Annual Quality Report - Next Steps Update From 2018/2019
Theme Title Next Steps Status
Goal 3:
Measuring the
Improvement
Infection
Rates
MRSA Blood Stream Disorder
• Work to continue to reduce the number of infections occurring >48 hours of admission
• Audit compliance of screening for MRSA in specific groups (as recommended in Trust
Guidelines).
Reducing Clostridium difficile infection
• Work to reduce antimicrobial use in 2019/2020 as part of the Antimicrobial Improvement
Plan.
Gram-negative bloodstream infections
• Pilot the use of the Regional Urinary Tract Infection Checklist in the over 65 years in some
of our elderly residential care homes
• Pilot the use of a national urinary catheter passport in a number of patients with long term
catheters. This aims to provide more information and understanding of the device to the
patient, their family and healthcare workers involved in their care.
Orthopaedic Wound Infection
• Continue to monitor wound infections following orthopaedic surgery
• Provide timely feedback to staff and identify learning from any case reviews.
Caesarean Section Wound Infection
• Continue to work with the PHA to introduce an electronic data collection system to monitor
trends in caesarean section wound infection and reduce staff workload and provide more
timely surveillance data.
Monitoring Infection in the Critical Care Unit (CCU)
• Continue to maintain all good practice within the unit and ensure compliance with the
implementation of 'care bundles' (check lists which help focus adherence on practices
linked to reduce infection) is maintained
• Feedback results to clinical staff.
On Plan
Achieved
Behind Plan
Achieved
Achieved
On Plan
On Plan
Behind Plan
(To be carried
forward)
Behind Plan
(To be carried
forward)
Achieved
Achieved
Behind Plan
AchievedGoal 3: Measuring the Improvement
60