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In addition to surveillance and outbreak investigation a system review maybe indicated to identify potential causes of outbreaks and determine appropriate recommendations.

Occurrences of harm are often complex with many contributing factors. Organizations need to:

  1. Measure and monitor the types and frequency of these occurrences.
  2. Use appropriate analytical methods to understand the contributing factors.
  3. Identify and implement solutions or interventions that are designed to prevent recurrence and reduce the risk of harm.
  4. Have mechanisms in place to mitigate consequences of harm when it occurs.

To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for conducting chart audits and analysis methods are included in Hospital Harm Improvement Resources Introduction.  

If your surveillance, outbreak investigation or system review reveals that your cases of C. difficile, MRSA or VRE are linked to breaks in infection prevention and control practices, these resources maybe helpful:  

Organizations

Canadian

International


Infection Prevention and Control Programs

Canadian

International

Routine Practices and Additional Precautions

Canadian

Hand Hygiene

Canadian

International


Best Practices in Environmental Cleaning

Canadian

International


Best Practices in Hospital Surveillance and Screening for Patients at High Risk for Presence of MRAS and/or VRE 

Canadian

International

Best Practices for Outbreak Management

Canadian

International


Antimicrobial Stewardship

Canadian

International

Best Practices for IPAC for Clostridium difficile (C. difficile), MRSA and VRE

Canadian

International

Patient Education and Engagement

Canadian