The Watt Group Report

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THE WATT GROUP REPORT

APPENDIX E INFECTION CONTROL OUTBREAK/EPISODE RISK MATRIX

An infection outbreak/episode (e.g., single case of rabies, Legionellae, Dentist/Doctor with confirmed Hepatitis B undertaking exposure prone procedures etc.) is difficult to incorporate into the existing AS/NZS 4360:1999 Risk Management Standard because although consequences of recurrence can be established it can be difficult to ascertain the likelihood of recurrence. The Infection Control Team will quantify the infection control risk criteria and ascertain the associated risk, which will determine the appropriate action to be taken.

Four infection risk categories can be identified:

Red - High Risk

Orange - Moderate Risk

Yellow - Low Risk

Green - Very Low Risk


Criteria

Quantification Criteria

Risk Category

Action Required

Communications

3 or more met

Death and/or serious illness
Major implications for public health
Exceptional or unusual infection episode
Major disruption of health and/or public services
Major public anxiety and concern

Red - High Risk

Implement Area Major Outbreak Plan

Full (e.g., Trust, Health Board, SCIEH, FSA, SEHD) and others as appropriate (e.g., Local Authority, Water Authority, SEPA, HSE etc.)

1 or 2 met

Death and/or serious illness
Major implications for public health
Exceptional infection episode
Major disruption of health and/or public services
Major public anxiety and concern

Orange - Moderate Risk

Implement Trust Outbreak Plan - Full Outbreak Control Team

Full (e.g., Trust, Health Board, SCIEH, FSA, SEHD) and others as appropriate (e.g., local authority, water authority, SEPA, HSE etc.)

3 or more met

Serious illness and/or moderate infection episode and/or cases
Moderate impact on public health
Short-term disruption of health and/or public services
Moderate public anxiety and concern

Yellow -Low Risk

Implement Trust Outbreak Plan - Infection Control Team

Trust and Health Board communications

All 4 met

Minimal infection episode and/or case
Minimal impact on public health
Minimal disruption of health and/or public services
Minimal public anxiety and concern

Green - Very Low Risk

Implementation- Infection Control Team Investigation

Trust communications

N.B. Infection risk category coding may vary slightly from Trust to Trust. No more than four risk categories should apply to this infection control risk matrix.

Page updated: Friday, June 24, 2005