JCI第四版.ppt

* Measurable Elements of PCI.10.1 ? 1. Health care–associated infection risks are tracked. ? 2. Health care–associated infection rates are tracked. ? 3. Health care–associated infection trends are tracked. This is the old PCI.11.1. * Measurable Elements of PCI.10.2 1. Infection monitoring uses indicator measures. 2. The indicators measure epidemiologically important infections. This is the old PCI.11.2. * Measurable Elements of PCI.10.3 1. Processes are redesigned based on risk, rate, and trend data and information. 2. Processes are redesigned to reduce infection risk to the lowest levels possible. This is the old PCI.11.3. * Measurable Element of PCI.10.4 1. Health care associated infection rates are compared to other organizations’ rates through comparative databases. (Also see QPS.4.3 ME#2) 2. The organization compares its rates to best practices and scientific evidence. This is the old PCI.11.4. * Measurable Elements of PCI.10.5 1. Monitoring results are communicated to medical staff. 2. Monitoring results are communicated to nursing staff. 3. Monitoring results are communicated to management This is the old PCI.11.5. * Measurable Element of PCI.10.6 1. Infection control program results are reported to public health agencies as required .(Also see MOI.3.3.1) 2. The organization takes appropriate action on reports from relevant public health agencies. This is the old PCI.11.6. * Measurable Elements of PCI.11 1. The organization provides education about infection control. 2. Clinical staff and other professional staff are included in the program. 3. Patients and families are included when appropriate to the patient’s needs and condition. 4. All staff is oriented to the policies, procedures, and practices of the infection control program. (Also see SQE.5, GLD.5.4, AOP.5.2 ME#5, and AOP.5.6.2 ME#6) 5. Periodic staff education includes new policies and procedures. 6. Periodic staff education is in response to significant trends in infection data. 7. Patients and fa