Isobel Ramsay, Katherine Sharrocks, Ben Warne, Nyarie Sithole, Pooja Ravji, Rachel Bousfield, Nick Jones, Clare E Leong, Mohamed Suliman, Rachel Tsui, Michelle S Toleman, Christine Moody, Richard Smith, James Whitehorn, Theodore Gouliouris, Florentina Penciu, Christian Hofling, Chris Cunningham, David A Enoch, Elinor Moore
{"title":"卫生保健相关SARS-CoV-2感染调查:大流行初期调查过程的学习成果","authors":"Isobel Ramsay, Katherine Sharrocks, Ben Warne, Nyarie Sithole, Pooja Ravji, Rachel Bousfield, Nick Jones, Clare E Leong, Mohamed Suliman, Rachel Tsui, Michelle S Toleman, Christine Moody, Richard Smith, James Whitehorn, Theodore Gouliouris, Florentina Penciu, Christian Hofling, Chris Cunningham, David A Enoch, Elinor Moore","doi":"10.1177/17571774221092553","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated (HCA) SARS-CoV-2 infection is a significant contributor to the spread of the 2020 pandemic. Timely review of HCA cases is essential to identify learning to inform infection prevention and control (IPC) policies and organisational response.</p><p><strong>Aim: </strong>To identify key areas for improvement through rapid investigation of HCA SARS-CoV-2 cases and to implement change.</p><p><strong>Methods: </strong>Cases were identified based on date of first positive SARS-CoV-2 PCR sample in relation to date of hospital admission. Cases were reviewed using a structured gap analysis tool to identify key learning points. These were discussed in weekly multidisciplinary meetings to gain consensus on learning outcomes, level of harm incurred by the patient and required actions. Learning was then promptly fed back to individual teams and the organisation.</p><p><strong>Findings: </strong>Of the 489 SARS-CoV-2 cases admitted between 10<sup>th</sup> March and 23<sup>rd</sup> June 2020, 114 suspected HCA cases (23.3%) were reviewed; 58/489 (11.8%) were ultimately deemed to be HCA. Five themes were identified: individual patient vulnerability, communication, IPC implementation, policy issues and organisational response. Adaptations to policies based on these reviews were completed within the course of the initial phase of the pandemic.</p><p><strong>Conclusion: </strong>This approach enabled timely learning and implementation of control measures and policy development.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117956/pdf/","citationCount":"0","resultStr":"{\"title\":\"Investigation of healthcare-associated SARS-CoV-2 infection: Learning outcomes from an investigative process in the initial phase of the pandemic.\",\"authors\":\"Isobel Ramsay, Katherine Sharrocks, Ben Warne, Nyarie Sithole, Pooja Ravji, Rachel Bousfield, Nick Jones, Clare E Leong, Mohamed Suliman, Rachel Tsui, Michelle S Toleman, Christine Moody, Richard Smith, James Whitehorn, Theodore Gouliouris, Florentina Penciu, Christian Hofling, Chris Cunningham, David A Enoch, Elinor Moore\",\"doi\":\"10.1177/17571774221092553\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Healthcare-associated (HCA) SARS-CoV-2 infection is a significant contributor to the spread of the 2020 pandemic. Timely review of HCA cases is essential to identify learning to inform infection prevention and control (IPC) policies and organisational response.</p><p><strong>Aim: </strong>To identify key areas for improvement through rapid investigation of HCA SARS-CoV-2 cases and to implement change.</p><p><strong>Methods: </strong>Cases were identified based on date of first positive SARS-CoV-2 PCR sample in relation to date of hospital admission. Cases were reviewed using a structured gap analysis tool to identify key learning points. These were discussed in weekly multidisciplinary meetings to gain consensus on learning outcomes, level of harm incurred by the patient and required actions. Learning was then promptly fed back to individual teams and the organisation.</p><p><strong>Findings: </strong>Of the 489 SARS-CoV-2 cases admitted between 10<sup>th</sup> March and 23<sup>rd</sup> June 2020, 114 suspected HCA cases (23.3%) were reviewed; 58/489 (11.8%) were ultimately deemed to be HCA. Five themes were identified: individual patient vulnerability, communication, IPC implementation, policy issues and organisational response. Adaptations to policies based on these reviews were completed within the course of the initial phase of the pandemic.</p><p><strong>Conclusion: </strong>This approach enabled timely learning and implementation of control measures and policy development.</p>\",\"PeriodicalId\":16094,\"journal\":{\"name\":\"Journal of Infection Prevention\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117956/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Infection Prevention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/17571774221092553\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/5/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Infection Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17571774221092553","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/5/16 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Investigation of healthcare-associated SARS-CoV-2 infection: Learning outcomes from an investigative process in the initial phase of the pandemic.
Background: Healthcare-associated (HCA) SARS-CoV-2 infection is a significant contributor to the spread of the 2020 pandemic. Timely review of HCA cases is essential to identify learning to inform infection prevention and control (IPC) policies and organisational response.
Aim: To identify key areas for improvement through rapid investigation of HCA SARS-CoV-2 cases and to implement change.
Methods: Cases were identified based on date of first positive SARS-CoV-2 PCR sample in relation to date of hospital admission. Cases were reviewed using a structured gap analysis tool to identify key learning points. These were discussed in weekly multidisciplinary meetings to gain consensus on learning outcomes, level of harm incurred by the patient and required actions. Learning was then promptly fed back to individual teams and the organisation.
Findings: Of the 489 SARS-CoV-2 cases admitted between 10th March and 23rd June 2020, 114 suspected HCA cases (23.3%) were reviewed; 58/489 (11.8%) were ultimately deemed to be HCA. Five themes were identified: individual patient vulnerability, communication, IPC implementation, policy issues and organisational response. Adaptations to policies based on these reviews were completed within the course of the initial phase of the pandemic.
Conclusion: This approach enabled timely learning and implementation of control measures and policy development.
期刊介绍:
Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects