ROLE OF PERFORMANCE IMPROVEMENT MEASURES TO IMPROVE THE QUALITY OF INFECTION PREVENTION PROGRAMS IN TERTIARY CARE HOSPITAL

F HUSSAIN; S IRUM; DA HAIDER; SU DIN; M MUBASHIR; M NAQVI

doi:10.54112/bcsrj.v2024i1.1149

Authors

F HUSSAIN Department of Health Balochistan, Pakistan
S IRUM King Salman Center for Kidney Diseases- Riyadh Saudi Arabia
DA HAIDER Kulsum International Hospital, Blue area, Islamabad, Pakistan
SU DIN Department of Biochemistry, Khyber Medical University, Peshawar, Pakistan
M MUBASHIR F.G Polyclinic Hospital, Islamabad, Pakistan
M NAQVI F.G Polyclinic Hospital, Islamabad, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1149

Keywords:

Healthcare-Associated Infections, Hygiene Compliance, Infection Prevention Programs

Abstract

Healthcare-associated infections (HAIs) pose a significant risk in hospital settings. Performance improvement measures can enhance the quality of infection prevention programs, leading to better outcomes for patients. Objective: To assess the impact of performance improvement measures on enhancing the quality of infection prevention programs in a tertiary care hospital. Methods: This quasi-experimental study was conducted with healthcare workers (HCWs), including doctors, nurses, infection prevention officers, and support staff, at a tertiary care hospital. The intervention included comprehensive performance improvement measures: rigorous training, educational initiatives, regular audits with feedback, adherence to standard operating procedures (SOPs), checklists, monitoring tools, and hand hygiene promotion. Quantitative data on infection rates, infection control compliance, hand hygiene adherence, and antibiotic usage were collected at baseline and 3, 6, and 12 months post-intervention. Qualitative data were gathered from semi-structured interviews and focus groups to explore barriers and facilitators to infection prevention. Results: The intervention group showed a significant reduction in HAIs per 1,000 patient days compared to the control group (3.06 ± 1.09 vs. 8.23 ± 5.18; p = 0.00). Compliance with infection control practices (71.0% vs. 61.0%; p = 0.13) and hand hygiene adherence (64.0% vs. 48.0%; p = 0.02) were also higher in the intervention group. However, no statistically significant difference in antibiotic usage was observed between the two groups (59.0% vs. 49.0%; p = 0.1). Conclusion: The study demonstrates that performance improvement measures significantly reduce HAIs and improve compliance with infection control protocols. These targeted strategies are essential for enhancing infection prevention in healthcare settings and improving overall patient safety.

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References

Tomczyk S, Twyman A, de Kraker ME, Rehse APC, Tartari E, Toledo JP, et al. The first WHO global survey on infection prevention and control in health-care facilities. The Lancet Infectious Diseases. 2022;22(6):845-56.

Chua AQ, Verma M, Hsu LY, Legido-Quigley H. An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach. The Lancet Regional Health–Western Pacific. 2021;7.

Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. The Lancet. 2011;377(9761):228-41.

Pittet D, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. The Lancet infectious diseases. 2006;6(10):641-52.

Pittet D, Mourouga P, Perneger TV, Program MotIC. Compliance with handwashing in a teaching hospital. Annals of internal medicine. 1999;130(2):126-30.

Fakih MG, Greene MT, Kennedy EH, Meddings JA, Krein SL, Olmsted RN, et al. Introducing a population-based outcome measure to evaluate the effect of interventions to reduce catheter-associated urinary tract infection. American journal of infection control. 2012;40(4):359-64.

Raza A, Chaudhary M. Healthcare-Associated & Hospital Acquired Infection and its Infection Control. Indian Journal of Scientific Research. 2019;2(6):16.

Cavalcante EFdO, Pereira IRBdO, Leite MJVdF, Santos AMD, Cavalcante CAA. Implementation of patient safety centers and the healthcare-associated infections. Revista gaucha de enfermagem. 2019;40:e20180306.

Harun MGD, Anwar MMU, Sumon SA, Hassan MZ, Haque T, Mah-E-Muneer S, et al. Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF). Antimicrobial Resistance & Infection Control. 2022;11(1):125.

Evans S, Agnew E, Vynnycky E, Stimson J, Bhattacharya A, Rooney C, et al. The impact of testing and infection prevention and control strategies on within-hospital transmission dynamics of COVID-19 in English hospitals. Philosophical Transactions of the Royal Society B. 2021;376(1829):20200268.

Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. The Lancet. 2000;356(9238):1307-12.

Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infection Control & Hospital Epidemiology. 2010;31(3):283-94.

Davey K, Aveyard H. Nurses’ perceptions of their role in antimicrobial stewardship within the hospital environment. An integrative literature review. Journal of Clinical Nursing. 2022;31(21-22):3011-20.

Savul S, Lalani FK, Ikram A, Khan MA, Khan MA, Ansari J. Infection prevention and control situation in public hospitals of Islamabad. The Journal of Infection in Developing Countries. 2020;14(09):1040-6.

Cissé DM, Laure EEM, Blaise KA, Jean Paul NgNg, Gbonon MV, Mayaka CRA, et al. Evaluation of the implementation of hospital hygiene components in 30 health-care facilities in the autonomous district of Abidjan (Cote d’Ivoire) with the WHO Infection Prevention and Control Assessment Framework (IPCAF). BMC Health Services Research. 2023;23(1):870.

Govender N. The knowledge, attitudes and practices of health care workers regarding the occupational exposure to blood and bodily fluids in a public hospital, KwaZulu-Natal 2023.