Browsing by Author "Mitchell, Brett"
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Item A Randomised Controlled Trial Investigating the Effect of Improving the Cleaning and Disinfection of Shared Medical Equipment on Healthcare-associated Infections: The CLEaning and Enhanced disiNfection (CLEEN) Study(2023-02-22) Mitchell, Brett; Brain, David; Kiernan, Martin; King, Jennie; O'Kane, Gabrielle; Graham, Kirsty; Cheng, Allen; Stewardson, Andrew; Amin, Maham; Russo, Philip; Tehan, Peta; White, Nicole; Browne, KatrinaBackground
Healthcare-associated infections (HAIs) are a common, costly, yet largely preventable complication impacting patients in healthcare settings globally. Improving routine cleaning and disinfection of the hospital environment has been shown to reduce the risk of HAI. Contaminated shared medical equipment presents a primary transmission route for infectious pathogens, yet is rarely studied. The CLEEN study will assess how enhanced cleaning and disinfection of shared medical equipment affects the rate of HAIs in a tertiary hospital setting. The initiative is an evidence-based approach combining staff training, auditing and feedback to environmental services staff to enhance cleaning and disinfection practices.
Methods
The CLEEN study will use a stepped wedge randomised controlled design in 10 wards of one large Australian hospital over 36 weeks. The intervention will consist of 3 additional hours per weekday for the dedicated cleaning and disinfection of shared medical equipment on each ward. The primary outcome is to demonstrate the effectiveness of improving the quality and frequency of cleaning shared medical equipment in reducing HAIs, as measured by a HAI point prevalence study (PPS). The secondary outcomes include the thoroughness of equipment cleaning assessed using fluorescent marker technology and the cost-effectiveness of the intervention.
Discussion
Evidence from the CLEEN study will contribute to future policy and practice guidelines about the cleaning and disinfection of shared medical equipment. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in healthcare facilities.
Trial registration
Australia New Zealand Clinical Trial Registry ACTRN12622001143718.
Item Academic-industry Integration in Health: Enhancing Postgraduate Professional Learning for Specialty Infection Control Practice(2016-01-01) Shaban, Ramon Z.; Mitchell, Brett; MacBeth, DeboroughItem Addressing the Need for an Infection Prevention and Control Framework That Incorporates the Role of Surveillance: A Discussion Paper(2014-03-01) Gardner, Anne; Mitchell, BrettAim
To present a discussion on theoretical frameworks in infection prevention and control.
Background
Infection prevention and control programmes have been in place for several years in response to the incidence of healthcare-associated infections and their associated morbidity and mortality. Theoretical frameworks play an important role in formalizing the understanding of infection prevention activities.
Design
Discussion paper.
Data sources
A literature search using electronic databases was conducted for published articles in English addressing theoretical frameworks in infection prevention and control between 1980–2012.
Results
Nineteen papers that included a reference to frameworks were identified in the review. A narrative analysis of these papers was completed. Two models were identified and neither included the role of surveillance.
Discussion
To reduce the risk of acquiring a healthcare-associated infection, a multifaceted approach to infection prevention is required. One key component in this approach is surveillance. The review identified two infection prevention and control frameworks, yet these are rarely applied in infection prevention and control programmes. Only one framework considered the multifaceted approach required for infection prevention. It did not, however, incorporate the role of surveillance. We present a framework that incorporates the role of surveillance into a biopsychosocial approach to infection prevention and control.
Conclusion
Infection prevention and control programmes and associated research are led primarily by nurses. There is a need for an explicit infection prevention and control framework incorporating the important role that surveillance has in infection prevention activities. This study presents one framework for further critique and discussion.
Item Develop and Implement an Institutional Framework to Support and Improve Supervision of Honours and Higher Degree Research Students(2014-12-01) Mitchell, Brett; Anderson, Malcolm; de Waal, Kayle; Petrie, Kevin; Williams, Anthony; Northcote, MariaItem Graduate Nurses Knowledge of Infection Prevention and Control(2013-01-01) Matheson, Lucinda; Cloete, Linda; Wells, Anne; Say, Richard; Mitchell, BrettItem Healthcare Associated Infection Point Prevalence Study(2017-01-01) Stewardson, Andrew J.; Bucknall, Tracey; Cheng, Allen; Mitchell, BrettItem Healthcare Associated Urinary Tract Infections: Proof of Concept for National Online Surveillance System (STRUTI)(2014-01-01) Beckingham, Wendy; Gardner, Anne; Mitchell, BrettItem Nurse Staffing and Risk of Infection: Systematic Review and Meta Analysis(2014-01-01) Stone, Patricia; Gardner, Anne; Hall, Lisa; Mitchell, BrettItem Reducing Urinary Catheter Use: A Randomised Controlled Study on the Efficiacy of an Electronic Reminder System(2017-01-01) Milgate, Gabrielle; Gregory, Victoria; Cheng, Allen; Russo, Philip L.; Rosebrock, Hannah; Fasugba, Oyebola; Northcote, Maria; Mitchell, BrettItem Researching Effective Approaches to Cleaning in Hospitals (REACH)(2014-01-01) Page, Katie; Hall, Lisa; Riley, Tom; Gericke, Christian; Paterson, David; Mitchell, Brett; Gardner, Anne; Barnett, Adrian; Halton, Kate; Graves, NicholasItem Tasmanian Acute Public Hospitals Healthcare Associated Infection Surveillance Report 21 - Quarter 1 2014(2014-02-01) Mitchell, Brett; McGregor, Alistair; Wilson, Fiona; Wells, AnneThis surveillance report describes data relating to a number of key Healthcare Associated Infection (HAI) indicators. The Tasmanian Infection Prevention and Control Unit (TIPCU) publish this report quarterly. The TIPCU website (www.dhhs.tas.gov.au/tipcu) contains details of the surveillance program, including the rationale for the indicators surveyed and the methodologies used in data collection, validation and analysis. In addition, an explanatory document has been developed to accompany this surveillance report. Any form of comparison between hospitals should be done with extreme caution and direct comparisons are not recommended. Information about how Tasmanian rates compare with those of other Australian states are provided in the Key Points sections of this report. The Appendices in this report contain more detailed information. The key findings of this report are: • The rate of healthcare associated Staphylococcus aureus bacteraemia remains low. • In Quarter 1, 2014, there was an increase in hospital identified Clostridium difficile infection (CDI) and healthcare associated – healthcare facility onset Clostridium difficile infection (HCA – HCF CDI). • The occurrence of vancomycin resistant enterococcus remains low. • The Tasmanian hand hygiene compliance rate increased in the latest data collection period and exceeds the national threshold level.
Item The Burden of Urinary Tract Infections in an Australian Setting(2014-01-01) Barnett, Adrian; Ferguson, John K.; Anderson, Malcolm; Mitchell, Brett