PMID- 27900923
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180807
IS  - 1876-8784 (Electronic)
IS  - 0028-2162 (Linking)
VI  - 160
DP  - 2016
TI  - [The Infection RIsk Scan in clinical practice: improving infection prevention and 
      antibiotic use through transparency].
PG  - D518
AB  - OBJECTIVE: The increase in Highly Resistant Micro-Organisms (HRMO) in hospitals 
      and nursing homes requires an intensification of infection prevention measures. 
      This paper describes a new, standardised approach to infection prevention and 
      monitoring of antibiotic use. DESIGN: Cross-sectional, observational study. 
      METHOD: The Infection RIsk Scan (IRIS) measures a number of objectifiable 
      variables in the field of infection prevention, including the dissemination of 
      HRMO, the use of antibiotics and indwelling medical devices, environmental 
      contamination, hand hygiene and personal hygiene of healthcare workers, and 
      various infection control preconditions. The scan converts the measurements into 
      a risk profile and an improvement chart, a graphic presentation that is easy to 
      understand for care professionals, managers and patients. Based on the results, 
      targeted improvements can be made by a department or institution, and a quality 
      cycle can be started in which the scans are repeated. RESULTS: The IRIS has been 
      successfully applied in 5 hospital departments, a rehabilitation clinic and 19 
      nursing homes. In the hospital departments, 3 IRIS cycles resulted in a 
      significant improvement in hand hygiene compliance (43% to 66%, p<0.001) and a 
      significant reduction in environmental contamination. In one nursing home, the 
      IRIS resulted in a previously undetected outbreak of HRMO being discovered. 
      CONCLUSION: The IRIS method makes it possible to compare departments and 
      institutions and can therefore provide an impetus for standardization of 
      measurements of risks and results in the field of infection prevention, 
      antibiotic use and resistance.
FAU - Willemsen, I
AU  - Willemsen I
AD  - Amphia Ziekenhuis, Laboratorium voor microbiologie en infectiepreventie, Breda.
FAU - Kluytmans, J A J W
AU  - Kluytmans JA
LA  - dut
PT  - Journal Article
PT  - Observational Study
TT  - De Infectierisicoscan in de praktijk.
PL  - Netherlands
TA  - Ned Tijdschr Geneeskd
JT  - Nederlands tijdschrift voor geneeskunde
JID - 0400770
SB  - IM
MH  - Cross Infection/*prevention & control
MH  - Cross-Sectional Studies
MH  - Hospitals/standards
MH  - Humans
MH  - Infection Control/*methods/standards
MH  - Nursing Homes/standards
MH  - *Quality Improvement
MH  - Quality Indicators, Health Care
MH  - Rehabilitation Centers/standards
MH  - Risk Management/*methods/standards
EDAT- 2016/12/03 06:00
MHDA- 2018/02/10 06:00
CRDT- 2016/12/01 06:00
PHST- 2016/12/01 06:00 [entrez]
PHST- 2016/12/03 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
PST - ppublish
SO  - Ned Tijdschr Geneeskd. 2016;160:D518.