The establishment of a statewide surveillance program for hospital-acquired infections in large Victorian public hospitals: A report from the VICNISS Coordinating Centre

摘要: Background A 1998 survey of acute Victorian public hospitals (VPH) revealed that surveillance hospital-acquired infections (HAI) was underdeveloped, definitions and methodology varied considerably, results disseminated inconsistently. The identified the need for an effective system HAI. Objective To develop support a standardized program HAIs in large VPH to provide risk-adjusted, procedure-specific, HAI rates. Methods In 2002, independent Nosocomial Infection Surveillance System (VICNISS) Coordinating Centre (VCC) established program. multidisciplinary team recruited. communication strategy, manual, user groups, Web site were developed. Formal education sessions provided participating infection control nurse consultants (ICCs). activities based on US Centers Diseases Control Prevention's National (NNIS) surgical intensive care unit (ICU) components. NNIS methods modified suit local needs. Data collection paper or through existing hospital software. An advisory committee key stakeholders met every second month. Results rolled out over 12 months all 28 adult VPH. 20,000 procedures performed at sites between November 11, December 31, 2004, submitted. Thirteen contributed ICU activities. Following aggregation analysis by VCC, hospital- state-level posted page review. Conclusion approach short time frame VICNISS is tool will continue with basis continuous quality improvement.