HAIRT REPORT OVERVIEW Date: 26/04/2019 Report Date: February/March 2019 Issue National NHSWI Previous Comparison Required Actions/Comments Target case report to previous numbers case report numbers The Infection Prevention and 0.32 in Control team continue to Patients aged educate all staff groups within 15+ per 1000 NHS WI on appropriate stool OCB sampling and the true definition of diarrhoea. (NHS WI reporting 0.10 in patients CDI 15+ for 0 0 ↔ quarter ending December 2018) 0.24 in patients per A critical incident report is 1000 AOCB completed for all reported cases and sent to the Learning (NHS WI Review Group. reporting 0.24 SAB per 1000 0 4 ↓ AOCB for quarter ending December 2018) No national SSI 0 0 ↔ target OCB = Occupied bed days AOCB = Acute occupied bed days Page | 1 HAIRT REPORT OVERVIEW Figure 1: Funnel plot of CDI incidence rates (per 100,000 TOBD) in healthcare associated infection cases for all NHS Boards in Scotland in Q4 2018. *NHS National Waiting Times Centre, NHS Shetland and NHS Borders overlap as do NHS Highland and NHS Forth Valley. Figure 2: Funnel plot of CDI incidence rates (per 100,000 population) in community associated infection cases for all NHS Boards in Scotland in Q4 2018. *NHS Shetland and NHS Western Isles overlap. Page | 2 HAIRT REPORT OVERVIEW Figure 3: Funnel plot of SAB incidence rates (per 100,000 TOBD) in healthcare associated infection cases for all NHS Boards in Scotland in Q4 2018. *NHS Highland and NHS Forth Valley overlap as do NHS Ayrshire & Arran and NHS Tayside. Figure 4: Funnel plot of SAB incidence rates (per 100,000 population) in community associated infection cases for all NHS boards in Scotland in Q4 2018. Page | 3 HAIRT REPORT OVERVIEW Figure 5: Funnel plot of ECB incidence rates (per 100,000 TOBD) in healthcare associated infection cases for all NHS boards in Scotland in Q4 2018. *NHS Borders and NHS Dumfries & Galloway overlap Figure 6: Funnel plot of ECB incidence rates (per 100,000 population) in community associated infection cases for all NHS boards in Scotland in Q4 2018. Page | 4 HAIRT REPORT OVERVIEW Compliance Previous Comparison Required Action/Comments for this Report to previous Area report report WIH 97.6% 97.5% ↓0.1% None Cleaning Compliance OUAB 97.5% 96.8% ↑0.7% None WIH 99.9% 99.9% ↔ None Estates Monitoring Compliance OUAB 98.8% 99.2% ↓0.4% None Hand Hygiene Monitoring Compliance (%) Month AHP Ancillary Medical Nurse Board total February 100 100 100 100 100 March * 100 100 100 100 *no opportunities observed for this staff group Risks – None to report Risk No Issue Update Outbreaks – None to report Area Outbreak of Action Taken Page | 5 .