highland nhs board 23 july 2019 item 4. infection
TRANSCRIPT
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Highland NHS Board 23 July 2019 Item 4.6
INFECTION PREVENTION & CONTROL REPORT
Report by Catherine Stokoe, Infection Control Manager and Dr Vanda Plecko, Consultant Microbiologist/Infection Control Doctor, on behalf of Heidi May, Board Nurse Director & Executive Lead for Infection Control
The Board is asked to: • Note the position for the Board.• Note the update on the current status of Healthcare Associated Infections (HAI) and
Infection Control measures in NHS Highland.
1. Background
The Board remains committed to reducing to an absolute minimum the chance of acquiring an infection whilst receiving healthcare and to ensure our hospitals are clean. This report presents an overview of infection prevention and control data and activities.
2. SummaryThe table below shows NHS Highland Infection Prevention and Control targets andperformance data.
Target NHS Highland HEAT rate
Clostridium difficile
HEAT rate of 32.0 cases per 100,000 OBDs to be achieved by year ending 03/20
31.0
Annual performance 2018/2019
Green (validated data)
Staphylococcus aureus bacteraemia
HEAT rate of 24.0 cases per 100,000 AOBDs to be achieved by year ending 03/20
34.1 Annual performance 2018/2019
Red (validated data)
Escherichia coli bacteraemia
National target awaited Based on our positon against Scottish data
Green
Clinical Risk assessment Compliance
90% Oct – Dec 2018 92% Green (validated data)
C-SectionSurgical siteinfection
Target rate of 2% or below Jan- April 2019 combined rate of 1.9%
Green (NHSH data)
Orthopaedic Surgical site infection
Target rate of 2% or below Jan- April 2019 combined rate of 0%
Green (NHSH data)
Colorectal Surgical site infection
Target rate of 10% or below
Jan- April 2019 rate of 9.3% Green (NHSH data)
Hand Hygiene 95% Apr – May 2019 rate of 98% Green (NHSH data)
Cleaning 92% Apr – May 2019 rate of 96% Green (NHSH data)
Estates 95% Apr – May 2019 rate of 97% Green (NHSH data)
Source: - Health Protection Scotland/ISD/Local data.
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Outbreaks/Clusters and multidrug resistant isolates associated with NHS Highland There have been no new incidences within NHS Highland since the last report. Healthcare Environment Inspections (HEI) There have been no HEI inspections carried out within NHS Highland since the last report.
3. Issues for Consideration • Recruitment to the vacant position for the Infection Prevention and Control Nurse
covering the west (of the North & West Division) is underway. Current cover is being provided primarily by the Infection Prevention and Control Nurse from the North Division, with additional assistance being provided by the Infection Prevention and Control Nurse from the South and Mid Division and when required from the Infection Control Manager. In addition funding for the provision of 7.5 hours has been authorised to support the existing service provision for infection prevention and control in the west, whilst we await appointment of the post holder.
• Boards were asked to attend a Healthcare Associated Infection Collaborative meeting on the 20th of June 2019, chaired by the Chief Nursing Officer. The purpose of the day was to discuss the recent incidents in NHS Glasgow and NHS Lothian and specifically to review the governance structures that exist between Health Facilities Scotland, Health Protection Scotland and the varying partnerships. A further event will be planned for later in the year. No actions were required locally as a result of this day.
• The Water Safety group is currently without an executive chair. This is to be discussed at the Health and Safety Committee meeting on the 8th of August 2019, and has been raised as a concern by the Control of Infection Committee.
• The Board will be receiving communication from Health Protection Scotland in the forthcoming month to notify them of what is required as a minimum within the Infection Prevention and Control Board report.
• A new format has been developed for the Board Infection Control and Prevention report, and feedback is welcomed.
4. Contribution to Board Objectives • The Board need to note the 2018/2019 target for Clostridium difficile has been validated
by Health Protection Scotland, and this has been met. • The Board need to note that we have not met the target for Staphylococcus aureus
bacteraemia (SAB) including MRSA 2018/2019; this has been validated by Health Protection Scotland.
• The Board await notification from Scottish Government of future targets relating to Staphylococcus aureus bacteraemia, Clostridium difficile, Escherichia coli bacteraemia, and national prescribing indicators.
• The addition of a training target of 95% compliance for staff undertaking healthcare associated mandatory training has been added to the annual work plan.
5. General Data Protection Principles Compliance There are no risks to compliance with Data Protection Legislation.
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Clostridium difficile Figure 1 NHS Highland Clostridium difficile Infection age 15 and over, case numbers year on year since 2014, based on NHS Highland case number data
NHS Highlands position showing actual case numbers as of 31st May 2019 (data not yet validated by HPS) is tabled below 1st April 2019 to 31st May 2019
Total CDI Cases aged 15 and over = 9 Re-occurrence (within 8 weeks of previous episode) =1
Previous CDI (out with 8weeks of previous episode = 0
Aged 15-64 = 4 Aged 65+ = 5
Healthcare Associated = 4 Community Acquired = 4 Unknown = 0 Under Investigation = 1 For definitions of above classifications please see section 2
Staphylococcus aureus (including MRSA) Figure 2 NHS Highland Staphylococcus aureus bacteraemia Cumulative Case numbers year on year since 2014, based on NHS Highland case number data.
NHS Highlands position showing actual verified case numbers as of 31st May 2019 (data not yet validated by HPS) is tabled below. 1st April 2019 – 31st May 2019
MSSA = 12 MRSA = 0 Total SABs = 12 Cases
Preventable = 2 Not preventable = 6 Unknown = 2 Under Investigation = 2 Hospital Acquired Cases = 2 Community Acquired Cases = 4 Healthcare Associated Cases = 6 Undergoing Investigation = 0 For definitions of above classifications please see section 2
0
20
40
60
80
100
April May June July Aug Sept Oct Nov Dec Jan Feb March
Cum
ulat
ive
Case
Num
bers
NHS Highland Cumulative Toxin Positive Cdifficile age 15 and over
2018-19 2019-20 Heat Target to 31-3-20
0
20
40
60
80
April May June July Aug Sept Oct Nov Dec Jan Feb March
Cum
ulat
ive
Case
Num
bers
NHS Highland Cumulative staph aureus Bacteraemia
2018-19 2019-20 Heat Target to 31-3-20
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Section 2 – Healthcare Associated Infection Report Cards - Healthcare Associated Infection Reporting Template (HAIRT)
The following section is a series of ‘Report Cards’ that provide information, for each acute hospital and key community hospitals in the Board, on the number of cases of Staphylococcus aureus blood stream infections and Clostridium difficile infections, as well as hand hygiene and cleaning compliance. In addition, there is a single report card which covers all community hospitals [which do not have individual cards], and a report which covers infections identified as having been contracted from outwith hospital. Understanding the Report Cards – Infection Case Numbers Clostridium difficile infections (CDI) and Staphylococcus aureus bacteraemia (SAB) cases are presented for each hospital, broken down by month. SAB cases are further broken down into Meticillin Sensitive Staphylococcus aureus (MSSA) and Meticillin Resistant Staphylococcus aureus (MRSA). For each hospital the total number of cases for each month, been reported as positive from a laboratory report, on samples taken more than 48 hours after admission. Understanding the Report Cards – Hand Hygiene Compliance Hospitals carry out regular audits of how well their staff are complying with hand hygiene. Each hospital report card presents the combined percentage of hand hygiene compliance with both opportunity taken and technique used broken down by staff group. Understanding the Report Cards – Cleaning Compliance Hospitals strive to keep the care environment as clean as possible. This is monitored through cleaning and estates compliance audits. Understanding the Report Cards – ‘Out of Hospital Infections’ CDI and SAB (including MRSA) bacteraemia cases are presented as ‘‘Out of Hospital Infections’ and are not attributable to a hospital. This section identifies those infections from community sources such as GP surgeries and care homes, and those from positive samples taken from patients within 48 hours. Abbreviations
SAB Definitions Definitions: Hospital acquired infection (HAI): Positive blood culture obtained from a patient who has been hospitalised for ≥48 hours. OR patient was transferred from another hospital, the duration of in-patient stay is calculated from the date of the first hospital admission. OR If the patient was a neonate/baby who has never left hospital since being born. OR The patient was discharged from hospital in the 48hr prior to the positive blood culture being taken. OR A patient who receives regular haemodialysis as an out-patient. OR Contaminant if the blood aspirated in hospital Healthcare associated infection (HCAI): Positive blood culture obtained from a patient within 48 hours of admission to hospital and fulfils one or more of the following criteria: 1. Was hospitalised overnight in the 30 days prior to the positive blood culture being taken. 2. Resides in a nursing, long term care facility or residential home. 3. IV, or intra-articular medication in the 30 days prior to the positive blood culture being taken, but excluding IV illicit drug use. 4. Regular user of a registered medical device e.g. intermittent self-catheterisation, home CPD or PEG tube with or without the direct involvement of a healthcare worker (excludes haemodialysis lines see HAI). 5. Underwent any medical procedure which broke mucous or skin barrier i.e. biopsies or dental extraction in the 30 days prior to the positive blood culture being taken. 6. Underwent care for a medical condition by a healthcare worker in the community which involved contact with non-intact skin, mucous membranes or the use of an invasive device in the 30 days prior to the positive blood culture being taken e.g. podiatry or dressing of chronic ulcers, catheter change or insertion. Community infection: Positive blood culture obtained from a patient within 48 hours of admission to hospital who does not fulfil any of the criteria for healthcare associated bloodstream infection. Not known: Only to be used if the SAB is not an HAI, and unable to determine if Community or HCAI. CDI definitions Definitions: Healthcare-associated CDI: a case with onset of symptoms on day three or later, following admission to a healthcare facility on day one, OR in the community within four weeks of discharge from any healthcare facility. This may apply to the current hospital or a previous stay in another healthcare facility, e.g. in another hospital, a long-term care facility or other healthcare facilities (e.g. outpatient departments etc.) Community-associated CDI: a case with [onset outside of healthcare facilities, AND without discharge from a healthcare facility within the previous 12 weeks] OR [onset on the day of admission to a healthcare facility or on the following day AND not resident in a healthcare facility within the previous 12 weeks] Unknown association: a case who was discharged from a healthcare facility 4–12 weeks before symptom onset
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ADTC Area Drugs & Therapeutics Committee AMT Antimicrobial Prescribing Team
AMAU Acute Medical Admissions Unit CHP Community Health Partnership
CDI Clostridium difficile Infection CMO Chief Medical Officer
CNO Chief Nursing Officer CVC Central Venous Catheter
HEAT Health Improvement, Efficiency, Access, Treatment ECDC European Centre for Disease Prevention & Control
GDP General Dental Practitioner HAI Healthcare Associated Infection
HAI QIF Healthcare Associated Infection
Quality Improvement Facilitator
HAIRT Healthcare Associated Infection
Reporting Template
HPS Health Protection Scotland HSE Health and Safety Executive
JAG Joint Advisory Group HFS Health Facilities Scotland
CPE Carbapenemase-producing Enterobacteriaceae MRSA Meticillin Resistant Staphylococcus Aureus
PICC Peripherally Inserted Central Catheter MSSA Meticillin Sensitive Staphylococcus Aureus
PVC Peripheral Venous Catheter SAB Staphylococcus aureus Bacteraemia
PPI Proton Pump Inhibitor SPC Statistical Process Chart
RIDDOR Reporting of Injuries, Diseases & Dangerous Occurrences
Regulations 1995
Hemiarthroplasty: Operation to treat fractured hip (only involves half
of hip)
SHPN Scottish Health Planning Note SHTM Scottish Health Technical Memoranda
SICPs Standard Infection Control Precautions SAPG Scottish Antimicrobial Prescribing Group
IPCT Infection prevention & control team SPSP Scottish Patient Safety Programme
NHS HIGHLAND REPORT CARD NHS Highland Staphylococcus aureus bacteraemia (SABs) monthly case
numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 1 0 0 0 MSSA 7 3 6 9 7 8 2 6 7 4 4 8 Total SABS
7 3 6 9 7 8 2 6 8 4 4 8
-4
1
6
11
16
SAB's NHS Highland
MRSA MSSA Total SABS
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NHS Highland Clostridium difficile infection monthly case numbers
June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
5 5 2 1 0 1 3 0 0 1 2 2
Ages 65 plus
4 2 5 1 6 3 4 3 4 3 5 0
Ages 15 plus
9 7 7 2 6 4 7 3 4 4 7 2
Hand Hygiene Monitoring Compliance (%) June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Board Total
99
96
97
96
97
95
95
97
99
97
97
96
AHP 99 99 99 94 96 98 92 96 100 97 95 93 Ancillary 99 94 96 97 98 98 98 99 100 98 96 98 Medical 97 96 92 94 94 87 89 98 95 93 98 96 Nurse 99 95 99 99 99 98 99 97 99 99 99 97 Cleaning Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Board Total
97
96
96
96
96
96
95
97
96
96
95
96
Estates Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Board Total
97
96
96
96
96
96
95
97
96
96
96
97
-4
1
6
11
16
C.difficile NHS Highland
Ages 15-64 Ages 65 plus Ages 15 plus
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NHS HIGHLAND RAIGMORE HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia (SABs) monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 2 2 2 3 2 2 0 0 2 0 1 0 Total SABS
2 2 2 3 2 2 0 0 2 0 1 0
Clostridium difficile infection monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
0 0 0 0 0 0 0
0 0 0 0 0
Ages 65 plus
0 2 1 0 2 1 1 1 2 0 0 0
Ages 15 plus
0 2 1 0 2 1 1 1 2 0 0 0
Hand Hygiene Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 96 97 87 93 95 95 97 96 97 99 95 99 AHP 95 100 93 90 89 97 97 100 100 100 100 100 Ancillary 95 97 90 90 98 92 95 94 97 100 90 100 Medical 95 93 67 93 96 93 96 92 95 96 93 97 Nurse 99 97 99 99 98 97 99 98 97 100 97 98 Cleaning Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
94 95 94 94 94 95 93 94 93 95 95 96 Estates Monitoring Compliance (%)
June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 97 96 96 96 96 96 92 94 92 91 95 100
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NHS HIGHLAND CAITHNESS GENERAL HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia (SABs) monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 0 0 0 0 0 0 0 1 0 1 0 0 Total SABS
0 0 0 0 0 0 0 1 0 1 0 0
Clostridium difficile infection monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
0 0 0 0 0 0 0 0 0 0 0 0
Ages 65 plus
0 0 0 0 1 0 0 1 0 0 1 0
Ages 15 plus
0 0 0 0 1 0 0 1 0 0 1 0
Hand Hygiene Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 100 89 98 96 97 99 99 90 98 100 100 96
AHP 100 100 100 91 100 100 100 83 100 100 100 100 Ancillary 100 60 100 100 100 100 100 100 100 100 100 100 Medical 100 94 91 95 90 95 95 76 91 100 100 84 Nurse 99 100 100 97 97 100 100 99 100 100 100 100
Cleaning Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 95 94 95 94 95 95 94 94 95 95 94 95 Estates Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 94 95 96 91 93 93 96 94 93 93 95 93
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NHS HIGHLAND BELFORD HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia (SABs) monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 0 0 0 0 0 0 0 0 0 0 0 0 Total SABS
0 0 0 0 0 0 0 0 0 0 0 0
Clostridium difficile infection monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
0 0 0 0 0 0 0
0 0 0 0 0
Ages 65 plus
0 0 0 0 0 0 0 0 0 0 0 0
Ages 15 plus
0 0 0 0 0 0 0 0 0 0 0 0
Hand Hygiene Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 100 96 100 96 95 90 83 97 98 92 92 98 AHP 100 91 100 89 83 100 50 90 100 90 75 100 Ancillary 100 100 100 100 100 100 100 100 100 100 100 100 Medical 100 94 100 95 95 64 86 100 95 79 92 100 Nurse 100 99 98 98 100 94 97 97 97 97 100 93 Cleaning Compliance (%)
June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 96 98 99 97 97 97 98 100 98 97 98 98 Estates Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 99 98 99 98 97 100 100 100 99 100 99 100
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NHS HIGHLAND LORN & ISLANDS HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia (SABs) monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 0 0 0 0 0 0 0 0 0 0 0 0 Total SABS
0 0 0 0 0 0 0 0 0 0 0 0
Clostridium difficile infection monthly case numbers
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
0 0 0 0 0 0 0 0 0 0 0 0
Ages 65 plus
0 0 0 0 0 0 0 0 0 0 0 0
Ages 15 plus
0 0 0 0 0 0 0 0 0 0 0 0
Hand Hygiene Monitoring Compliance (%)
June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 97 100 96 98 94 98 89 100 97 99 100 98 AHP 100 100 97 100 100 94 100 100 100 100 100 100 Ancillary 100 100 100 100 91 100 100 100 100 100 100 100 Medical 88 100 88 94 90 100 57 100 88 95 100 94 Nurse 99 100 100 98 99 98 98 100 100 100 100 98
Cleaning Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 99 99 99 99 99 97 99 96 99 99 100 100 Estates Monitoring Compliance (%)
June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 93 95 96 94 94 96 95 96 96 94 93 100
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NHS HIGHLAND NORTH & WEST DIVISION COMMUNITY HOSPITALS REPORT CARD
The community hospitals covered in this report card include: • Dunbar Hospital, Thurso • Town & County Hospital, Wick • Lawson Memorial Hospital Golspie • Migdale Hospital, Bonar Bridge • MacKinnon Memorial Hospital, Broadford • Portree Hospital, Isle of Skye
Staphylococcus aureus bacteraemia monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 0 0 0 0 0 0 0 0 0 0 0 0 Total SABS
0 0 0 0 0 0 0 0 0 0 0 0
0 Clostridium difficile infection monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
0 0 0 0 0 0 0 0 0 0 0 0
Ages 65 plus
0 0 0 0 0 0 0 0 0 0 0 0
Ages 15 plus
0 0 0 0 0 0 0 0 0 0 0 0
Hand Hygiene Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 100 94 100 96 100 94 100 99 100 96 97 100 AHP 100 100 100 89 100 100 100 100 100 100 88 100 Ancillary 100 100 100 100 100 100 100 100 100 100 100 100 Medical 100 100 100 95 100 75 100 100 100 80 100 100 Nurse 98 75 98 98 99 100 99 95 100 96 98 100
Cleaning Compliance (%)
June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 95 94 96 95 97 95 96 98 96 96 98 94 Estates Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 96 97 97 96 96 95 99 98 98 98 97 97
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NHS HIGHLAND SOUTH & MID DIVISION COMMUNITY HOSPITALS REPORT CARD
The community hospitals covered in this report card include: • Ross Memorial Hospital, Dingwall • County Community Hospital, Invergordon • Royal Northern Infirmary Community Hospital, Inverness • Town & County Hospital, Nairn • Ian Charles Hospital, Grantown on Spey • St Vincent’s Hospital, Kingussie • For the purposes of monitoring New Craigs Psychiatric Hospital is included in this
report card. Staphylococcus aureus bacteraemia (SABs) monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 0 0 0 0 0 0 0 0 0 0 0 0 Total SABS
0 0 0 0 0 0 0 0 0 0 0 0
Clostridium difficile infection monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
1 0 0 0 0 0 0 0 0 0 0 0
Ages 65 plus
0 0 1 1 0 0 0 0 0 0 0 0
Ages 15 plus
1 0 1 1 0 0 0 0 0 0 0 0
Hand Hygiene Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 100 99 99 99 99 99 98 98 99 99 97 98 AHP 100 100 100 97 99 98 99 100 100 97 100 98 Ancillary 100 98 98 100 98 100 98 96 100 100 88 96 Medical 98 100 100 98 100 98 95 98 96 100 100 100 Nurse 100 99 99 100 100 99 98 99 99 98 100 99
Cleaning Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 97 96 97 97 99 96 95 97 96 96 96 96 Estates Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 96 96 96 97 97 98 98 97 99 97 97 98
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NHS HIGHLAND ARGYLL & BUTE IJB COMMUNITY HOSPITALS REPORT CARD
The community hospitals covered in this report card include: • Argyll & Bute Hospital Lochgilphead • Campbeltown Hospital • Cowal Community Hospital, Dunoon, • Dunaros Community Hospital, Isle of Mull • Islay Hospital • Mid Argyll Community Hospital & Integrated Care Centre, Lochgilphead • Victoria Hospital, Rothesay
Staphylococcus aureus bacteraemia (SABs) monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 MSSA 0 0 0 0 0 0 0 0 0 0 0 0 Total SABS
0 0 0 0 0 0 0 0 0 0 0 0
Clostridium difficile infection monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
0 0 0 0 0 0 0 0 0 0 0 0
Ages 65 plus
0 0 0 0 0 0 0 0 0 0 0 0
Ages 15 plus
0 0 0 0 0 0 0 0 0 0 0 0
Hand Hygiene Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 100 97 97 94 96 94 96 98 100 95 98 83 AHP 100 100 100 100 100 100 100 100 100 90 100 50 Ancillary 100 100 86 88 100 91 93 100 100 88 93 91 Medical 100 90 100 87 86 86 93 91 100 100 100 100 Nurse 99 98 100 100 98 98 99 99 100 100 100 89 Cleaning Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 97 97 97 98 97 95 97 96 97 96 98 95 Estates Monitoring Compliance (%)
June 2018
July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Total 96 97 96 96 96 96 97 96 96 95 98 94
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NHS HIGHLAND OUT OF HOSPITAL REPORT CARD
Staphylococcus aureus bacteraemia monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
MRSA 0 0 0 0 0 0 0 0 1 0 0 0 MSSA 5 1 4 6 5 6 2 5 5 3 3 8 Total SABS
5 1 4 6 5 6 2 5 6 3 3 8
Clostridium difficile infection monthly case numbers June
2018 July 2018
August 2018
Sept 2018
Oct 2018
Nov 2018
Dec 2018
Jan 2019
Feb 2019
March 2019
April 2019
May 2019
Ages 15-64
4 5 2 1 0 1 3 0 0 1 2 2
Ages 65 plus
4 0 3 0 3 2 3 1 2 3 4 0
Ages 15 plus
8 5 5 1 3 3 6 1 2 4 6 2