Management and Communication Flashcards
Per the APIC delphi project of 2002, what are the recommended IP staffing levels per acute care beds?
- 0.8 to 1.0 IPs for every 100 occupied acute care beds
Per the APIC Mega Survey of 2015, what is the recommended IP staffing level
1.25 IPs per 100 inpatient census
What are the regulations for IP staffing levels?
Federal agencies do not regulate the IP staffing at a facility
What are CMS rules for IP staffing?
Resources must be adequate to accomplish the tasks required of the program
What are SHEA’s business case analysis steps 1-2
1) Frame the problem and develop a hypothesis about potential solutions
2) Meet with key admin
What are SHEA’s business case analysis steps 3-4
3) Determine the annual cost
4) Determine what costs can be avoided through reduced infection rates
What are SHEA’s business case analysis steps 5-6
5) determine costs associated with the infection of interest at your hospital
6) calculate financial impact
What are SHEA’s business case analysis step 7 (final step)
7) Include additional financial or health benefits
Levels of proficiency for APIC competency model
1) Novice
2) Becoming proficient
3) Proficient
4) Expert
Where does the CIC exam fit into competency levels?
Take CIC exam to level up to proficient
What are the CBIC core competencies and professional and practice standards
- Professional stewardship
- research
- IPC Operations
- Quality Improvement
- IPC Informatics
-Leadership
The CDC estimates that on any given day, what ratio of hospital patients have at least one HAI?
1 in 25 hospital patients
Examples of when IP often leads efforts
- Emergency management
- Bioterrorism
- Construction and renovation
- pandemic planning
What should IP do when an issue of potential liability arises?
Consult with legal counsel to assure accurate account of findings in the matter
What do resolution of legal issues depend on?
- state or federal law
- if no written statutes, preceding case decision
Parts of the IP strategic plan
1) risk prioritization for acquiring and transmitting infections
2) Goals to limit:
- unprotected exposure
- transmissions of infections from procedure
- transmission of infections from medical equip, devices and supplies
3) Describe activities, including surveillance, to minimize, reduce, or eliminate risk of infection
4) Describes process to evaluate efficacy of plan
What scale is used for FMEA model?
Likert
These measures focus on outcomes or processes and are used for internal improvement purposes intra-or interorganizational comparisons, and by various external entities for making decisions about care
Performance measures
This draws methods from high-risk industries such as aviation and nuclear power to define safety principles and create shared language among professionals in IPC
Patient safety science
Basic goal of healthcare education and training
Improve job skills and competence
Method to increase learning retention
-Immediate application follows instruction
What can identify deficiencies in knowledge, skills, or attitude and serve as the basis for educational program development?
- Needs assessments or performance improvement studies
What should every learning plan include?
- goals
-objectives - appropriate teaching methods
What should education and training be linked to?
- facility’s organizational vision, mission, and values
Tier #1 for Bloom’s taxonomy of learning: Can the learner recall or remember the information?
Remembering
Tier #2 for Bloom’s taxonomy of learning: Can the learner explain the ideas or concepts?
Understanding
Tier #3 for Bloom’s taxonomy of learning: Can the learner use the information in a new way?
Applying
Tier #4 for Bloom’s taxonomy of learning: Can the learner distinguish between the different parts?
Analyzing
Tier #5 for Bloom’s taxonomy of learning: Can the learner justify a stand or devision?
Evaluating
Tier #6 for Bloom’s taxonomy of learning: Can the learner create new product or point of view?
Creating
What are the 3 types of learning?
1) Cognitive
2) Affective
3) Psychomotor
This type of learning involves mental skills (knowledge)
Cognitive
This type of learning involves growth in feelings or emotional areas (attitude or self)
Affective
This type of learning involves manual or physical skills
Psychomotor
Examples of active learning strategies
- quizzes
- games
-role play
-brainstorm
-group problem-solving
-case studies - simulation
Assessing educational needs: The learner develops a self-achievement model and compares the present situation to the standard
Learner self-assessment
Assessing educational needs: Learning needs are assessed in small groups with members assisting each other to clarify needs
Focus group discussion
Assessing educational needs: These are data-gathering tools, such as checklists or questionnaires
Interest finder surveys
Assessing educational needs: tests can be used as diagnostic tools to identify areas of learning deficiencies
Test development
Assessing educational needs: the educator consults with random or selected individuals to determine learning needs
Personal interviews
Assessing educational needs: These methods provide specific, precise information about work and performance
Job analysis and performance reviews
Assessing educational needs: Direct observation of personnel working can be performed by quality management analysts or IPs (eg hand-washing study in critical care units)
Observational studies
Assessing educational needs: Incident reports, occupational injury and illness reports, and performance improvement studies can be reviewed to determine specific learning needs of healthcare providers
Review of internal reports
_____THIS___ applied in infection prevention can make practitioners more efficient and effective by helping them focus on factors likely to be important while avoiding investment of time and resources into factors unlikely to be important
Behavioral science theory
Does using behavioral theory for intervention successfully solve problems?
No, currently will improve success but does not fully resolve behavioral problems
What are the key parts of the health belief model (main components only)
Perceived security/ perceived susceptibility —> Perceived threat —> Liklihood of action
What factors feed into perceived threat in the health belief model?
Cues to action
Modifying factors
What factors feed into liklihood of action in the health belief model
Benefits minus barriers
Self-efficacy
What are the 3 main components of social cognitive theory?
1) behavior
2) Person
3) environment
This part of social cognitive theory involves knowledge, skills, temperament, and motivations
Person
this part of social cognitive theory involves family traits, sociocultural factors, community influences, and resource availability
Environment
What are the stages of the transtheoretical model?
1) Precontemplation
2) contemplation
3) Preparation
4) Action
5) Maintenance
Transtheoretical model: stage where person is unaware, no desire, no reason (I won’t)
Precontemplation
Transtheoretical model: stage where person weighing change pros and cons “I might”
Contemplation
Transtheoretical model: Stage where person is making plans to change behavior “I will”
Preparation
Transtheoretical model: Stage where person currently adopting change “I am”
Action
Transtheoretical model: stage where person made the change and is avoiding relapse “I have”
Maintenance
IP recommendations for precontemplation stage
Mixed communications to highlight the problem of infection spread in hc
IP recommendations for contemplation group
Communications and role modeling to show advantages, minimize disadvantages of best practice
IP recommendations for preparation group
ID resources, provide training for best practice techniques
IP recommendations for Action group
Coaching, training, reinforce self-efficacy to master best-practices, provide social reinforcement
IP recommendations for maintenance group
Continued reinforcement, peer support, highlighting best practice compliance in small group settings
What statement is intended to improve Systematic Reviews?
PRISMA (Preferred reporting items for systematic review and meta-analysis)
