Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents – June 2009

Posted on July 1, 2009. Filed under: Infection Control, Infectious Diseases | Tags: , |

Lessons learned from NHS QIS visits to NHS Orkney, NHS Highland and NHS Grampian following C.difficile incidents

About these reports

“Each NHS board report contains specific findings. Together they identify:

* a need for a fresh look at implementing healthcare associated infection (HAI) guidance
* a need for greater clarity within Health Boards on internal working systems and practices on HAI prevention
* a need within Health Boards for improved monitoring systems, antibiotic prescribing, and collaborative working across Scotland in relation to HAI. ”

About the visits

“We have recently undertaken ‘shared learning’ visits to three NHS boards following Clostridium difficile (C.difficile) outbreaks.

These visits were carried out at the request of the Scottish Government Health Department (SGHD).  Below is a link to the NHS Board specific reports from each of these visits along with an overview report which draws together the key themes and learning points from the visits along with potential solutions for addressing the challenges we face.”

* Lessons Learned Overview Report (PDF, 205K)

* NHS Orkney – Clinical Governance Diagnostic Review (PDF, 231K)

* NHS Grampian – Infection Prevention and Control: Improving through Learning (PDF, 226K)

* NHS Highland – Infection Prevention and Control: Improving through Learning (PDF, 207K)

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