South Eastern Sydney Local Health District (SESLHD)
In 2014, The Sutherland Hospital Department of Critical Care
Medicine experienced an increased volume of Multi Resistance
Organism (MRO) acquisitions, both methicillin resistant
staphylococcus aureus and vancomycin resistant enterococcus.
Many of the acquisitions had similar genotypes which indicated
that MROs were being transferred between patients. We identified
that the volume of MRO acquisitions were due to:
- inadequate number of isolation rooms
- unit design (double bed-bays) and functional areas not
conducive to management of MROs
- multiple bed moves to accommodate for staff allocation and
changing patient acuity
- length of time to process test, leading to cohorting of
patients with unknown MRO-status which increased the risk
In order to reduce acquisition rates and improve patient safety we
implemented a multi-faceted project to address the issues identified.
The implementation of these strategies resulted in significant
reduction in MRO acquisitions from 15.7 (above state benchmark
of 2) to 1.3 per 1000 occupied bed days.