Liebl B.,Leitender Ministerialrat |
Lehner-Reindl V.,Leitender Ministerialrat |
Herr C.,Leitender Ministerialrat |
Kandler U.,Leitender Ministerialrat |
And 8 more authors.
Hygiene + Medizin | Year: 2012
Background: In the context of an action plan for improvement of the quality of hygiene in health care facilities implemented by the Bavarian State Ministry of the Environment and Public Health, the Bavarian Health and Food Safety Agency developed a concept to improve counselling and inspection by public health authorities. Methods: In the course of an adjustment of the official structures a "special service infection hygiene" was established by the Bavarian Health and Food Safety Agency. This unit plans the inspection program, provides material (check lists, standards) and supports the regional and local public health authorities. The inspection strategy is based on a threefold model: 1) regular inspections, 2) leading projects (intensive treatment of specific problems) 3) inspections in cause of concern (evidence for serious hygiene problems). Further elements involve the State network for prevention of multi-resistant infections and regional networks at the level of the local public health offices. Integral part of the concept is training and professional development of public health and healthcare personnel. The concept follows the quality management approach "Plan-Do-Check-Act". Results: In the first year of concept implementation (2011) a risk profile assessment of all emergency hospitals of the Bavarian hospital plan was performed using a standardized questionnaire. The numerical hygiene staff requirements were evaluated. As leading project the public health offices inspected two especially sensitive hospital divisions (operating rooms, intensive care units) using special modular check lists. The special service of the Bavarian Health and Food Safety Agency attended 40 of these inspections and performed its own leading project concerning hospital recordings of nosocomial infections. Generally, the responsible hospital personnel made efforts to achieve a proper hygiene management. The consultative character of the inspections was received positively. Need for improvement was assessed especially for hospital recordings of nosocomial infections. Explicit data evaluation is still in progress. Conclusions: Altogether, the system has proved to be successful.