Controlling risk in the built environment – evaluation of a risk assessment algorithm | National Resource for Infection Control (NRIC)

Controlling risk in the built environment – evaluation of a risk assessment algorithm

Journal article
Abstract: 
This study describes a small-scale evaluation of an environmental risk assessment algorithm. The risk assessment algorithm was developed in response to a local need to adapt the Healthcare Associated Infection System for Controlling Risk in the Built Environment (HAI-SCRIBE) guidance (Health Facilities Scotland, 2007a) for use with routine maintenance and repair works in order to ensure measures were put in place to protect patients from environmental contamination during such work. The suitability and acceptability of the risk assessment algorithm was evaluated by Estates and Maintenance staff using a two-stage staff questionnaire. The results of the evaluation are presented and description of the advantages of implementing this model of environmental assessment. Limitations and possible further work are considered, including the use of the risk assessment algorithm to confirm its suitability within a larger study group
Authors: 
Alison KnoxKevin GJ PollockLisa M Ritchie Journal of Infection Prevention published online 11 May 2011
Link:
https://journals.sagepub.com/doi/pdf/10.1177/1757177411408157
Category: 
Control
Prevention

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Summary:
This article describes a limited study undertaken to assess the use of an environmental risk assessment algorithm. It was developed for local need and in response to national guidance and was intended to be used when routine maintenance and repair work was undertaken in an effort to raise estates and maintenance staffs awareness of the potential risks that environmental contamination may have on patient safety
Questions Addressed:
Does implementing a risk assessment algorithm prior to routine maintenance being undertaken ensure measures are put in place to protect patients from environmental contamination
Type of Study:
Small scale evaluation by use of pre and post (two stage) staff questionnaires
Methods Valid:
Yes
Methods Valid Detail:

The study population was small and although the questionnaire was piloted, reliability may be suspect as self completion questionnaires used for a close knit group may be influenced by group opinion. The second evaluation questionnaire did however demonstrate much greater attendance at infection control education sessions which is a positive outcome It appeared that following the introduction of the risk assessment algorithm the number of staff who carried out risk assessment prior to a maintenance task did not significantly increase and this appears to be due to the fact that staff did not or could not attend training sessions on the risk assessment algorithm - this needs further investigation and demonstrates the need for managers to be fully involved in any change management undertaken if it is to succeed

Results Reliability:
A small scale study which needs further development
Problems or Biases:

Self completion questionnaire by a close knit group of staff may have been influenced by group opinion and percieved lack of support for change from 'management'

Relevant Studies:
Keywords:
Built environment healthcare associated infection risk assessment
Reviewer Name:
Sue Wiseman
Reviewer Post:
Nurse Consultant for NRIC project
Reviewer Affiliations:
IPS, RCN