Presentation on theme: "Benefits for using a standardised risk management framework to risk assess Infection Prevention and Control Sue Greig Senior Project Officer National."— Presentation transcript:
1 Benefits for using a standardised risk management framework to risk assess Infection Prevention and ControlSue GreigSenior Project OfficerNational HAI Prevention Program1 October 2014
2 Who might benefit from this presentation? Organisation governance – improve their understanding of their role in infection prevention and control and risk managementQuality and safety managers or departmentsInfection prevention and control professionals
3 Key message – infection control is everybody’s business To make this message meaningful it requires a governance structure and key people to drive and direct the infection prevention and control programme and all staff to have a basic understanding of:Effective governance to support implementation, monitoring, reporting activitiesEffective work practices to minimise risk of transmission of infectious agentsModes of transmission of infectious agentsLegislation, regulation and standards to be applied
4 A risk management framework Provides a nationally consistent approach that is robust enough to be applied across the health continuumHow do we use risk assessment and management principles for Infection Prevention and Control?Infection should not be considered an unpredictable complication but a potentially preventable adverse event
5 The risk assessment and management flowchart Source: Australian Guidelines for the Prevention and Control of Infections in Health Care (NHMRC 2010) - AdaptedCollaboration
6 A risk matrix Source: Australian Guidelines for the Prevention and Control of Infections in Health Care (NHMRC 2010)
7 Who owns the risk? Governance of the organisation or service From where can risks come?the systemthe organisationthe team who are delivering the carethe individual
8 Who is at risk?Patients – some patients more than others, e.g. elderly, surgical patients, neonates, patients with indwelling devicesHCWs – they are health consumers as well and they have extensive exposure to the riskThe organisation
9 Firstly, we need to understand the principles of risk management Avoid risk – if a risk cannot be eliminated then it must be managedIdentify risk – what is the risk and who is involved?Analyse risks – how did it occur , what is the likelihood and what are the consequences?Evaluate risk – can the risk be reduced or eliminated?Treat risks – who will do this, how and when will it be monitored?
10 What do we do to minimise risk We need to identify:Who is at risk?What infectious agent is involved?How is the agent transmitted?Why can it happen?How likely is it?What are the consequences?What can be done?How is it applied to the situation?
11 Successful risk management includes A range of strategies that will be influenced bya base-line review or gap analysisreview of the current governance arrangements, systems, processes, practices and their effectivenessDevelopment of an action plan to prioritise response strategies and resources
15 To find out more, go to:The Healthcare Associated Infection (HAI) Prevention Program Accreditation and the NSQHS StandardsAccreditation Advice Line:PhoneStandard 3Preventing andControlling HealthcareAssociated Infections
17 Risk Management and NSQHS Standards, Standard 3 – Preventing and Controlling Healthcare Associated InfectionsSue GreigSenior Project OfficerNational HAI Prevention Program25September 2014
18 Risk Management and NSQHS Standard 3 This presentation outlines how the principles of risk management will support an organisations response to NSQHS Standard 3For each element of risk management discussed in this presentation, relevant examples from NSQHS Standard 3 have been included
19 IP&C and Governance (3.1, 3.3, 3.4, 3.14, 3.16)Policies and procedures should utilise a risk management approach andDemonstrate evidence of regular review, monitoring, audit and assessment of infection prevention and control activitiesDetermine priorities based on risk assessmentEvaluate effectiveness at least annuallyMinimise risks to patients of HAIs
20 Prioritising risk (3.8, 3.9, 3.10)Scope of activity and services offered will influence riskIs the origin of the risk internal or external or both?What are the risks and opportunities for transmission?What existing controls are in place?Identify the opportunities for transmissionIdentify those risks that are high so they can be prioritised both for likelihood and consequence
21 Collaboration to reduce risk (3.7, 3.18, 3.19) Recognition of how infection prevention and control risks impacts upon other areas – WH&S, HR, education, consumers and cliniciansUtilising a standardised tool for identification and analysis of riskEvaluation of risk management strategies will require collaborationMinimise duplication
22 Evaluating the risks (3.12, 3.13, 3.17) To identify how this can happen in your organisationWhen evaluating the risk how are you going to prioritise activities?identify where the risks are highthe simplest interventiongreatest impact in the shortest time period.What is the balance betweenlikelihood and consequences?
23 How will we know how likely it is to happen? From the risk assessment - are the riskscommon or raresevere or mildHow likely will risk occur?monitoring and audit resultssurveillancecomplaintsobservationEstablish a context for the clinical environment
24 Establishing a context – what do we need to consider? The scope of the services providedAvailability of policies and procedures relevant to the intended audience?Consultation with HCW during development and review?Literacy issues and comprehension of riskDo HCW understand what the risks are and what actions will minimise those risks?
25 Communication and consultation Be proactive when developing protocols and procedures.Identify regular intervals for revision and updating – this can also be a reactive response.Consider clinicians, managers and non-clinical staff when communicating how policies, procedures and protocols apply to them.Target the audience when providing information on the risk of infectious agents
26 How can communication and consultation support the risk management process? Provide a plan and systems for risk notification, assessment, management and resolutionCelebrate achievementsEncourage and facilitate collaborationUtilise appropriate message media including signage, websites, posters, charts, agenda itemsProvide patient and consumer information in areas where it is accessibleEducation is provided forHCW on infectious agents, meansof transmission and interventionsthat need to be applied
27 Monitor and reviewAre the interventions making a difference to the corporate and/or clinical risk?Is risk being reduced?How do we know?mechanisms are implemented to ensure identification of risksmethods of demonstrating how good the care is including surveillance, qualityimprovement activity results, auditresults, education
28 In Summary Infection prevention and control needs: effective governanceresourcesrisk management to ensure a safe environment for both HCW and patientsPrevent preventable infectionsSuccess can be measured by addressing risks with a standardised framework“Breaking the chain of infection transmission”
29 To find out more, go to:The Healthcare Associated Infection (HAI) Prevention Program Accreditation and the NSQHS StandardsAccreditation Advice Line:PhoneStandard 3Preventing andControlling HealthcareAssociated Infections