FULL DESCRIPTION OF "EVERYTHING YOU CAN DO" BY USING “INICC ONLINE SYSTEM 2”
In order to have access to use the system, please go to the right column called “Request to be incorporated to the INICC International Network”, or send an email to online@inicc.org
1. Cohort HAI surveillance in ICU for adult, pediatric, and neonatal patients, step down units, and inpatients wards
a. Time needed to generate report: 5 seconds.
b. Contents of the report with eighteen (18) charts and tables:
I. Patient characteristics. Three [3] Pie charts, including the following:
1. Age; Gender; Type of hospitalization (Medical; Surgical)
II. Proportion of device associated infections. One [1] Pie chart, including the following:
1. BSI; PNEU; UTI; VAE
III. Health care associated infections rates. Five [5] Column charts, including the following:
1. HAIs per 1000 bed days
2. Percentage of HAIs
3. CLAB per 1000 CL days
4. VAP per 1000 MV days
5. CAUTI per 1000 UC days
IV. Pooled means of central line-associated BSI rates, central line utilization ratios, DA module. Benchmark with Standards. Four [4] Tables, including the following:
1. Number of patients; Number of bed days
2. Number of CLAB; Number of VAP; Number of CAUTI
3. CLAB per 1000 CL days; VAP per 1000 MV days; CAUTI per 1000 UC days
4. CL utilization ratio; MV utilization ratio; UC utilization ratio
5. Benchmark against CDC NHSN stratified by type of ICU
6. Benchmark against International INICC report stratified by type of ICU
7. Benchmark against INICC INDIA report stratified by type of ICU
8. Benchmark against INICC TURKEY report stratified by type of ICU
V. Microorganism profile of HAIs. Three [3] Pie charts, including the following:
1. Of BSI; of PNEU; and of UTI
VI. Attributable extra length of stay. One [1] Table, including the following:
1. Of BSI; of PNEU; of UTI; and of more than one HAI
VII. Attributable extra mortality. One [1] Table, including the following:
1. Of BSI; of PNEU; of UTI; and of more than one HAI
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 25 second per patient on the day of admission to the unit.
II. 20 seconds per day every day from admission to discharge.
III. 10 seconds the day of discharge.
IV. 45 seconds if the patient has a positive culture
V. 20 seconds if the patient acquire an HAI
VI. You shall invest 30 minutes per day per a full ICU with around 20 beds.
VII. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 10 manuscripts per year including as coauthors to all hospital team members that use this component correctly (including 5 mandatory tabs), with enough sample size (at least 500 patients during at least 6 consecutive months of data collection).
2. Aggregated HAI surveillance in ICU for adult, pediatric, and neonatal patients:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with nine (9) charts and tables:
I. Health care associated infections rates. Five [5] Column charts, including the following:
1. HAIs per 1000 bed days
2. Percentage of HAIs
3. CLAB per 1000 CL days
4. VAP per 1000 MV days
5. CAUTI per 1000 UC days
II. Pooled means of central line-associated BSI rates, central line utilization ratios, DA module. Benchmark with Standards. Four [4] Tables, including the following:
1. Number of patients; Number of bed days
2. Number of CLAB; Number of VAP; Number of CAUTI
3. CLAB per 1000 CL days; VAP per 1000 MV days; CAUTI per 1000 UC days
4. CL utilization ratio; MV utilization ratio; UC utilization ratio
5. Benchmark against CDC NHSN stratified by type of ICU
6. Benchmark against International INICC report stratified by type of ICU
7. Benchmark against INICC INDIA report stratified by type of ICU
8. Benchmark against INICC TURKEY report stratified by type of ICU
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 30 seconds per month
e. Publications: Based on this component we publish 1 manuscript every 2 years including as coauthors to all hospital team members that use this component correctly, with enough sample size (at least 6 consecutive months of data collection).
3. Microbiology for adult, pediatric, and neonatal patients:
a. Time needed to generate report: 5 seconds.
b. Contents of the report with four (4) tables:
I. Distribution of Device-Associated Healthcare-Associated Infections (HAIs) Reported to the INICC Network, Stratified by Type of Patient Care Area (PCA). One [1] Table, including the following:
1. Type of units reporting
2. Number of units reporting
3. Number of cultures with BSI as a source
4. Number of cultures with PNEU as a source
5. Number of cultures with UTI as a source
II. Distribution of Procedure-Associated Healthcare-Associated Infections (HAIs). One [1] Table, including the following:
1. Type and number of surgical procedures source of cultures
III. Antimicrobial Resistance Percentages for Pathogenic Isolates, Associated With Cases of Device-Associated Healthcare-Associated Infection (HAI) Reported to the INICC Network. One [1] Table, including the following:
1. No. of pathogenic isolates reported (CLAB, PNEU, UTI, and Pooled)
2. No. of pathogenic isolates tested (CLAB, PNEU, UTI, and Pooled)
3. Resistance percentage (CLAB, PNEU, UTI, and Pooled)
IV. Antimicrobial Resistance Percentages for Pathogenic Isolates Associated With Cases of Surgical Site Infection. One [1] Table, including the following:
1. No. of pathogenic isolates reported from each kind of surgical procedure.
2. Resistance percentage of each kind of surgical procedure
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 1 minute per sample
II. This described time is based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 10 manuscripts per year including as coauthors to all hospital team members that use this component correctly, with enough sample size (at least 20 samples during at least 6 consecutive months of data collection).
4. Monitoring hand hygiene:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with eighteen (18) charts:
I. Compliance of Hand hygiene Pooled by month.
II. Compliance of Hand hygiene stratified by gender of all the period
III. Compliance of Hand hygiene stratified by HCW category of all the period.
IV. Proportion of Hand Hygiene observed opportunities stratified by 5 moments of WHO of all the period.
V. Proportion of Hand Hygiene observed opportunities stratified by used product
VI. Proportion of Hand Hygiene observed opportunities stratified by technique
VII. Compliance of Hand hygiene stratified by work shift
VIII. Proportion of Hand Hygiene observed opportunities stratified by 5 moments of WHO by month.
IX. Proportion of Hand Hygiene observed opportunities stratified by HCW category by month.
X. Proportion of Hand Hygiene observed opportunities stratified by HCW gender by month.
XI. Compliance of Hand hygiene “before contact with patient” per month
XII. Compliance of Hand hygiene “before aseptic task” per month
XIII. Compliance of Hand hygiene “after body fluid exposition risk” per month
XIV. Compliance of Hand hygiene “after patient contact” per month
XV. Compliance of Hand hygiene “after contact with patient surrounding” per month
XVI. Proportion of Hand Hygiene observed opportunities stratified by used towel per month
XVII. Proportion of Hand Hygiene observed opportunities stratified by used product per month
XVIII. Proportion of Hand Hygiene observed opportunities stratified by technique per month
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 20 seconds per shift and per unit once a month to create the cover.
II. 10 seconds per observed hand hygiene opportunity.
III. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 4 manuscripts per year including as coauthors to all hospital team members that use this component, with enough sample size (at least 500 hand hygiene opportunities during at least 6 consecutive months of data collection).
5. Monitoring bundle for BSI:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with fourteen (14) charts:
I. Compliance per month during insertion of using maximal barrier
II. Compliance per month during insertion of skin antisepsis with chlorhexidin
III. Compliance per month during insertion and or maintenance of evaluation of the need of the central line
IV. Compliance per month during insertion and or maintenance of presence of date on administration set
V. Compliance per month during insertion and or maintenance of sterile gauze or sterile transparent dressing
VI. Compliance per month during insertion and or maintenance of sterile dressing in optimal condition
VII. Compliance per month during insertion and or maintenance of single use flushing
VIII. Compliance per month during insertion and or maintenance of daily bath with 2% chlorhexidin impregnated wash cloth
IX. Compliance per month during insertion and or maintenance of chlorhexidin impregnated dressing
X. Compliance per month during insertion and or maintenance of insertion site
XI. Compliance per month during insertion and or maintenance of number of ports
XII. Compliance per month during insertion and or maintenance of type of sterile dressing
XIII. Compliance per month during insertion and or maintenance of type of IV connector
XIV. Compliance per month during insertion and or maintenance of type of IV fluid container
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 20 seconds per unit once a month to create the cover.
II. 20 seconds per observed patients with a vascular catheter once or twice a week.
III. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 4 manuscripts per year including as coauthors to all hospital team members that use this component, with enough sample size (at least 600 observations during at least 6 consecutive months of data collection).
6. Monitoring bundle for UTI:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with twelve (12) charts:
I. Compliance per month during insertion of using maximal barrier
II. Compliance per month during insertion of single use lubricant use
III. Compliance per month during insertion and or maintenance of catheter needed
IV. Compliance per month during insertion and or maintenance of presence of securement of the catheter
V. Compliance per month during insertion and or maintenance of sterile closed drainage system
VI. Compliance per month during insertion and or maintenance of urinary catheter never disconnected
VII. Compliance per month during insertion and or maintenance of urinary catheter above the leg avoiding urinary reflux
VIII. Compliance per month during insertion and or maintenance of urinary collecting bag bellow the level of the bladder, hanging beside the bed
IX. Compliance per month during insertion and or maintenance of urinary collecting bag with less than 75% of capacity full
X. Compliance per month during insertion and or maintenance of catheter indication
XI. Compliance per month during insertion and or maintenance of catheter type
XII. Compliance per month during insertion and or maintenance of catheter inserted
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 20 seconds per unit once a month to create the cover.
II. 20 seconds per observed patients with a vascular catheter once or twice a week.
III. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 4 manuscripts per year including as coauthors to all hospital team members that use this component, with enough sample size (at least 600 observations during at least 6 consecutive months of data collection).
7. Monitoring bundle for PNEU:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with ten (10) charts:
I. Compliance per month during insertion and or maintenance of semi recumbent position of the head (30-45 degrees)
II. Compliance per month during insertion and or maintenance of evaluation of readiness to wean
III. Compliance per month during insertion and or maintenance of comprehensive oral care with antiseptic solution
IV. Compliance per month during insertion and or maintenance of presence of gastric over distention
V. Compliance per month during insertion and or maintenance of subglottic suctioning
VI. Compliance per month during insertion and or maintenance of endotracheal cuff above 20 cm of water
VII. Compliance per month during insertion and or maintenance of prophylaxis for stress ulcer
VIII. Compliance per month during insertion and or maintenance of absence of tubing condensate
IX. Compliance per month during insertion and or maintenance of type of ventilation
X. Compliance per month during insertion and or maintenance of percentage of oro tracheal intubation over naso tracheal intubation
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 20 seconds per unit once a month to create the cover.
II. 20 seconds per observed patients with a vascular catheter once or twice a week.
III. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 4 manuscripts per year including as coauthors to all hospital team members that use this component, with enough sample size (at least 600 observations during at least 6 consecutive months of data collection).
8. Surgical procedures:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with nine (9) charts and tables:
I. Hospital and Patient characteristics. One [1] Table, including the following:
1. Number of patients; Age; Height; Weight; Gender;
2. Malnutrition Rate; Overweight Rate; Diabetes Rate; Smokers; Remote Site Infection; Prosthesis implant; Trauma
II. Wound Classification. One [1] Table, including the following:
1. Clean; Clean-Contaminated; Contaminated; Dirty
III. Surgical procedure. One [1] Table, including the following:
1. Proportion of each Surgical Procedure according with ICD9, ICD 10 and according with NHSN 2015
IV. Surgical procedure characteristics and surgical site infections. One [1] Table, including the following:
1. Inpatient Stay; Type (Emergency/Programmed); Average Duration; Number of surgical site infections; Surgical site infection rate; Microorganisms
V. Process Surveillance. Four [4] Column Charts, including the following:
1. Compliance with pre-surgical Bath, and used product
2. Compliance with pre-surgical Hair removal and type of removal
3. Compliance with pre-surgical Skin preparation, and used product
4. Compliance with pre-surgical Antibiotic prophylaxis, and used drug
VI. SSI rates. Benchmark with International Standards. One [1] Table, including the following:
1. SSI rate stratified by surgical procedure
2. Benchmark against CDC NHSN stratified by type of Surgical Procedure according with classifications of ICD9, ICD10 and CDC NHSN
3. Benchmark against International INICC report stratified by type of Surgical Procedure according with classifications of ICD9, ICD10 and CDC NHSN
4. Benchmark against INICC INDIA report stratified by type of Surgical Procedure according with classifications of ICD9, ICD10 and CDC NHSN
5. Benchmark against INICC TURKEY report stratified by type of Surgical Procedure according with classifications of ICD9, ICD10 and CDC NHSN
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 1 minutes on the day of admission to the surgical procedure.
II. Then 10 seconds the day of discharge.
III. If they have a positive culture you invest 30 seconds that day.
IV. If they have an HAI you invest 10 seconds that day.
V. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 2 manuscripts per year including as coauthors to all hospital team members that use this component correctly (including 5 mandatory tabs), with enough sample size (at least 500 patients during at least 6 consecutive months of data collection).
9. Antimicrobial consumption:
a. Time needed to generate report: 2 seconds.
b. Contents of the report with eighteen (1) chart per each antibiotic:
I. Defined daily dose of this antibiotic per 1000 bed days
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 20 seconds per unit once a month to create the cover
II. 10 seconds per used antibiotic per month
III. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 2 manuscripts per year including as coauthors to all hospital team members that use this component correctly, with enough sample size (at least 6 consecutive months of data collection).
10.Needle stick injuries:
a. Time needed to generate report: 5 seconds.
b. Contents of the report with twenty one (21) charts:
I. Date of Injury by month
II. Time of the day when the Injury occurred
III. Job Category of injured worker
IV. Gender of injured worker
V. Age of injured worker
VI. Dominant hand of injured worker
VII. Number of injuries per month
VIII. Place where the injury occurred
IX. Home employing Department where the injury occurred
X. When did the injury happened
XI. Activity were performing when the injury occur.
XII. For what purpose was the sharp item originally used
XIII. Identification of the source
XIV. If injury was to the hand, did the sharp item penetrate gloves?
XV. Which device caused the injury
XVI. Kind of glass object associated with the injury
XVII. Kind of needle associated with the injury
XVIII. Kind of surgical device associated with the injury
XIX. Level of contamination of the Sharp item:
XX. Was the injured worker the original user of the sharp item
XXI. Was the protective mechanism activated
c. Type of report:
I. Online
II. Printed
III. PDF file
IV. Row data as an Excel or CSV file
d. Time to upload data:
I. 1 minute per HCW with an injury
II. All these described seconds and minutes are based on real facts measured meanwhile HCWs collect data and generate reports.
e. Publications: Based on this component we publish 2 manuscripts per year including as coauthors to all hospital team members that use this component (at least 20 HCWs with an injury during at least 6 consecutive months of data collection).