The differences between the MDRO screening protocols complicate patient care in the Dutch–German border region. The observations and questionnaires showed that the practicality was sufficient however, the responsibility was not designated clearly and education regarding the screening protocols was deemed inappropriate.

As a result, the content of the MDRO screening protocols differed regarding risk factors for MDRO carriage, swab site, personal protective equipment, and isolation measures. The practicality of the screening protocols was evaluated by performing an audit. The contents of the national and local MDRO screening protocols were compared on vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), and carbapenemase-producing and carbapenem-resistant Enterobacteriaceae (CPE/CRE).

In the Dutch–German border region, local hospitals apply their own screening protocols which are based upon national screening protocols. Patients arriving in the hospital via the emergency department (ED) are screened for the presence of MDROs in compliance with the screening protocols in order to apply the correct isolation measures. Infections caused by multidrug-resistant organisms (MDROs) are associated with prolonged hospitalization and higher risk of mortality. 0001).Įducation, visual reminders, and standardized infection control guidelines were shown to improve compliance with infection control best practices in a group of nurse anesthetists. 029) and a 71.9% increase in the number of providers who separated clean from contaminated items in the workspace (P =. When compared with preimplementation baseline data, there was a 26.2% increase in the number of providers compliant with hand hygiene practices after airway instrumentation (P =. There were a total of 95 observations performed during the 3 observation periods. After the observation periods, the percent compliance on the part of the providers was calculated for each of the 3 areas of anesthesia practice, and the results were compared using the Fisher exact test. Patient care-related hand hygiene of nurse anesthetists was observed in 3 areas of anesthesia practice before and 3 weeks and 3 months after staff education, placement of visual reminders, and the implementation of infection control guidelines. The primary objective of this project was to determine if education and implementation of standardized infection control guidelines that address evidence-based best practices would improve compliance with infection control procedures in the anesthesia workspace. Anesthesia providers commonly cross-contaminate their workspace and subsequently put patients at risk for a health care-acquired infection.

Parkland workspace