Healthcare Acquired Infections

CSR Plan Summary of Initiatives and Objectives

In support of a public engagement process completed in Spring 2011, these videos were produced to introduce each of the clinical topics.

Dr. Dick Zoutman, QHC CEO and Infectious Diseases Clinician provided the video introduction for the HAI team. The HAI helped to develop a plan on how to decrease the spread of infections in our hospitals and health clinics.

Please find the initiatives with the appropriate objective to follow, below:

Antibiotic Stewardship Program

To promote antimicrobial stewardship for the appropriate selection, dose, route and duration of antimicrobial therapy. Antimicrobial resistance is an issue for acute, sub acute, long term care and community. Antimicrobial stewardship is essential to both delaying the emergence and reducing the impact of antimicrobial – resistant organisms. Prescribers will be supported through education – continuous improvement initiatives developed by a Regional Antimicrobial Stewardship Program. This expert advisory group will translate evidence based provincial and national guidelines into regional recommendations and report to the Health Professional Advisory Committee.

  • Develop ASP committees to support program. Assume final responsibility and accountability through existing structures for outcomes ie Pharmacy and Therapeutics Committee;
  • Participate in prospective audits and feedback on antimicrobial prescribing patterns;
  • Develop appropriate selection of antimicrobials with order sets/order forms;
  • Develop a regional antibiogram with hospitals and community laboratories to monitor shifting patterns of antibiotic resistance;
  • Promote reduced duration of antimicrobials for common infections;
  • Develop and deploy Antibiotics Allergy Decision Tool.

Hand Hygiene

To advance the standardization and uptake of the Ministry of Health and Long Term Care’s Just Clean Your Hands Program, a regional work team of hand hygiene (HH) champions to oversee initiatives that will improve the publicly reported HH hygiene compliance rates of South East LHIN hospitals. This model will be translated to non acute and primary care as part of a phased-in implementation approach.

  • Senior Leader accountability with cascading responsibility to unit/program level;
  • Feasibility study of “Positive Deviance” initiative;
  • Improved patient HAI education as part of registration / pre-registration process to address their concerns;
  • Visitor education program in acute and long term care
  • Development of promotional JCYH campaign for health care sectors
  • Peer audit HH program
  • Physician champions as HH models or mentors;
  • Survey patients as part of the hospital’s patient satisfaction survey.