Reducing Gram-negative bloodstream infections — next steps

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Below are some suggested actions to take, once processes from the other six GNBSI toolkit areas are in place.

Action: review admissions and care pathways

Consider working with commissioners on unplanned admissions, and consider a review of pathways of care.


Action: review data and feedback

Review the Getting It Right First Time (GIRFT) data and feedback from relevant providers, to determine if any benchmarking improvements along patient pathways are required.

Oxford University Hospitals NHS Foundation Trust - GNBSI HPB analysis DOCX, 17.6 KB

Initial work from Oxford University Hospitals NHS Foundation Trust on hepato-biliary sources. Further information will be posted when more data is available, with more suggested interventions for the hepato-biliary group.


Action: consider infection sources and review practice

Consider hepato-biliary sources of infection and surgical site infection (SSI) reduction. Compare SSI rates following hepato-biliary interventions. Review practice against best practice; consider using a specific subgroup to review this risk factor.


Action: benchmarking

Consider benchmarking against systems that have sustained an improvement.


Action: review Klebsiella/Pseudomonas data

Review Klebsiella and Pseudomonas data, and benchmark against appropriate systems.



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