NABH AND JCI GUIDELINE of control and prevention of infection

NABH AND JCI GUIDELINE of control and prevention of infection

1. JAI HIND Virendra Kumar Maurya Assistant Professor CAEHS COLLEGE ,MEERUT Subject- Introduction to quality and patients safety Topic- Guideline (NABH) and JCI for hospital infection control

2. Guideline (NABH) and JCI for hospital infection control Hospital infection control is a critical aspect of healthcare quality and safety, and both NABH (National Accreditation Board for Hospitals & Healthcare Providers) and JCI (Joint Commission International) provide comprehensive guidelines to establish effective infection prevention and control (IPC) programs.

3. NABH Guidelines for Hospital Infection Control NABH emphasizes establishing a structured infection control program as part of its standards for hospital accreditation. The guidelines include:

4. 1. Governance and Oversight 2. Infection Control Policies 3. Training and Education 4. Surveillance and Audits 5. Environmental and Facility Management

5. 1. Governance and Oversight Formation of an Infection Control Committee (ICC) led by a senior clinician or microbiologist. Appointment of an Infection Control Officer (ICO) and an infection control nurse (ICN). Regular ICC meetings to monitor and improve infection control practices.

6. 2. Infection Control Policies Comprehensive policies for hand hygiene, isolation precautions, environmental cleaning, and waste management. Antimicrobial stewardship program to prevent antimicrobial resistance. Surveillance for hospital-acquired infections (HAIs) like bloodstream infections, surgical site infections, and ventilator-associated pneumonia.

7. 3. Training and Education Continuous education and training for all healthcare workers on infection prevention. Periodic evaluations to ensure adherence to infection control policies.

8. 4. Surveillance and Audits Regular monitoring of infection rates and reporting trends to the ICC. Root cause analysis for outbreaks or unusual trends in HAIs. Compliance audits for hand hygiene, sterilization practices, and equipment disinfection.

9. 5. Environmental and Facility Management Cleanliness of patient care areas, sterilization of surgical instruments, and air quality management (e.g., HEPA filters in critical areas). Adherence to biomedical waste management as per national standards.

10. JCI Guidelines for Hospital Infection Control JCI standards for infection prevention are globally recognized for their rigor(stiffness)and focus on patient safety.

11. Leadership and Accountability Risk Assessment and Program Development Evidence-Based Practices Surveillance and Reporting Education and Training Facility Design and Maintenance Outbreak Management

12. Leadership and Accountability Clear leadership structure with accountability for infection control at the organizational level. Designation of a qualified infection prevention and control professional

13. Risk Assessment and Program Development Regular risk assessments to identify and address infection control vulnerabilities. Implementation of a hospital-wide infection prevention and control program.

14. Evidence-Based Practices Implementation of WHO-recommended standard precautions (e.g., hand hygiene, PPE use). Guidelines for airborne, droplet, and contact precautions. Focus on reducing catheter-associated urinary tract infections (CAUTI), central line-associated bloodstream infections (CLABSI), and surgical site infections.

15. Surveillance and Reporting Ongoing surveillance of HAIs with strong data collection, analysis, and feedback mechanisms .

16. Education and Training Regular training for clinical and non-clinical staff on infection control protocols.

17. Facility Design and Maintenance inclusion of infection prevention principles in facility design (e.g., isolation rooms). Maintenance of ventilation systems and environmental cleanliness to reduce infection risks.

18. Outbreak Management Structured protocols for managing outbreaks, including isolation, contact tracing, and incident review. Collaboration with public health authorities during epidemics or pandemics.

19. Comparison with JCI & NABH Aspect NABH JCI Focus National standards tailored for India International standards, globally applicable Governance Infection Control Committee (ICC) required Infection prevention professional required Surveillance Nationally relevant data collection Emphasis on global benchmarking Training Focus on continuous training Evidence-based training programs Design Requirements Compliance with Indian guidance's Integration of global best practices

20. Both NABH and JCI standards align closely in their principles but differ in scope and application, with JCI having a more international focus and NABH designed specifically for Indian healthcare settings.

21. THANK U