a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Open disclosure is defined as an open, consistent, compassionate and timely approach to communicating with patients and, where appropriate, their relevant person following patient safety incidents. It includes expressing regret for what has happened, keeping the patient informed and providing reassurance in relation to ongoing care and treatment, learning and the steps being taken by the health services provider to try to prevent a recurrence of the incident. (HSE 2019). A comprehensive and clear discussion of an incident that resulted or may have resulted in harm to a service user while receiving healthcare. Open disclosure is an ongoing communication process with service users and their families or carers following an adverse event." ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Open Disclosure" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Claim" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The administration of a drug to prevent the development of an infection after the patient has been exposed to the infection" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Post-Exposure Prophylaxis" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; , , , ; "HSE Integrated Risk Management Policy - Part 1" ; "Manager" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A patient bedroom which accommodates one patient only.Single rooms should also have en-suite facilities. Isolation in a single room is effective in reducing transmission of infections spread by the contact or droplet routes, when combined with other infection prevention and control measures such as hand hygiene and personal protective equipment" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Single Room" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Information, recorded in any form, which is created or communicated by an organisation or individual relating to the past, present or future, physical or mental health or social care of an individual (also referred to as a cohort). Health information also includes information relating to the management of the health care system." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Health Information" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Using information from incident management to inform a proactive approach to managing risk. Data relating to incidents which occur is a critical source of information about risk. Incident data can be used both to identify risk and also to monitor the effectiveness of actions taken to prevent its recurrence." ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Respond" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Likely Outcome" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Adverse publicity in the media, loss of public confidence in a service or the organisation e.g. poor service performance." ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Adverse Publicity/Reputation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Those closest to the patient in knowledge, care and affection and who are connected through their common biological, legal, cultural, and emotional history" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Family" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "An After Action Review (AAR) is a structured facilitated discussion of an event, the outcome of which enables the individuals involved in the event to understand why the outcome differed from that which was expected and what learning can be identified to assist improvement" ; ; "HSE Incident Management Framework - Guidance 2020" ; "After Action Review" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "External Inspection" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "An approach to the planning of treatment and the delivery of care for a service user by a team of healthcare professionals who work together to provide integrated care" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Multidisciplinary" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Monitor Status" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Recomended Re-Ratings" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A blood test that is used to detect the presence of bacteria or yeasts in the blood which may have spread from another site in the body, to identify the micro-organisms present and to guide treatment" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Blood Cultures" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Management Meeting" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risks Notified From Another Organisation Level" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Clinical and non-clinical incidents rated as Minor or Negligible as per the HSE’s Risk Impact Table" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Category 3 Incident" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A specialist laboratory that tests for contaminants that affect the environment, including water supplies" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Environmental Laboratory Service" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "All information in both paper and electronic formats relating to the care of a patient" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Healthcare Record" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Internal Factor" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Statements which describe the relationships between the contributing factors and the incident and/or outcome." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Statement of Findings" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Service Development" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Review" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; "Monitor and Review Process" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Status Change" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Any physical or psychological injury or damage to the health of a person, including both temporary and permanent injury" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Harm to a Person" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to consultant grade medical doctor whostudies the science of the isolation and identification of micro-organisms that cause disease in humans and applies this knowledge to treat, control and prevent infections in humans" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Consultant Medical Microbiologist" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Integrating safety information in order to identify areas where safety improvement is required." ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Learn and Improve" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to information collected from a limited number of selected reporting sites that can be used to signal trends, identify outbreaks and monitor the burden of disease, providing a rapid, economical alternative to other surveillance methods" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Sentinel (Surveillance) Data" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A parameter of a laboratory’s efficiency, defined as the time between ordering a test or submitting a specimen to the laboratory and the reporting of results" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Turnaround Time" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Measure Control and Monitor" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Information that has been processed or analysed to produce something useful and is accurate, valid, reliable, timely, relevant, legible and complete" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Quality Data" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Regulatory Investigation" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A risk profile is a written description of a set of risks. A risk profile can include the risks that the entire organisation must manage or only those that a particular function or part of the organisation must address. (In the HSE, a services risk profile is set out in their risk register). " ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Profile" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Assigned to tasks as part of risk assessment process (p8)" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Action Owners" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Services received by individuals or communities to promote, maintain, monitor or restore health" ; ; , , , , , , , , , , , , , , , , , , , , , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Healthcare" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Issues that would affect an organisation's ability to provide service e.g. deregistration, fire, flood, ICT or electric outage, industrial strikes. " ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Business Continuity" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "External Audit" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Includes healthy body weight/controlled body weight, good nutrition, being physically active, not smoking, drinking alcohol within recommended weekly allowances" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Protective Lifestyle Factors" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "External Factor" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Hospital-based healthcare services for inpatients, outpatients and people having day-case treatments" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Acute Services" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The physical removal of foreign material such as bloody and bodily substances, rust, dust, dirt, debris, spillages, and so on. Cleaning physically removes rather than kills micro-organisms. It is achieved withwater, detergents and mechanical action" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Cleaning" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Facilities" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A written operational statement of intent which helps staff make appropriate decisions and take actions, consistent with the aims of the service provider, and in the best interests of service users" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Policy" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Initial Risk Rating" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Primary Impact Area" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Systematically developed statements or processes to assist clinician and patient decisions about appropriate healthcare for specific clinical circumstances, with the type of clinical practice guidance determined by evidence-based criteria and clinical requirements" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Clinical Practice Guidance" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Serious Reportable Events (SREs) are a defined subset of incidents which are either serious or that should not occur if the available preventative measures have been effectively implemented by healthcare providers. Serious Reportable Events are mandatorily reportable by services to the Senior Accountable Officer." ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Serious Reportable Event" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The removal of micro-organisms or foreign matter (or both) from contaminated materials or living tissue. Three processes for decontamination are commonly used: cleaning, disinfection and sterilisation" ; ; , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Decontamination" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Releases of substances that would have a detrimental environmental impact e.g. chemical spills, poor waste management practices, radiological leaks. " ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Environmental Impact" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Chronic diseases that are not passed from person to person. The four main types of non-communicable diseases are cardiovascular diseases, cancers, chronic respiratory diseases and diabetes" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Non-Communicable Disease" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Specific and measurable elements of practice that can be used to assess quality and safety of care" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Key Performance Indicator" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Tool for ranking and displaying risks by defining ranges for consequence and likelihood." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Matrix" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "When micro-organism or micro-organisms are living on or in a person without causing disease" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Colonisation/Colonised" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Plan Action" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Risk Advisor" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Replacing any identifying characteristics of data with a pseudonym, or, in other words, a value which does not allow the data subject to be directly identified.Ref. Guidance Note: Guidance on Anonymisation and Pseudonymisation. Data Protection Commission. June 2019" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Pseudonymisation" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Service User Consultation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The process of identifying a disease or condition by carrying out tests or by studying the symptoms" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Diagnosis" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2/HSE Incident Management Framework/HSE Incident Management Framework - Guidance 2020" ; "An event or circumstance which could have, or did, lead to unintended and/or unnecessary harm. Incidents include adverse events which result in harm; near-misses which could have resulted in harm, but did not cause harm, either by chance or timely intervention; and staff or service user complaints which are associated with harm." ; ; , , , , , , , , , , , , , , , , , , , , , ; "HSE Integrated Risk Management Policy - Part 2/HSE Incident Management Framework/HSE Incident Management Framework - Guidance 2020" ; "Incident" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "For example where the management of a risk requires the supervision of staff, or assurance in relation to the systems already in place" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Management Plan" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Project risks relate to the achievement and delivery of the project objectives and outcomes. The majority of project risks are short term in nature and exist for the term of the project, whilst some will be on-going and re-classified at the end of the project. Projects can be defined as temporary, with the aim of delivering outcomes within a specified timeframe." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Project Risk" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Improvement" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A process used to reduce the number of viable micro-organisms, but which may not necessarily inactivate some infectious agents" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Disinfection" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A ministerial committee established by the Department of Health as part of the Patient Safety First initiative to provide oversight for the national clinical effectiveness agenda, which includes national clinical guidelines, national clinical audit and clinical practice guidance" ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "National Clinical Effectiveness Committee (NCEC)" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Risk is the effect of uncertainty on objectives. It is measured in terms of consequences and likelihood" ; ; , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Risk" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Equipment a person wears to protect themselves from risks to their health or safety, including exposure to infections, for instance, disposable gloves and disposable aprons" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Personal Protective Equipment (PPE)" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The discipline and practice of preventing and controlling healthcare-associated infection and the spread of infectious diseases in a healthcare service" ; ; , , , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infection Prevention and Control (IPC)" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The broad and heterogeneous information that includes, but is not limited to, the description of incidents with medical errors or near misses, their causes, the follow-up corrective actions, interventions that reduce future risk, and patient safety hazards." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Patient Safety Data" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "ICC approach to risk description (Impact, Cause, Context)" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "ICC Approach" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "The term “service user” in relation to a health services provider means a person to whom a health service is, or has been, provided" ; ; , , ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Service User" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Actions Due and Incomplete" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The constant presence of a disease or micro-organism within a given geographic area or population group; it may also refer to the usual prevalence of a given disease within such area or group" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Endemic" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Fraud, claims, budgetary overruns." ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Financial Loss" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Specialist organisation which is responsible for surveillance of communicable disease and other functions in Ireland. It is part of the Health Service Executive (HSE)" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Health Protection Surveillance Centre (HPSC)" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Secondary Impact" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to a consultant grade medical doctor who specialises in the prevention, diagnosis and management of infectious disease" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infectious Diseases Consultant" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Negative service user experience that may have a negative impact on outcome, limit their engagement with a service or lead to a complaint." ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Service User Experience Impact" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Legal and Regulatory Context" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Avoidance" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A substance that kills or inhibits the growth of micro-organisms such as bacteria, viruses or fungi" ; ; , , , , , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "An incident which results in harm, which may or may not be the result of an error." ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Adverse event" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A number of related projects and initiatives with a collective aim of minimising harm and improving outcomes for patients" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Quality Improvement Programme" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1 / HSE Integrated Risk Management Policy - Part 2" ; ; ; "HSE Integrated Risk Management Policy - Part 1 / HSE Integrated Risk Management Policy - Part 2" ; "Management Team" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "This is the local manager who is responsible for the service in which the incident occurred e.g. ADON, Person in Charge, Business Manager, Clinical Lead" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Local Accountable Officer" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Review where a number of people may have been exposed to a specific hazard in order to identify if any of those exposed have been harmed and how to take care of them" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Look Back Review" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Staff Consultation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A multidisciplinary group of people from within and outside a hospital or group of hospitals, which reports to senior management. The committee is responsible for expert governance oversight and review of the service to ensure safe and effective use of medicines in the hospital or hospitals in question" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Drug and Therapeutics Committee" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A quality improvement process that seeks to improve care and outcomes through systematic review of care against explicit criteria and the implementation of change" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Clinical Audit" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Any incident with the potential to expose people to infection risk" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Healthcare-Associated Infection Incident" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A statistic or marker that has been chosen to monitor health or service activity" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Indicator" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Quality Patient Safety/Risk Manager/Advisors" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The failure of a planned action to be completed as intended or use of a wrong inappropriate or incorrect plan to achieve an aim." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Error" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "An identifiable person in charge with overall responsibility for the patient’s care" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Lead Healthcare Professional" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A general term referring to any action of hand cleansing" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Hand Hygiene" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Health and Safety Risk Assessment" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; "Updating Existing Risks on a Risk Register" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Updating Existing Risks" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Systematic process of gathering information and tracking change over time. Monitoring provides a verification of progress towards achievement of objectives and goals" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Monitoring" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Systematic identification of the needs of an individual or population to determine the appropriate level of care or services required" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Needs Assessment" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "An understanding of human limitations, designing the workplace and the equipment healthcare providers use to allow for variability in humans and human performance." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Human Factors" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Project slippage and failure to meet objectives of projects." ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Objectives and Projects" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A systematic process applied to the organisation’s objectives and activities to identify possible risk sources and causes and potential consequences or impacts should a risk occur." ; ; , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Identification" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Standard Precautions" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Impact Area" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Reduction via Administrative Controls" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Equipment and Resources" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Stakeholders" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Leadership and Governance" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Additional Controls" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; , , , ; "HSE Integrated Risk Management Policy - Part 2" ; "Care" . a ; "19/04/2022" ; "Lucy" ; "AHRQ" ; "Are measures of a health care provider’s capacity, systems, and processes to provide high-quality care." ; ; "AHRQ" ; "Structural Measures" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to a specialist laboratory that provides additional support and expertise to routine laboratories" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Reference Laboratory" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; , , , , , , , , , , , , ; "HSE Integrated Risk Management Policy - Part 2" ; "Service Objectives" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Community Health" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Structures, systems and processes a service has in place to prevent and control healthcare-associated infections" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infection Prevention and Control Programme" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The right of individuals to keep information about themselves from being disclosed" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Confidentiality" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "In healthcare, an integration of corporate and clinical governance; the systems, processes and behaviours by which services lead, direct and control their functions in order to achieve their objectives, including the quality and safety of services for service users" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Governance" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The combination of competencies including skills needed in the workforce to accomplish the specific tasks or perform the given functions required for safe, high-quality care" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Skill-Mix" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A trained clinical pharmacist who has a defined remit to ensure the rational, safe and appropriate use of antimicrobial agents." ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial Pharmacist" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Natural justice is legal language for two ancient rules from the Romans who believed that some legal principles were self-evident and did not require a statutory basis.The first is a rule against bias and is known as “nemo iudex in causa sua”.It means that no person can judge a case in which they have an interest.The second rule “Audi alteram partem” means “hear the other side too”. It is most often used to refer to the principle that no person should be judged without a fair hearing in which each party is given the opportunity to respond to the evidence against them" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Fair Procedures and Natural Justice" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Lack of an immune response to vaccines" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Vaccine Non-Responder" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The practice that serves to keep people and the environment clean. In a healthcare setting it incorporates the following key areas: environment and facilities, hand hygiene, management of laundry, waste and sharps, and equipment, specifically in the context of preventing and controlling infection" ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Hygiene" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "When two or more people have the same infection, or more people than expected have the same infection.The cases will be linked by a place and a time period." ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Outbreak" . a ; "19/04/2022" ; "Lucy" ; "IHI" ; "How does the system impact the values of patients, their health and wellbeing? What are impacts on other stakeholders such as payers, employees, or the community?" ; ; "IHI" ; "Outcome Measures" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Individual Staff" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A written set of instructions that describes the approved and recommended steps for a particular act or sequence of events" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Procedure" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Anticipation involves thinking ahead and envisioning the things that are most likely to contribute to risk or safety failures. Safety from this perspective therefore involves looking ahead and identifying the hazards and risks that may cause harm if left unmanaged." ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Anticipate" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020" ; "A continuous proactive and systematic process to understand, manage and communicate risk from an organisation-wide perspective." ; ; "HSE Incident Management Framework 2020" ; "Integrated Risk Management" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "A descriptive term for a category made up of incidents of a common nature grouped because of shared, agreed features" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Incident Type" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Delivery of intravenous antimicrobials in a non-inpatient setting" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Outpatient Parenteral Antimicrobial Therapy (OPAT)" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "Failure to comply with HIQA/MHC standards, Codes of Practice or Conduct set by professional regulators, relevant legislation e.g. Safety, Health and Welfare at Work Act, Financial Regulations etc." ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Compliance Impact" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "External Stakeholder Consultation" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Actions Required" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A description of the aims and objectives of the service including how resources are aligned to deliver these objectives. It also describes in detail the range, availability and scope of services provided by the overall service" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Statement of Purpose" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Clinical and non-clinical incidents rated as Moderate as per the HSE’s Risk Impact Table" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Category 2 Incident" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A multidisciplinary group of people from within and outside a hospital or groups of hospitals, which reports to senior management. The committee is responsible for the review and oversight of decontamination of medical devices and equipment in the hospital or hospitals in question" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Medical Device Equipment Decontamination Committee" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The use of antimicrobials to prevent an infection in clinical situations where there is significant risk of infection occurring" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Prophylactic Antimicrobial Therapy" . a ; "19/04/2022" ; "Lucy" ; "Dashboard reporting is a visual representation of your company's key performance indicators (KPIs)." ; ; "Dashboard Reporting" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Inclusion Criteria" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The Health Service Executive (HSE)list of serious reportable events as it relates to infection prevention and control includes ‘patient death or serious disability associated with the use of contaminated medications, medical devices or biologics provided by the healthcare service provider’. The national incident management system list of reportable incidents includes biological hazards from injury including exposure to needle-stick, bite, ingestion, skin contact, bodily fluids and sharps" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Serious Incidents" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Amount and type of risk that an organisation is willing to pursue or retain." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Appetite" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infectious disease that can be passed from one person to another" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Communicable Disease" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A systematic approach to promoting and monitoring the judicious use of antimicrobials to preserve their future effectiveness" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial Stewardship" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A person with responsibility for directly managing individual employees or teams. In turn, they report to a higher level of management on the performance and well-being of the employees or teams they manage." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Line Manager" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "The person who commissions an incident review. For Category 1 incidents it is the Senior Accountable Officer (SAO) or person who has a direct reporting relationship to the SAO. For Category 2 incidents it is the Local Accountable Officer." ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Review Commissioner" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The place where the following three elements come together: the patient, the healthcare worker and the care or treatment involving contact with the patient or the patient’s surroundings" ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Point of Care" . a ; "19/04/2021" ; "Lucy" ; "The duration of time the patient spends in the hospital or a specific part of the hospital waiting for care services." ; ; "Length of Stay (LOS)" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A system through which service providers are accountable for continuously improving the quality of their clinical practice and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish. This includes mechanisms for monitoring clinical quality and safety through structured programmes, for example, clinical audit." ; ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Clinical Governance" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "The categories used by the organisation to group similar opportunities or risks for the purposes of reporting and assigning responsibility." ; ; , , , , , , , , , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Categories" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The arrangements that service providers have in place to manage information to support their immediate and future regulatory, legal, risk, environmental and operational requirements" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Information Governance" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Operational Objectives" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "This term is used to refer to the person whose role it is to advise and support a service in relation to their Quality and Patient Safety processes and response. It is noted that the title given to this role can vary between services e.g. Quality & Safety Manager, Quality, Risk and Safety Manager etc" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "QPS Advisor" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Rate at which new cases occur" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Incidence (of Infection)" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A risk register is a database of assessed risks that face any organisation at any one time. Always changing to reflect the dynamic nature of risks and the organisation’s management of them, its purpose is to help managers prioritise available resources to minimise risk and target improvements to best effect." ; ; , , , , , , , , , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Register" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Standards" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Usually includes chief executive officer, clinical director, director of nursing and board of the service" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Senior Management Team" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; , ; "HSE Integrated Risk Management Policy - Part 2" ; "Service Context" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "An integrated pattern of individual and organisational behaviour, based upon shared beliefs and values, which continuously seeks to minimise service user harm which may result from the processes of care delivery." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Safety Culture" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A nurse with specialist postgraduate qualifications and expert knowledge in infection prevention and control. The IPCN acts as an advocate for the patient in quality improvement, safety and risk. IPCNs lead and implement the hospital or service infection prevention and control annual plan. The IPCN engages in activities such as:act as an advisor in management of outbreaks;development of healthcare facilities;surveillance;audit;decontamination and the education of all healthcare workers and outside contractors" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infection Prevention and Control Nurse (IPCN)" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Risk Manager" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Structures, systems and processes that a service has in place for safe and effective antimicrobial use" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial Stewardship Programme" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "These are additional precautions that staff need to take when standard precautions may be insufficient to prevent cross transmission of specific infectious agents. Transmission-based precautions are categorised by the route of transmission of infectious agents (some infectious agents can be transmitted by more than one route) including contact, droplet and airborne precautions" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Transmission-Based Precautions" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "n the context of the management of an incident, the Senior Accountable Officer is the person who has ultimate accountability and responsibility for the services within the area where the incident occurred. In a hospital group it would be a person with delegated responsibility for a service and reporting directly to the Hospital Group CEO, e.g. a hospital manager or the person delegated with overall responsibility for the management of a clinical directorate or service, in a CHO it could be the Head of Service and in the case of the NAS, it could be the NAS corporate area manager" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Senior Accountable Officer" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infections that are acquired after contact with a healthcare service" ; ; , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Healthcare-Associated Infection" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The National Incident Management System, hosted by the State Claims Agency, is a highly secure web-based database which facilitates direct reporting of adverse events by State authorities and healthcare enterprises; it is the single designated system for reporting of all incidents in the public healthcare system i.e. for HSE and HSE funded services." ; ; "HSE Incident Management Framework - Guidance 2020" ; "National Incident Management System (NIMS)" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Procedure where there is a risk that injury to the healthcare professional may result in exposure of patients’ open tissues to the blood of the healthcare professional" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Exposure Prone Procedure" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A group of people, from within and outside the service, with complementary knowledge and skills relating to antimicrobial stewardship." ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial Stewardship Team" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "The remaining level of risk after all treatment plans have been implemented." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Residual Risk Rating" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The impact that a test, treatment, policy, programme or other intervention has on a person, group or population" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Outcomes" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to services that carry out testing, identification, and analysis of micro-organisms" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Microbiological Services" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The knowledge, skills, abilities, behaviours, experience and expertise to be able to perform a particular task and activity." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Competence" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Immediate Action" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A standard is a statement which describes the high-level outcome required to contribute to quality and safety" ; ; , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Standard" . a ; "19/04/2022" ; "Lucy" ; "IHI" ; "Are changes designed to improve one part of the system causing new problems in other parts of the system?" ; ; "IHI" ; "Balancing Measures" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Healthcare services working together, both internally and externally, to ensure service users receive continuous and coordinated care" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Integrated Care" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A systematic approach using specific methods to improve quality through achieving successful and sustained improvement" ; ; , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Quality Improvement" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Dangerous occurrences may result from a sequence of events and circumstances involving a combination of unsafe acts, unsafe conditions, system failures, human factors and/or omissions. It most directly relates to the term ‘reportable circumstance’ as defined by the WHO (2009)" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Dangerous Occurrences" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Any person, organisation, or part of an organisation delivering healthcare services [as described in the Health Act 2007 section 8(1)(b)(i)–(ii)]" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Service Provider" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Issue(s) that arose in the process of delivering and managing health services identified during the course of a review which the reviewers consider did not impact on the outcomes but which serve to identify issues for system improvement e.g. issues relating to documentation, communications etc" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Incidental Findings" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "All steps necessary to make a contaminated reusable invasive medical device ready for its intended use. These steps include cleaning, disinfecting, sterilising, functional testing, packaging and labelling" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Reprocessing" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Control Status" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "An organisation’s or stakeholder’s readiness to bear the risk after risk treatment in order to achieve its objectives." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Tolerance" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "An expression of dissatisfaction with any aspect of service provision. The Health Act 2004 defines a complaint as: A complaint means a complaint made about any action of the Executive, or a Service Provider (see definition below) that, is claimed does not accord with fair or sound administration practice, adversely affects the person by whom, or on whose behalf, the complaint is made" ; ; , ; "HSE Integrated Risk Management Policy - Part 1 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Complaint" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "All acute, primary and community care services that provide healthcare" ; ; , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Healthcare Services" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Community Engagement" . a ; "31/05/2022" ; "Lucy" ; ; "COVID-19" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A device used for diagnostic or therapeutic purposes which, in whole or in part, penetrates inside the body, either through a body orifice or through the surface of the body and which can be reused after appropriate decontamination procedures have been carried out" ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Reusable Invasive Medical Device" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; "The workforce of an organisation." ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Human Resources" . a ; "19/04/2022" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Any aspect of a person's lifestyle, environment or pre-existing health condition that may increase their risk of developing a specific disease or condition" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Lifestyle Risk Factor" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Please note that the term “service” as used throughout these guidelines refers to services provided by a Health Services Provider (as defined in the CLA 2017)." ; ; , , , , , , ; "HSE Incident Management Framework - Guidance 2020" ; "Service" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A ward or a unit in which a group of patients (cohort) with the same infection are placed together" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Cohort Area" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "All medical practitioners, including clinical directors of diagnostic laboratories are required to notify the medical officer of health in the local Departments of Public Health of certain infectious diseases. The list of diseases (and the respective causative micro-organisms) that are notifiable is contained in the Infectious Diseases Regulations 1981 and subsequent amendments.This information is used to investigate cases, facilitate the early identification of outbreaks, and monitor the burden and changing levels of diseases" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Notification" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Tests designed to be used at or near the site where the patient is located, which do not require permanent dedicated space and which are performed outside the physical facilities of the clinical laboratories" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Point-Of-Care Testing" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Committee Oversight" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "(a) a person, other than a health practitioner, who provides one or more health services (b) a health practitioner who, or a partnership which, provides a health service and does not provide that health service for, or on behalf of, or through or in connection with (whether by reason of employment or otherwise), a person referred to in paragraph (a)" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Health Service Provider" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A multidisciplinary group of people from within and outside a hospital or groups of hospitals, which reports to senior management. The subcommittee is responsible for the review and oversight of antimicrobial stewardship activities in the hospital or hospitals in question." ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial Stewardship Subcommittee" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020" ; "This person is a contact point for the service user/relevant person(s) impacted by an incident." ; ; "HSE Incident Management Framework 2020" ; "Service User Designated Support Person" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Living organism, such as bacteria,viruses, fungi too small to be seen with naked eye,but visible under a microscope." ; ; , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Micro-Organism" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; "Inclusion of New Risks on a Risk Register" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Inclusion of New Risks" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A plan that outlines each risk identified, the proposed action or actions intended to address that risk, a timeline to complete each action, and an identified person who will be responsible for ensuring each task is completed" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Quality Improvement Plan" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "This describes the appropriate management options for dealing with identified risk such as modifying procedures, protocols or work practices, or providing education" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Risk Mitigation" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Organisational Context" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A mechanism, process, procedure or action which can be verified, which seeks to reduce the likelihood and/or consequence of a risk. Controls include any process, policy, device, practice, or other actions which modify risk. They can exist or be required as additional in order to further mitigate the risk." ; ; , , , , , , , , , , , , , , , , , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Controls" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Treatment which lowers the body’s immune response, therefore increasing the risk for infection. Examples include medications (such as steroids, biologics), procedures (chemotherapy/ haematopoietic stem cell transplantation) and surgeries (solid organ transplants)" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Immunosuppressive Treatment" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to additional information that is sought, following the notification of an infection, including relevant clinical, microbiological and epidemiological information, which is used to guide prevention and control efforts" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Enhanced (Surveillance) Data" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The people who work in, for or with the service provider. This includes individuals that are employed, self-employed, temporary, volunteers, contracted or anyone who is responsible or accountable to the organisation when providing a service to the patient" ; ; , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Workforce" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020" ; "A patient safety incident, in relation to the provision of a health service to a patient by a health services provider, means “an incident which occurs during the course of the provision of a health service”" ; ; ; "HSE Incident Management Framework 2020" ; "Patient Safety Incident" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Performance Monitoring" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "To check, supervise, observe critically or record the progress of an activity, action or system on a regular basis in order to identify change." ; ; , , , , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Monitor" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Internal Investigation" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A person delegated by their organisation for the purpose of championing the feedback management process, including the routine monitoring and review of same" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Complaint Manager" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to a laboratory where tests are performed on clinical specimens such as a blood sample, to determine the cause of infection and to identify suitable treatments" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Diagnostic Microbiology Laboratory" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Actions Due for the Next Period" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A multidisciplinary group of people from within and outside a hospital or groups of hospitals, which reports to senior management. The committee is responsible for the review and oversight of the service to prevent and control infection in the hospital or hospitals in question. The membership of the committee should balance between clinical and management staff" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infection Prevention and Control Committee" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Processes and Systems" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Business Plan" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Damage to a thing may include damage to facilities or systems; for example environmental, financial, data protection breach, etc." ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Harm to a Thing" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The process to make an object free from viable micro-organisms" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Sterilisation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Any aspect of a person's lifestyle, environment or pre-existing health condition that may increase their risk of developing a specific disease or condition" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Risk Factor" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Safety Alert" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The acquisition, whether under formal contract or otherwise, of works, supplies or services" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Procurement" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The consistent and systematic identification, analysis and selection of data and information to evaluate options and make decisions in relation to a specific question." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Evidence" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Protected Disclosure describes a procedure where staff members have reasonable grounds for believing that the health or welfare of patients/clients or the public may be put at risk, or where there is waste of public funds or legal obligations are not being met, can report these so that the matter can be investigated. The Protected Disclosures of Information as provided for in the Health Act 2004 (as amended by the Health Act 2007) legislation also provides statutory protection for health service staff from penalisation as a result of making a protected disclosure in accordance with this procedure." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Protected Disclosure" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Resistance of a micro-organism to an antimicrobial drug that had been originally effective for treating infections caused by it" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial Resistance" . a ; "24/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Reduction at Source" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Clinical, scientific or professional practices that are recognised by a majority of professionals in a particular field. These practices are typically evidence based and consensus-driven" ; ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Best Practice" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The right to be treated with respect, courtesy and consideration" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Dignity" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Antimicrobial therapy given for an anticipated and likely cause of infection based upon probability, but where the causative micro-organism has not yet been identified through microbiological testing" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Empirical Antimicrobial Therapy" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A multidisciplinary care plan that outlines the main clinical interventions undertaken by different healthcare professionals, in the care of service users with a specific condition or set of symptoms" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Care Pathway" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A safety or quality issue regarding any aspect of service provision, raised by a service user, service provider, member of the workforce or general public" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Concern" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Process of comparing the results of risk analysis with risk criteria to determine whether the risk and/or its magnitude is acceptable or tolerable." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Evaluation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Systematically developed statements, based on a thorough evaluation of the evidence, to assist healthcare professional and patient decisions about appropriate healthcare for specific circumstances, across the entire clinical spectrum" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Clinical Guidelines" . a ; "18/12/202" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Being answerable to another person or organisation for decisions, behaviour and any consequences" ; ; , , ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Accountability" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A formal process to determine the extent to which the planned or desired outcomes of an intervention are achieved." ; ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Evaluation" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Finance" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Analysis and Evaluation" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Coordinated activities to direct and control an organisation with regard to risk." ; ; , , , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Risk Management" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A person designated by the HSE for the purpose of dealing with complaints made to it in accordance with procedures established under section 49 (1) of the Health Act 2004 or a person designated by a service provider with whom the HSE has an arrangement under section 38 of the Health Act 2004 or given assistance under section 39 of the Health Act 2004." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Complaints Officer" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Existing Controls Whose Status has Changed" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Policy Procedure Protocol Guidelines" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to the National Standards for the Prevention and Control of Healthcare-Associated Infections in Acute Healthcare Services (2017)" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "National Standards" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Environment of Care" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Micro-organisms that pose a significant risk of transmission to non-infected patients or staff, resulting in colonisation or healthcare-associated infection, or that pose a significant risk of transmission to non-infected people in the wider population or community" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Alert Organism" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Clinical and non-clinical incidents rated as Major or Extreme as per the HSE’s Risk Impact Table" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Category 1 Incident" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The Confidential Recipient is an independent person appointed by the HSE to receive concerns and allegations of abuse, negligence, mistreatment or poor care practices in HSE or HSE funded residential care facilities from patients, service users, relevant person(s), other concerned individuals and staff members" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Confidential Recipient" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "(External to HSE) Part 7, Section 38 of the Health Act 2004 defines a Service Provider as a person with whom the Executive enters into an arrangement for the provision of a health or personal social service on behalf of the Executive, e.g. Nursing Homes, non-statutory Residential/Respite Homes/Centres etc." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Service Provider (External)" . a ; "19/04/2022" ; "Lucy" ; "Regulations and procedures intended to prevent accident or injury in workplaces or public environments." ; ; ; "Health and Safety" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020" ; "A methodical review of an incident which involves the collection of data from the literature, records (general records in the case of non-clinical incidents and healthcare records in the case of clinical incidents), individual interviews with those involved where the incident occurred and analysis of this data to establish the chronology of events that led up to the incident, identifying findings that the reviewers considered had an effect on the eventual harm, the contributory factors, and recommended control actions to address the contributory factors to prevent future harm arising as far as is reasonably practicable. The principles of systems analysis can be applied using a comprehensive, concise or aggregate approach." ; ; "HSE Incident Management Framework 2020" ; "Systems Analysis" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "These elements, taken together, will enable progress towards achieving the standard" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Features" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The set of clinical or microbiological characteristics by which a case of infectious disease is defined." ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Case Definition" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Sources of Risk Information" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "An incident occurs which reaches the service user but results in no injury to the service user. Harm is avoided by chance or because of mitigating circumstances." ; ; "HSE Incident Management Framework - Guidance 2020" ; "No Harm Incident" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Identify Risk" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to the physical infrastructure where the health or social care service is provided" ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Facility" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "This consists of a large group of equipment, typically divided into four broad groups including single-use items, singlepatient-use items, reusable non-invasive communal patient care equipment and reusable invasive medical devices. The list of equipment includes, but is not limited to, commodes, beds and mattresses, portable patient monitoring equipment and intravenous stands" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Equipment" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "The term used nationally and internationally to describe the freedom from unnecessary harm or potential harm associated with healthcare services and the reduction of risk of unnecessary harm to an acceptable minimum (World Health Organisation, 2009). Where the term patient is used to describe ‘patient safety incident’, ‘quality and patient safety committees’ or ‘patient safety data’, it is intended to encompass all definitions of people who use health (including mental health) care services e.g. service users in both acute and community health care settings" ; ; , , , ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Patient Safety" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The ongoing systematic collection, collation, analysis and interpretation of data; and the sharing of information to those who need to know in order that action may be taken" ; ; , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Surveillance" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The transfer of professional responsibility and accountability for some or all aspects of the care of a patient, or group of patients, to another person or professional group on a temporary or permanent basis" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Handover" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Additional mechanisms, processes, procedures or actions to be implemented, which seek to reduce the current likelihood and/or consequence and reach the Residual Risk Rating." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Treatment" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "The NTMA is a State body which operates with a commercial remit to provide asset and liability management services to Government and is designated as the State Claims Agency when it performs the claims and risk management functions delegated to it under the National Treasury Management Agency (Amendment) Act, 2000" ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "The National Treasury Management Agency (NTMA)" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Existing Control Measures" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Open Status" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Service Plan" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A suite of guidelines that meet specific quality assurance criteria and have been mandated by the designated national body, the National Clinical Effectiveness Committee" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "National Clinical Guidelines" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Register Review" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "An incident that was prevented from occurring due to timely intervention or chance and which there are reasonable grounds for believing could have resulted, if it had not been so prevented, in unintended or unanticipated injury or harm to a service user during the provision of a health service to that service user.(National Standards for the Conduct of Reviews of Patient Safety Incidents)" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Near Miss" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Recommended De-escalations" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Use of resources to achieve best results with minimal waste" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Efficient" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "HSE Integrated Risk Management Policy and Guidance Documents" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Clinical staff at the point of care including but not limited to medical and nursing healthcare professionals" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Clinical Team" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A continual process of measuring and comparing care and services with similar service providers" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Benchmarking" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Data are numbers, symbols, words, images, graphics that have yet to be organised or analysed" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Data" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "1) Factors that, if corrected, would likely have prevented the incident or mitigated the harm;2) Factors that if corrected, would not have prevented the incident or mitigated the harm, but are important for patient/staff safety or safe patient care in general (incidental findings); and3) Mitigating factors – factors that did not allow the incident to have more serious consequences and represent solid safeguards that should be kept in place.(Ref: Canadian Incident Analysis Framework – Canadian Patient Safety Institute 2012)" ; ; ; "HSE Incident Management Framework - Guidance 2020" ; "Findings" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; "Defining the external and internal parameters to be taken into account when managing risk, and setting the scope and risk criteria for the risk management policy." ; ; , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; "Establish the Context" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009, HSE Incident Management Framework - Guidance 2020" ; "The systematic application of management policies, policies and practices to the activities of communicating, consulting, establishing the context, and identifying, analysing, evaluating, treating, monitoring and reviewing risk" ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009, HSE Incident Management Framework - Guidance 2020" ; "Risk Management Process" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Incident Management" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Internal Audit and Inspection" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "An enhanced single room with ensuite facilities and ventilated lobby. The pressure in the room is dependent on whether the patient needs source isolation (for infections spread by airborne route such as influenza or TB) or protective isolation (for the care of immunocompromised patients)" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Isolation Room" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk/QPS Advisors" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The shared attitudes, beliefs and values that define a group or groups of people and shape and influence perceptions and behaviours." ; ; "HSE Integrated Risk Management Policy - Part 1 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Culture" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The study of factors affecting the health and illness of populations" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Epidemiology" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "Being alert to the potential of harm occurring within the workplace. The heightened sense of awareness that you need to adopt and engender within the workplace to ensure ongoing safety in the delivery of services." ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Vigilance" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A group of people, from within and outside the service, with complementary knowledge and skills relating to infection prevention and control. The structure of the team should be based on current accepted best practice" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infection Prevention and Control Team" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Implement Action" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A suspected harm event is an incident which is an event or circumstance which could have or did lead to unintended and/or unnecessary harm (WHO)" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Suspected Harm Event" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "This refers to individual people e.g. service users, patients, employees, carers, relevant persons and visitors that may be affected as a consequence of an incident occurring. Persons can be affected either directly or indirectly." ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Person Affected" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; "Communication and notification of risk from one level of the organisation to another." ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Notification" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A device which, in whole or in part, penetrates inside the body, either through a body orifice or through the surface of the body" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Invasive Medical Device" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Any items that have the potential to puncture the skin and inoculate the recipient with infectious material" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Sharps" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; "Risk Analysis" . a ; "19/04/2022" ; "Lucy" ; "IHI" ; "Are the parts/steps in the system performing as planned? Are we on track in our efforts to improve the system?" ; ; "IHI" ; "Process Measures" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Terms of reference against which the significance of a risk is evaluated." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Criteria" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; "The Directorate is the governing authority of the HSE established following the enactment of the Health Service Executive (Governance) Act 2013." ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Directorate" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Dialysis that is performed at home including peritoneal dialysis or home haemodialysis. Peritoneal dialysis is a treatment for kidney failure which uses the body’s natural membrane in the abdominal cavity to clean the blood. Home haemodialysis is a treatment in which the blood is cleaned outside the body by a machine that passes blood across a filter" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Home-Based Dialysis" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The set of laws of the Oireachtas (Ireland’s national parliament) and statutory instruments or secondary legislation that have the force of law" ; ; "HSE Integrated Risk Management Policy - Part 2 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Legislation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Document which explicitly describes the nature of the service being provided to the service provider by an external agency" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Contract of Agreement" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "Just Culture refers to a values based supportive model of shared accountability." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Just Culture" . a ; "19/04/2022" ; "Lucy" ; "HSE" ; "Quality and Safety Committees perform an essential role in our health services by providing a forum to consider and monitor and improve the quality and safety of care provided." ; ; "HSE" ; "Quality and Safety Committees" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Informed decision not to be involved in, or to withdraw from, an activity in order not to be exposed to a particular risk. Risk avoidance may increase the significance of other risks or may lead to the loss of opportunities for gain." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Avoidance" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A disease that can be spread from one person to another, also called communicable disease" ; ; , , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infectious Disease" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The giving of permission or agreement for an intervention, receipt or use of a service or participation in research following a process of communication in which the service user has received sufficient information to enable them to understand the nature, potential risks and benefits of the proposed intervention or service" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Informed Consent" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Transference" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Lead" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A circumstance, action or influence which is thought to have played a part in the origin or development of an incident or to increase the risk of an incident." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Contributory Factor" . a ; "24/05/2021" ; "Lucy" ; "HSE Incident Management Framework" ; ; "HSE Incident Management Framework" ; "HSE Incident Management Framework" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "HSA Investigation" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "The National Incident Report Form (NIRF) was developed by the State Claims Agency in conjunction with all stakeholders including the HSE and voluntary hospitals. Use of a NIRF assures the accuracy of data and clarity of information being reported. There are four forms in total; Person, Property, Crash/Collision and Dangerous Occurrences/Reportable Circumstance i.e. Dangerous Occurrences/Reportable Circumstances." ; ; "HSE Incident Management Framework - Guidance 2020" ; "National Incident Reporting Form" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A measure of the extent to which a specific intervention, procedure, treatment or service, when delivered, does what is intended for a specific population." ; ; "HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Effective" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A potential source of harm or adverse health effect on a person or persons." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Hazard" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "This person is a contact point at service delivery level for the staff member involved in an incident." ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Staff Liaison Person" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Regulatory Compliance" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; "In instances where a risk was notified to and accepted onto the register of a more Senior Manager for oversight it may be that following the implementation of actions the rating of the risk may have reduced to an acceptable or tolerable level or where remaining actions lie within the control of the Manager at the level below. In such circumstances a decision may be taken to ‘close’ the risk on the register and to de-escalate it onto the register of the Manager on the level below. Such risks when added to the register below are given a risk status of ‘open’ on that register and are reviewed at the next Management Team meeting of that Manager." ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk De-Escalation" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A person who is receiving health care or treatment (sometimes referred to as a service user)" ; ; , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Patient" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Risk Management Professionals" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The types of patients and complexity of their condition treated within a healthcare service, including diagnosis, treatments given and resources required for care" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Casemix" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Information Systems and Technology" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Strategic Objectives" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Inspection Report" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Incident review involves a structured analysis and is conducted using best practice methods, to determine what happened, how it happened, why it happened, and whether there are learning points for the service, wider organisation, or nationally" ; ; ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Incident Review" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Being sure or certain about systems, processes and procedures and standing over business objectives. It involves monitoring risk and implementing controls to mitigate that risk" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Assurance" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to the overall process of risk analysis and risk evaluation. Its purpose is to develop agreed priorities for the identified risks. It involves collecting information through observation, communication and investigation" ; ; , , , , , , , , , , , , , , , , , , , , , ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Risk Assessment" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020" ; "A Serious Incident Management Team is a group whose role it is to oversee the management of all serious incidents relating to the service. It is also convened following notification of a Category 1 incident. It is chaired by the Senior Accountable Officer (SAO) or a person nominated by the SAO who has a direct reporting relationship to the SAO. Decisions in relation to the review of Category 1 incidents must be made within one working week of notification of the incident to the SAO" ; ; "HSE Incident Management Framework 2020" ; "Serious Incident Management Team" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Operational risks relate to the day-to-day delivery of activities, operational business plans and objectives. Operational risks typically have a short-term focus. Whilst they may impact a number of areas of the service, this does not necessarily make them a strategic risk. Operational risks may have the ability to impact strategic and other operational risks." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Operational Risk" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020" ; "“Relevant person”, in relation to a patient, means a person;(a) who is;(i) a parent, guardian, son or daughter,(ii) a spouse, or(iii) a civil partner of the patient,(b) who is cohabiting with the patientor(c) whom the patient has nominated in writing to the health services provider as a person to whom clinical information in relation to the patient may be disclosed(Civil Liability (Amendment) Act 2017)" ; ; "HSE Incident Management Framework 2020" ; "Relevant Person" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Service Users" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Physically separating patients to prevent the spread of infection" ; ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Isolation" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "“Apology”, in relation to an open disclosure of a patient safety incident, means an expression of sympathy or regret.(Civil Liability (Amendment) Act 2017)It is a genuine expression of being sorry for what has happened." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Apology" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Teaching" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A clinical specialty that focuses on the study of human diseases caused by micro-organisms including bacteria, viruses, fungi and parasites" ; ; , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Microbiology" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000" ; "Communicate and Consult Process" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A medical device that is intended to be used on an individual patient during a single procedure and then discarded" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Single-Use Item" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Senior Manager" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; "Risks that need oversight by a Management Team" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Significant Risks" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1 / HSE Integrated Risk Management Policy - Part 2 / HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The assessment of performance against any standards and criteria (clinical and non-clinical) in a health, mental health or social care service" ; ; , , ; "HSE Integrated Risk Management Policy - Part 1 / HSE Integrated Risk Management Policy - Part 2 / HSE Incident Management Framework - Guidance 2020 / HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Audit" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Elimination" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Recommended Status Changes" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The clinical syndrome defined by the presence of both infection and the systemic inflammatory response syndrome (SIRS). However, since infection cannot be always microbiologically confirmed, the diagnostic criteria are infection, suspected or confirmed and the presence of some of the SIRS criteria" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Sepsis" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1" ; ; "HSE Integrated Risk Management Policy - Part 1" ; "Safety Elements" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; "With the completion of some or all of the actions the level of risk (the rating) may be reassessed in order to consider whether its likelihood or impact score has reduced." ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Risk Re-Rating" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "This refers to individual people e.g. service users, patients, members of staff, carers, relevant person(s) and visitors" ; ; , ; "HSE Incident Management Framework - Guidance 2020" ; "Person" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Ombudsman Report" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Freedom to determine one’s own actions and behaviour" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Autonomy" . a ; "09/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Closed Status" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A situation in which there was significant potential for harm, but no incident occurred. (WHO Conceptual Framework for the International Classification for Patient Safety 2009)." ; ; "HSE Incident Management Framework - Guidance 2020" ; "Reportable Circumstance" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Management Team Meeting" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Patients and clinicians reach decisions about treatment together, with a shared understanding of the condition, the options available and the risks and benefits of each of those" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Shared Decision-Making" . a ; "19/04/2022" ; "Lucy" ; "Occupational health (OH) is about how work affects a person's health and how someone's health affects their work." ; ; "Occupational Health" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Research" . a , ; "This taxonomy defines the health terms, taken from the HSE Integrated Risk Management Policies, the HSE Incident Management Framework and the HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections, that are used on the ARK Platform." , "Health taxonomy used on the ARK Platform." ; "Health taxonomy used on the ARK Platform." ; "Lucy McKenna" , "Rob Brennan" ; "This taxonomy defines the health terms, taken from the HSE Integrated Risk Management Policies, the HSE Incident Management Framework and the HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections, that are used on the ARK Platform." ; "ARK Health Terminology" ; "ARKHealthTerms" ; "https://openark.adaptcentre.ie/Ontologies/ARKHealthTerminology#" ; "0.1" ; "ARK Health Terminology" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Refers to a healthcare professional responsible for collating, analysing and disseminating healthcare-associated infection and antimicrobial resistance data to relevant healthcare professionals, senior management and external agencies at a local, national and international level" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Surveillance Scientist" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A multidisciplinary group of people from within and outside the service responsible for the management of outbreaks and who reports to senior management" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Outbreak Management Team or Committee" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Informed decision to take a particular risk." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Risk Acceptance" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "National Survey" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Micro-organisms (predominantly bacteria) that are resistant to one or more classes of antimicrobial agents" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Multidrug-Resistant Organism" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Physical Environment" . a ; "12/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 3" ; ; "HSE Integrated Risk Management Policy - Part 3" ; "Actions Due and Complete" . a ; "08/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 2" ; ; "HSE Integrated Risk Management Policy - Part 2" ; "Education and Training" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "A product, except medicines, used in healthcare to diagnose, prevent, monitor or treat illness or disability" ; ; , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Medical Device" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Provider and or funder of all of Ireland’s public acute healthcare services or any subsequent agency that takes on the HSE’s statutory functions" ; ; , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Health Service Executive (HSE)" . a ; "07/09/2020" ; "Rob" ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "A strategic risk has the ability to impact on the achievement/delivery of the HSE’s strategic objectives/directions. Strategic risks relate to the highest level of objective for the HSE, which typically have a long-term focus and are linked to the HSE’s Strategic Plan." ; ; "HSE Integrated Risk Management Policy - Part 1/ISO 31000:2009" ; "Strategic Risk" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The system by which services direct and control their functions in order to achieve organisational objectives, manage their business processes, meet required standards of accountability, integrity and propriety and relate to external stakeholders" ; ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Corporate Governance" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "(a) a person who(i) has entered into, or works under (or where the employment has ceased, had entered into or worked under), a contract of employment, with the health services provider, or(ii) is (or was) placed for the purpose of vocational training with the health services provider, and(b) a fixed-term employee of the health services provider, and a reference to an employee, in relation to a health services provider, shall be construed as a reference to an employee employed by that health services provider.In line with the definition of Employee as defined in the (Civil Liability Amendment Act, 2017)" ; ; , ; "HSE Incident Management Framework 2020 / HSE Incident Management Framework - Guidance 2020" ; "Staff" . a ; "19/05/2021" ; "Lucy" ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "The invasion and reproduction of pathogenic or disease-causing micro-organisms inside the body that may cause tissue injury and disease" ; ; , , , , ; "HIQA National Standards for the Prevention and Control of Healthcare-Associated Infections 2017" ; "Infection" . a ; "18/12/2020" ; "Lucy" ; "HSE Incident Management Framework - Guidance 2020" ; "A concern or enquiry is a problem raised that can be resolved/responded to straight away, (by the end of the next working day). These are not reported as complaints and fall outside the complaints management arrangements" ; ; "HSE Incident Management Framework - Guidance 2020" ; "Concerns and Enquiries" .