NMH

NMH | 2024 176 Quality & Safety Services IPC Audits and Education • Hand Hygiene - 465 of clinical staff (88%) were certified for hand hygiene training. 67% of clinical staff are certified for infection control training for nurses and midwives online module. - Hand hygiene audit: - The compliance rate for the annual hand hygiene audit in 2024 was 91%. The compliance rate for the barrier to hand hygiene audit was 84%. Barrier to hand hygiene refers to wearing rings, watches, fitbits etc. - Compliance rate for Peripheral Vascular Catheter care bundle is 95% and for Urinary Catheter care bundle is 96%. Annual Audits: • GBS Flagging: 1,108 patients were positive for GBS. 61% of them were flagged in electronic health record. 26% of the not-flagged charts were categorised as medical which does not trigger the flagging. • GBS Risk Factor audit: 90 patients were audited. Compliance with asking the history of GBS was 83%. 7% of patients whom the history was asked, were GBS positive in their previous pregnancy. • GBS Screening for Penicillin Allergy: 6-month audit of practice shows 75% compliance, GBS positivity rate for those screened is 23% of which 22.5% were clindamycin resistant. • MRSA Audit: 259 pregnant patients who are identified as a Healthcare Worker were included in this audit. 94% of them were screened for MRSA before delivery. 7% of those tested were positive for MRSA. • Chlamydia trachomatis annual screening audit in antenatal women <25 years' old at booking: 399 women were eligible to be tested, 94% were tested and 7% were positive. • CPE risk factor audit: 222 charts of the patients were randomly audited for CPE risk at the booking assessment. 84% of the patients were assessed for CPE risk. Of 2.7% who were eligible to be tested for CPE, 67% were tested and all were negative for CPE. • Water outlet usage audit: Weekly flushing regime was reduced from 311 outlets to 25. This reduced water flushing usage by 88-90% with estimated cost savings of €4,156. • Genital Herpes simplex audit of 2023 lab positive cases: 10 adults, 2 neonates. RCOG/BASHH guidance discussed with clinical leads. Antimicrobial app updated. Educational sessions, feedback given to NCHDs, midwives/nurses. • Obstetric transfers: 74/103 patients who were transferred to NMH from other facilities, required MRSA & CPE screening. Compliance was 67.5%. 3/65 patients who were transferred from NMH to other facilities, required isolation. Compliance with informing the receiving facility was 100%. Dr Susan Knowles, Consultant Microbiologist, Ludmila O'Toole, Administrator, Bronwyn Redmond, CMM Infection Prevention and Control, Shideh Kiafar, Assistant Director of Midwifery & Nursing / Infection Prevention and Control, Louise Delany, Antimicrobial Pharmacist

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