Viral Gastroenteritis: Clinical and System Reviews, Incident Analyses
In addition to surveillance and outbreak investigation a system review maybe indicated to identify potential causes of outbreaks and determine appropriate recommendations.
Occurrences of harm are often complex with many contributing factors. Organizations need to:
- Measure and monitor the types and frequency of these occurrences.
- Use appropriate analytical methods to understand the contributing factors.
- Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
- Have mechanisms in place to mitigate consequences of harm when it occurs.
To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for conducting chart audits and analysis methods are included in the Hospital Harm Improvement Resources Introduction.
If your outbreak investigation or system review reveals that your cases of viral gastroenteritis are linked to breaks in infection prevention and control practices, these resources maybe helpful:
Infection Prevention and Control
- Association for Professionals in Infection Control and Epidemiology: Practice guidance for infection prevention https://apic.org/Professional-Practice/overview/
- Centers for Disease Control and Prevention (CDC) : Infection Control https://www.cdc.gov/infectioncontrol/index.html
- Infection Prevention and Control Canada: Resources and Publications https://ipac-canada.org/resources.php
- Provincial Infection Control Network of British Columbia (PICNet): Guidelines and Toolkits https://www.picnet.ca/guidelines/
- Public Health Agency of Canada, Infection Control Guideline Series
- Public Health Ontario: Infection Prevention and Control https://www.publichealthontario.ca/en/health-topics/infection-prevention-control
- World Health Organization: Infection Prevention and Control https://www.who.int/infection-prevention/en/
Gastroenteritis
- Centers for Disease Control and Prevention:
- Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings Norovirus Prevention and Control Guidelines for Healthcare Settings | Infection Control | CDC
- Norovirus Prevention Toolkit General Information about Norovirus | CDC Archive
- Infectious Diseases Society of America, www.idsociety.org
- Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea (2017) https://www.idsociety.org/practice-guideline/infectious-diarrhea/
- Provincial Infection Control Network of British Columbia (PICNet): Gastrointestinal Infection Outbreak Guidelines for Healthcare Facilities https://www.picnet.ca/wp-content/uploads/PICNet-GI-Outbreak-Guidelines_Revised-June-2016.pdf
- Public Health Ontario: Rotavirus https://www.publichealthontario.ca/en/diseases-and-conditions/infectious-diseases/vaccine-preventable-diseases/rotavirus
Viral Gastroenteritis
