Systems based approach needed – ‘’to embed in all aspects of care and support’’ Sustainability –’’depends on embedding it within the organisation itself- not a reliance on short-lived campaigns, personal crusades etc’’ Lack of Management awareness re infection risks in their decision making Altering individual behaviour inadequate………..- A organisation wide approach with strong leadership – this also ensures flexibility in facing emerging and re- emerging threats- and to be able to deal with the multiple directives…….
Status of infection control and hospital epidemiology…..BOTH clinically and academically- without the machismo and powerbase of other med and surg specialities National directives- that are focused on a single organism only- or directives aimed only at nurses/matrons not consultants ….
Patient care the driver NOT one particular single organism….
Facilitates targeted activity ----and rapid adoption of best practice- ‘’and care bundles’’……
Reinforces integrated infection control and antibiotic control Risks: eg BSI risks, environment scores…..
BUZZ words ‘’de-escalation’’ and ‘’bundle’’- just mean stepping down and package of measures……