...recent nosocomial infections that occurred within the past year. In your report, categorize the different parameters (i.e. person, time, place and ethnicity and gender) used in the compilation of data into the information summative. Hypothetically, Good Health Hospital is assumed to have possessed nosocomial infections as in any real hospitals where patients seek admission for treatment. According to Center for Disease Control and prevention (CDC), and Pennsylvania Department of Health (PADOH), a healthcare associated infection (HAI) which is also known as nosocomial infection is an infection that a person gets while staying as a patient in a hospital or other health care facility (PADOH, 2008). Hence, it is clearly understood that patients always acquired nosocomial infections during the process of receiving health care services from health professionals in any hospital or healthcare setting. PADOH has also confirmed that HAIs are the primary contributors of most sicknesses and mortalities in the world. For example, in American hospitals alone, HAIs account for about 1.7 million infections causing 99,000 deaths each year. Therefore, based on the analysis of Good Health Hospital records, research had shown that a great number of recent nosocomial infections that had happened before were identified. Among the different kinds of nosocomial infections verified, few infection type have been listed as followed: 1. Surgical site infection (SSI). 2. Urinary tract infection (UTI)...
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...itemize recent nosocomial infections that occurred within the past year. In your report, categorize the different parameters (i.e., person, time, place, ethnicity, and gender) used in the compilation of data into the nformation summative. Currently at the Good Health Hospital, there’s a nosocomial outbreak of E. coli on Ward 10 on the second floor. Four cases have been identified so far linked to spoil food from the cafeteria, with two more cases pending. After meeting with chief administrator Joe Wellborn, one patient could possibly been symptomatic with the bacteria prior to admission. Parameters discussion below: * Person: 4 identified cases. (1. Male, age 23), (2. Female, age 21), (Male, age 15), and (Female, age 42). * Place: Good Health Hospital, Ward 10, second floor; Good Health Hospital cafeteria. Also research has indicated that other area hospitals around Tampa Bay has been contaminated with E. coli as well. * Time: Within the past week. Propose at least six (6) questions for the health care administrator at Good Health Hospital, regarding potential litigation issues with infections from the nosocomial diseases. Rationalize, in your report, the logic behind your six (6) questions. Traditionally, nosocomial infections have generally been viewed as an unavoidable risk of hospitalization. Where this risk materialized, the infections were typically benign and treatable (Kleinpell, 2011). Even where the consequences of nosocomial infections were severe...
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...Nosocomial Infections By princessbec76 | Studymode.com Section 1: Infections in Healthcare Settings Essay. Nosocomial infections, hospital acquired infections, are an on-going concern to healthcare professionals. These infections are one of the major causes of death in hospitalised patients and are a significant burden on not only the patient’s and the public’s health (as organisms causing nosocomial infections can be transmitted to the community through discharged patients, staff and visitors) but also the economy. A nosocomial infection is an infection acquired at least 72 hours after being admitted into hospital for any reason other than the infection or one which develops amongst hospital staff. Infections are also identified as nosocomial if they appear in a patient within 30 days after their discharge from hospital. Non nosocomial infections, community acquired infections, are infections acquired anywhere other than the hospital. The most common places where non nosocomial infections occur are schools, day care centres and sports facilities. They are spread through skin to skin contact, cuts and grazes, overcrowding and poor hygiene. The illnesses or infections can be the same, for example, pneumonia or gastroenteritis but it is the setting that they are contracted in which differentiate the two infections. Nosocomial infections occur worldwide and affect both wealthy, developed countries as well as the poorer ones with scarce resources. A survey conducted by the World...
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...care facilities whom fail to provide efficient infection control precautions puts patient's safety at risk resulting in a SARS outbreak. “Improper sterilization of equipment exposed patients to diseases including HIV, Hepatitis, and bloodstream infections that risk patient safety” (Bailey & Ries, 2010, p. 141). A hospital, organization, or health care facility acquired infection exhibits signs as little as three days after a patient is admitted. Infections that occur in a hospital are defined as Nosocomial infections. Ineffective infection control can create safety concerns for patients because the result in most cases is the patient dying. Infections obtained in a medical facility are usually resistant to antibiotics. “Bloodstream infections (BSIs) are major causes of morbidity and mortality On the basis of data from death certificates, these infections are the 10th leading cause of death in the United States” (Wisplinghoff, Bischoff, Tallent, Seifert, Wenzel & Edmond, 2004, p. 309). Many lawsuits happen because of poor safety precautions. “Health Grades Inc., a U.S. company that evaluates safety and quality concerns in health facilities, reported that rates of hospital-acquired infections in the United States rose by 20% between 2000 and 2003, contributing to around 9,500 deaths” (Bailey & Ries, 2010, p. 141). Health care facilities and organizations have a legal obligation to protect patients from Nosocomial infection or any other harm while receiving medical care...
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...Assignment 1: Issues in Public Health- Nosocomial Infections Nosocomial infections are defined simply as hospital-acquired infections. These infections are not present initially and typically occur within 48 hours of a patient’s admission, within 3 days of discharge or approximately 30 days after an operation. (Inweregbu, Dave & Pittard, 2005) Not just in the United States, but also globally, such infections are rising significantly with no solutions available currently. And, though it is exceedingly difficult to gather reliable information, especially within smaller countries, it has been shown that hundreds of millions of individuals are impacted by such infections each year. Nosocomial infections are an endemic globally with high incidence in both developed and undeveloped countries. Such infections are particularly pertinent in both ICU and NICU patients. In America, it is typical to find that 4.5% of patients will fall ill to such infections when taking the entire population into consideration. European countries see a prevalence rate of approximately 7.1% when considering the population as a whole. These rates will become higher when looking at a sample such as the ICU or NICU where rate of infection can range from 30%-51%, taking into consideration, the longer the stay the greater the risk. (World Health Organization) However, when considering the low and middle-income populations of underdeveloped countries, these rates are considerably higher. It is estimated...
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...Nosocomial Infections Monica Butler Strayer University Dr. Godson Ezejiofo HSA 535 Managerial Epidemiology January 25, 2015 Introduction Good Health Hospital has proved to be among the best hospitals in the region since its inception. The medical professionals and all members of staff are always committed to ensuring delivery of quality services to patients. The hospital has had a good reputation of excellent staff, good patient relations and top quality services. In the recent past, several cases of E. coli have been reported at Good Health Hospital. E. coli exists in a variety of types but most varieties a less harmful to human health. Research by medical professionals has shown that E. coli bacteria live in the intestines, for both people and animals. Symptoms of E. coli infection include diarrhea, abdominal pain and vomiting (Bennett, Jarvis & Brachman, 2007). E. coli emanates from taking contaminated food and water. E. coli may lead to death or permanent health problems if appropriate measures are taken on time. Nosocomial diseases can be termed as an infection that a person gets while being attend to in a health institution. The goal for this task is to explore the nosocomial infections, intervention strategies and recommendations on how to control and manage the various types of nosocomial infections. Analysis of Good Health Hospital records Records of Good Health Hospital show that a number of nosocomial diseases have been reported. Among the commonest...
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...Hygiene Change Project Capstone NU296 September 18, 2013 Introduction The lack of hand washing and/or hand sanitizing is a leading cause of nosocomial infections in healthcare facilities not only here in Nevada, but across the United States. Hand washing is one of the biggest contributing factors in stopping the spread of infections throughout the healthcare environment. Nosocomial infections could be dramatically reduced by monitoring and enforcing hand washing and/or “gel in, gel out” policies of each facility. This could also lower the length of stay per patient, and greatly reduce the medical care cost per patient. Analyze the current situation and provide evidence based resources to support the need for change and your proposed plan. Include ethical, legal, or standards of care implications. Washing hands as promptly and thoroughly as possible between patient contact and after contact with blood, bodily fluids, secretions, excretions, and medical equiptment contaminated by patients is a huge element in infection control. Hand hygiene is recognized by infection prevention and control experts as the single most important intervention in decreasing the spread of infection in healthcare facilities. Unclean hands are the main transporters for germs between people and inanimate objects (i.e. blood pressure cuffs, bed rails, call lights, etc…). It is imperative to practice frequent...
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...INTRODUCTION ‘An infection is the entry and multiplication of an infectious agent in the tissues of a host. If the infectious agent fails to cause injury to cells or tissues, the infection is asymptomatic. If the pathogens multiply and cause clinical symptoms, the infection is symptomatic and once the infectious disease is transmitted directly from one person to another, it is a communicable or contagious disease. The presence of a pathogen does not mean that infection will begin. Development of an infection occurs in a cycle that depends on the presence of an infectious agent or pathogen, a reservoir or source for pathogen growth, a portal of exit from the reservoir, a mode of transmission, a portal of entry to a host and a susceptible host. Once all these are intact an infection will develop. Nurses follow infection prevention and control practices to break the chain so that infection will not develop’ (Perry, 2001 p.835). Many patients in the hospitals develop nosocomial infections which are “infections acquired during hospitalization or developed within a hospital setting” (Stanhope & Lancaster, 2010...
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...hospital-acquired infections is a major problem in the Healthcare system. Most patients admitted to hospitals are at some risk of contracting a hospital-acquired infection (Paterson, 2012). Some patients are more vulnerable than others; these include the elderly, patients with defective immune systems, and premature babies. Hospital-acquired infections remain a major concern, and they can occur in any care setting, including acute care within hospitals, outpatient surgery centers, clinics, and long-term care facilities (such as nursing homes or rehab centers). Four categories account for 75% of all acquired infections in the acute care hospital setting. These are surgical site infections, central line-associated bloodstream infections, ventilator-associated pneumonia, and catheter-associated urinary tract infections (Nassof, 2009). Urinary tract infections comprise the highest percentage (Paterson, 2012). These infections usually are spread by the contaminated hands of healthcare providers or the patient’s family members. They are also caused by contaminated surfaces or hospital equipment that has not been properly cleaned (Nassof, 2009). The rate of exposure to infectious materials could be reduced if healthcare providers adhered to certain standard precautions such as hand hygiene. The proposal for this nursing research utilization project is to educate nurses on the importance of hand hygiene using evidence base protocol and how they can implement it in order to prevent nosocomial infections...
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...A hospital-acquired infection (HAI) or nosocomial infection is an infection whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. In the United States, the Centers for Disease Control and Prevention estimated roughly 1.7 million hospital-associated infections, from all types of microorganisms, including bacteria, combined, cause or contribute to 99,000 deaths each year. In Europe, where hospital surveys have been conducted, the category of Gram-negative infections are estimated to account for two-thirds of the 25,000 deaths each year. Nosocomial infections can cause severe pneumonia and infections of the urinary tract, bloodstream and other parts of the body. Many types are difficult to attack with antibiotics, and antibiotic resistance is spreading to Gram-negative bacteria that can infect people outside the hospital. HAI is sometimes expanded as healthcare-associated infection to emphasize that infections can be correlated with health care in various settings (not just hospitals). Nosocomial infections are commonly transmitted when hospital officials become complacent and personnel do not practice correct hygiene regularly. Also, increased use of outpatient treatment in recent decades means that a greater percentage of people who are hospitalized today are likely to be seriously ill with more weakened immune systems than in the past. Moreover, some medical procedures bypass...
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...The Centers for Disease Control and Prevention estimate that approximately 1.7 million hospitalized patients acquire infections while being treated for other medical conditions. In 2011, there were an estimated 722,000 hospital acquired infections (HAIs) in United States Acute Care Hospitals. Additionally, about 75,000 patients with hospital acquired infections died during their hospitalization (CDC, 2018). (Note: To ensure consistency, we will use HAIs when referring to nosocomial infections, please refer to the definition section for further understanding of the terms) More than half of all the incidents occurred within the intensive care unit. HAIs can be associated with the devices used in medical procedures, such as central line-associated...
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...Capstone Project Abstract Background Hand washing and hand hygiene are consider to be the number one, cheap essential measure of preventing and controlling spread of hospital acquired infections (HAIs). Hand washing and hygiene can significantly reduce the burden of disease, in particular in hospitalized patient Unfortunately compliance to hand hygiene recommended standard procedures by the health care workers (HCWs) has been unacceptably poor. In order to design education program, identification of several risk factors associated with poor hand hygiene (HH) compliance is of extreme importance. Objective: The purpose of this study is to implement a hand hygiene program for increase compliance with hand hygiene among health care worker in 97 beds hospital. The key target for compliance to HH is not only health-care workers but also policy-makers and organizational leaders and managers. Methods.: Compliance to hand hygiene will be evaluated through direct observation of HCWs ,to helps pinpoint areas of strength or weaknesses in HH behavior, so as to develop training program that will help HCWs to complaint with HH . Evaluation will be based on direct observation and survey audit, observing the HCWs during routine patient care to ensure that hands hygiene are performed before and after getting in contact with patient and patient environment. In addition, survey audit based on the HCWs perception, knowledge and attitude...
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...insertion and foley catheter care were used to educate nursing staff and improve outcomes. The purpose of this paper is to educate nursing on how to be proactive with this issue and to inform the providers when there is no further need for the catheters to reduce infections in patients. Practice setting problem Urinary tract infections (UTIs) account for approximately 35% of nosocomial infections but are the lowest in mortality and cost (Burke, 2003). Patients with UTIs as a secondary diagnosis have an average length of stay of 9.1 days versus those without a urinary catheter of 4.7 days. As individuals live longer, the probability of them being hospitalized and requiring specialized care services is increased (Hobbs, 2001). Hospitalization of any aged person increases the risk for them to have a urinary indwelling catheter, which predisposes them to a nosocomial urinary tract infection (Saint, 2003).Nurses are responsible for placing and maintaining the indwelling catheters. Often non-licensed staff are being delegated these tasks, without the proper training and education on routine catheter care and catheter insertion. Importance of the clinical problem and its significance to nursing practice Nosocomial infections more than double the mortality and morbidity...
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...Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, Josephine Lee and Y.L. Lau Pediatrics 2004;114;e565; originally published online October 18, 2004; DOI: 10.1542/peds.2004-1107 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/114/5/e565.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2004 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Downloaded from pediatrics.aappublications.org at University of Southern Queensland Library on August 5, 2014 Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, MBBS, FRCP(Edin, Lond.), FRCPCH(UK), FHKCPaed; Josephine Lee, RN, MSN; and Y.L. Lau, MD (Hons), FRCP(Edin, Glasg. Lond.) FRCPCH(UK) ABSTRACT. Objective. Health care–associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers...
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...The goal of Nightingale Community Hospital is to establish a comprehensive Infection Control Program to ensure that the hospital has processes in place to minimize/eliminate the risk of Surgical Site Infections (SSI) and Healthcare Associated Infections (HAI) B. The Infection Control Program at this hospital incorporates the following on an ongoing basis: i. Surveillance/identification, prevention/control, and reporting of infections throughout the hospital not limited to patients, employees, or physicians focusing on Nosocomial Infections (Endogenous infections and cross contamination infections) 1. Nosocomial Infections: known as hospital acquired infections are infections are not presenting at the time of admission but develop over the course of stay. a. Endogenous: the patient already has the infection at the time of admission minus the signs/symptoms of such infection but resistance lowers over course of stay and infection presents b. Cross Contamination: patient becomes infected while staying in the hospital by coming in contact with infective agents subsequently developing an infection ii. Evaluate and monitor the results of changes made 2. Continually edit procedures and policies as needed iii. Select and implement best techniques to minimize negative outcomes 3. Separate the infection source from the rest of the hospital (aspetic techniques included) ...
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