ; Jansingh, Patricia ; De Koster, Sien ; Lammens, Christine ; Leroux-Roels, Isabel ; Masson, Hanna ; Van Oosten, Anita ; Selva, Natascha Perales ; Postma, Merel ; Raven, Stijn ; Savelkoul, Paul ; Sleeckx, Nathalie ; van der Slikke, Krista ; Stegeman, Arjan ; Tobias, Tijs ; Tolsma, Paulien ; Veenemans, Jacobien ; van der Vegt, Dewi ; Verhulst, Carlo ; Wijkmans, Clementine ; Willemse-Smits, Patricia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g672-d4a244be9744dae12d1d479d0d79c232a192836448202b06be91ac2493ff753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adenosine triphosphate</topic><topic>Belgium</topic><topic>Beta lactamases</topic><topic>Comorbidity</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Hygiene</topic><topic>Infection</topic><topic>Infection control</topic><topic>Medical care</topic><topic>Medical equipment</topic><topic>Muscle proteins</topic><topic>Netherlands</topic><topic>Physiological apparatus</topic><topic>Quality management</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verelst, Ma</creatorcontrib><creatorcontrib>Willemsen, Ina</creatorcontrib><creatorcontrib>Weterings, Veronica</creatorcontrib><creatorcontrib>De Waegemaeker, Pascal</creatorcontrib><creatorcontrib>Leroux-Roels, Isabelle</creatorcontrib><creatorcontrib>Nieuwkoop, Ellen</creatorcontrib><creatorcontrib>Saegeman, Veroniek</creatorcontrib><creatorcontrib>van Alphen, Lieke</creatorcontrib><creatorcontrib>van Kleef-van Koeveringe, Stefanie</creatorcontrib><creatorcontrib>Kluytmans-van den Bergh, Marjolein</creatorcontrib><creatorcontrib>Kluytmans, Jan</creatorcontrib><creatorcontrib>Schuermans, Annette</creatorcontrib><creatorcontrib>van den Braak, Nicole</creatorcontrib><creatorcontrib>Broucke, Caroline</creatorcontrib><creatorcontrib>Buiting, Anton</creatorcontrib><creatorcontrib>Coorevits, Liselotte</creatorcontrib><creatorcontrib>Dequeker, Sara</creatorcontrib><creatorcontrib>Dewulf, Jeroen</creatorcontrib><creatorcontrib>Dhaeze, Wouter</creatorcontrib><creatorcontrib>Diederen, Bram</creatorcontrib><creatorcontrib>Ewalts, Helen</creatorcontrib><creatorcontrib>Goossens, Herman</creatorcontrib><creatorcontrib>Gyssens, Inge</creatorcontrib><creatorcontrib>den Heijer, Casper</creatorcontrib><creatorcontrib>Hoebe, Christian</creatorcontrib><creatorcontrib>Jamin, Casper</creatorcontrib><creatorcontrib>Jansingh, Patricia</creatorcontrib><creatorcontrib>De Koster, Sien</creatorcontrib><creatorcontrib>Lammens, Christine</creatorcontrib><creatorcontrib>Leroux-Roels, Isabel</creatorcontrib><creatorcontrib>Masson, Hanna</creatorcontrib><creatorcontrib>Van Oosten, Anita</creatorcontrib><creatorcontrib>Selva, Natascha Perales</creatorcontrib><creatorcontrib>Postma, Merel</creatorcontrib><creatorcontrib>Raven, Stijn</creatorcontrib><creatorcontrib>Savelkoul, Paul</creatorcontrib><creatorcontrib>Sleeckx, Nathalie</creatorcontrib><creatorcontrib>van der Slikke, Krista</creatorcontrib><creatorcontrib>Stegeman, Arjan</creatorcontrib><creatorcontrib>Tobias, Tijs</creatorcontrib><creatorcontrib>Tolsma, Paulien</creatorcontrib><creatorcontrib>Veenemans, Jacobien</creatorcontrib><creatorcontrib>van der Vegt, Dewi</creatorcontrib><creatorcontrib>Verhulst, Carlo</creatorcontrib><creatorcontrib>Wijkmans, Clementine</creatorcontrib><creatorcontrib>Willemse-Smits, Patricia</creatorcontrib><jtitle>Antimicrobial resistance & infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verelst, Ma</au><au>Willemsen, Ina</au><au>Weterings, Veronica</au><au>De Waegemaeker, Pascal</au><au>Leroux-Roels, Isabelle</au><au>Nieuwkoop, Ellen</au><au>Saegeman, Veroniek</au><au>van Alphen, Lieke</au><au>van Kleef-van Koeveringe, Stefanie</au><au>Kluytmans-van den Bergh, Marjolein</au><au>Kluytmans, Jan</au><au>Schuermans, Annette</au><au>van den Braak, Nicole</au><au>Broucke, Caroline</au><au>Buiting, Anton</au><au>Coorevits, Liselotte</au><au>Dequeker, Sara</au><au>Dewulf, Jeroen</au><au>Dhaeze, Wouter</au><au>Diederen, Bram</au><au>Ewalts, Helen</au><au>Goossens, Herman</au><au>Gyssens, Inge</au><au>den Heijer, Casper</au><au>Hoebe, Christian</au><au>Jamin, Casper</au><au>Jansingh, Patricia</au><au>De Koster, Sien</au><au>Lammens, Christine</au><au>Leroux-Roels, Isabel</au><au>Masson, Hanna</au><au>Van Oosten, Anita</au><au>Selva, Natascha Perales</au><au>Postma, Merel</au><au>Raven, Stijn</au><au>Savelkoul, Paul</au><au>Sleeckx, Nathalie</au><au>van der Slikke, Krista</au><au>Stegeman, Arjan</au><au>Tobias, Tijs</au><au>Tolsma, Paulien</au><au>Veenemans, Jacobien</au><au>van der Vegt, Dewi</au><au>Verhulst, Carlo</au><au>Wijkmans, Clementine</au><au>Willemse-Smits, Patricia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of the Infection Risk Scan</atitle><jtitle>Antimicrobial resistance & infection control</jtitle><date>2022-02-28</date><risdate>2022</risdate><volume>11</volume><issue>1</issue><issn>2047-2994</issn><eissn>2047-2994</eissn><abstract>Background A tool, the Infection Risk Scan has been developed to measure the quality of infection control and antimicrobial use. This tool measures various patient-, ward- and care-related variables in a standardized way. We describe the implementation of this tool in nine hospitals in the Dutch/Belgian border area and the obtained results. Methods The IRIS consists of a set of objective and reproducible measurements: patient comorbidities, (appropriate) use of indwelling medical devices, (appropriate) use of antimicrobial therapy, rectal carriage of Extended-spectrum beta-lactamase producing Enterobacterales and their clonal relatedness, environmental contamination, hand hygiene performance, personal hygiene of health care workers and presence of infection prevention preconditions. The Infection Risk Scan was implemented by an expert team. In each setting, local infection control practitioners were trained to achieve a standardized implementation of the tool and an unambiguous assessment of data. Results The IRIS was implemented in 34 wards in six Dutch and three Belgian hospitals. The tool provided ward specific results and revealed differences between wards and countries. There were significant differences in the prevalence of ESBL-E carriage between countries (Belgium: 15% versus The Netherlands: 9.6%), environmental contamination (median adenosine triphosphate (ATP) level Belgium: 431 versus median ATP level The Netherlands: 793) and calculated hand hygiene actions based on alcohol based handrub consumption (Belgium: 12.5/day versus The Netherlands: 6.3/day) were found. Conclusion The Infection risk Scan was successfully implemented in multiple hospitals in a large cross-border project and provided data that made the quality of infection control and antimicrobial use more transparent. The observed differences provide potential targets for improvement of the quality of care. Keywords: Infection prevention, Guidelines, Benchmarking, Surveillance</abstract><pub>BioMed Central Ltd</pub><doi>10.1186/s13756-022-01083-1</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2047-2994 |
| ispartof | Antimicrobial resistance & infection control, 2022-02, Vol.11 (1) |
| issn | 2047-2994 2047-2994 |
| language | eng |
| recordid | cdi_gale_infotracmisc_A699488382 |
| source | Springer Nature - Complete Springer Journals; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals |
| subjects | Adenosine triphosphate Belgium Beta lactamases Comorbidity Health aspects Hospitals Hygiene Infection Infection control Medical care Medical equipment Muscle proteins Netherlands Physiological apparatus Quality management Risk factors |
| title | Implementation of the Infection Risk Scan |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T09%3A00%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Implementation%20of%20the%20Infection%20Risk%20Scan&rft.jtitle=Antimicrobial%20resistance%20&%20infection%20control&rft.au=Verelst,%20Ma&rft.date=2022-02-28&rft.volume=11&rft.issue=1&rft.issn=2047-2994&rft.eissn=2047-2994&rft_id=info:doi/10.1186/s13756-022-01083-1&rft_dat=%3Cgale%3EA699488382%3C/gale%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_galeid=A699488382&rfr_iscdi=true |