The provision of safe care is complex and difficult to achieve. Awareness of what happens in real time is one of the ways to develop a safe system within a culture of safety. At Great Ormond Street Hospital, we developed and tested a tool...
Jon OtterInteresting article finding that patient-reported incidents are almost completely different from staff-reported incidents - lots to learn from this #ImperialWPSD #WorldPatientSafetyDay
Desirability of outcome ranking (DOOR) evaluates the global benefits and risks of an intervention and provides pragmatic information for medical decision-making
Jon OtterWhat a brilliant paper title: 'Good Studies Evaluate the Disease While Great Studies Evaluate the Patient: Development and Application of a Desirability of Outcome Ranking Endpoint for Staphylococcus aureus Bloodstream Infection'
I listened to Reflections’ very own Martin Kiernan share his wisdom on the challenges around hand hygiene improvement this week, and thought I’d share my own reflections on his talk. The key point …
Jon OtterWe need to win hearts and minds to improve hand hygiene practice. My reflections from a great talk by @emrsa15 on the challenges of effective hand hygiene promotion to healthcare workers, patients, and visitors
I’m at ECCMID in Amsterdam currently listening to a nice report of an OXA-48 Klebsiella pneumoniae outbreak in Gran Canaria in which sinks were found to be contaminated and replaced. Earlier today …
Jon OtterGreat to see this new #eccmid2019 themed Reflections post by @emrsa15: That sinking feeling reflectionsipc.com/2019/04/13/tha… sinks become contaminated with MDROs. Do we have too many? Should we have more designated NOT hand hygiene sinks / fluid disposal points?
A couple of new studies provide insight into determinants of antibiotic prescribing using qualitative methodology. A systematic review in the Journal of Hospital Infection highlights the tension be…
Jon OtterA new Reflections post on two new qualitative research studies that help us to understand drivers of antibiotic prescribing: a @jhieditor systematic review and going native to gain new insights into prescribing behaviour
A national intervention in Israeli long-term care facilities led to a 50% decline in incidence of acquisition of carbapenem-resistant Enterobacteriaceae (CRE) o
Jon OtterThis is really good news: an intervention study in CID shows that an eye-wateringly high rate of CRE in Israeli long-term acute care facilities can be recovered (prevalence down from 12.3% in 2009 to 0.8% in 2015) @IDSAInfo
Brett Mitchell and colleagues have just published the exciting findings of the Researching Effective Approaches to Cleaning in Hospitals (REACH) study in the Lancet Infectious Diseases, along with …
Jon OtterNew Reflections post on fantastic intervention RCT (REACH study) published in @TheLancetInfDis by @1healthau et al. A simple, low-cost intervention to improve the quality of cleaning reduces VRE infections but not S. aureus BSI or C. difficile infections