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P186: Infection control plan management in primary care
Antimicrobial Resistance and Infection Control volume 2, Article number: P186 (2013)
There was a significant shift in healthcare delivery from the acute, inpatient hospital setting to a variety of ambulatory and community-based settings. This transition of healthcare has demonstrated the need for understanding and implementation of infection prevention guidance  Portuguese National Infection Control Program includes in its objectives the community and ambulatory settings [2, 3].
Implementation and monitoring of an Infection Control Plan in a community-based setting (with several units), part of a Local Health Unit (which includes primary, acute and rehabilitation care).
Application of Demming cycle (Plan, Do, Check; Act) in a perspective of continuous improvement according to the institution’s Quality Management System .
The Infection Control Unit, in collaboration with link professionals (doctor and nurse in each unit), implements the following strategy: (PLAN) Draw an Infection Control Plan approved by management. Example (i): create the conditions for hand hygiene through scheduled audits. Example (ii): monitoring of good practice, identifying performance critical areas. (DO) Implementation of the activities according to Plan schedule. Example (i): audits, with feed-back to health professionals. Example (ii): scheduled visits to identify areas for improvement. (CHECK) Check compliance of Plan objectives. Example (i): degree of implementation of the planned audits. Example (ii): Multidrug-resistant organisms monitoring (epidemiological surveillance system based on laboratory results); (ACT) Implementation of corrective measures to the initial Plan. Example (i): reprogramming audits not conducted. Example (ii): professionals training directed to good practice (based on critical areas identified and surveillance results).
Application of a strategy based on Demming cycle allows successful implementation and monitoring of an Infection Control Plan in a community based setting. Primary care still needs the development of specific indicators.
Disclosure of interest
CDC: Guide to Infection Prevention in Outpatient Settings. 2011, Atlanta: CDC
PNCI: Portuguese National Infection Control Plan. 2007, Lisbon: Direção-Geral de Saúde
Health Regulation Document No. 20/DSQC/DSC - Infection Control Plan for Primary Care.
Quality Standard ISO 9001:2008 - Requirements for Quality Management Systems.
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Neves, I., Vieira, F., Peres, D. et al. P186: Infection control plan management in primary care. Antimicrob Resist Infect Control 2 (Suppl 1), P186 (2013). https://doi.org/10.1186/2047-2994-2-S1-P186
- Infection Control
- Hand Hygiene
- Critical Area
- Quality Management System
- Plan Schedule