Patient Safety Flashcards
1
Q
Examples of HCAI
A
- Catheter related UTI
- Hospital acquired pneumonia
- Surgical wound infection
- MRSA (and MSSA)
- C difficile
- Glycopeptide resistant enterococci
- Cannula site cellulitis
- Norovirus
2
Q
Clostridium difficile
A
- Anaerobic bacteria
- Forms spores which resist drying, heat, light
- Disease is spread through direct patient to patient contact, via health care staff, or via contaminated spores
- Found in gut flora, can survive long periods in the environment
3
Q
C diff causes..
A
- Asymptomatic carriage
- Antibiotic-associated diarrhoea
- Pseudomembranous colitis
- Toxic megacolon
- Death
4
Q
The ‘Swiss cheese’ model of accident causation
A
- Small holes due to active failure e.g. mistakes, procedural violations
- Other holes due to latent conditions e.g. faulty equipment, lack of staff training or experience
- Successive layers of defences, barriers and safeguards
5
Q
C diff outbreaks
A
- Stoke Mandeville - July 2006
- Maidstone - Oct 2007
6
Q
Root Cause Analysis
A
- 5 Why’s
- Fishbone diagram
- React, Record, Respond
7
Q
SIGHT
A
Suspect a case Isolate patient Gloves and aprons Hand hygiene Test for toxin
8
Q
5 moments for hand hygience
A
- Before patient contact
- Before aseptic task
- After body fluid exposure risk
- After patient contact
- After contact with patient surroundings
9
Q
Source isolation
A
- Yellow sign - patient in side room is isolated due to infection
- HH and apron on
- Use of single items - stethoscopes
- Door is closed
10
Q
PACE approach
A
Probe
Alert
Challenge
Emergency
