The global effort of the Hygiene & infection prevention network links clinical expertise and resources, aiding hygiene improvement efforts in your healthcare communities. The podcast provides cutting-edge research conducted with integrity as a way to reduce infections worldwide.
The cost of healthcare-associated infections
Professor Kjeld Møller Pedersen is a health economist and one of the leading experts in estimating the costs of healthcare-associated infections. He is working at the University of Southern Denmark in the Department of Business and Economics and has published more than 400 papers and authored 17 books.
On why it is crucial to prevent healthcare-associated infections:
"People do not realize that we have a surprisingly high number of deaths from healthcare-associated infections. And then we have the human suffering of the survivors too."
On why healthcare-associated infections do not get much attention from decision-makers in healthcare?
"We lack transparency about the consequences and frequency of healthcare-associated infections."
On the cost of the healthcare-associated infections
"A simple way is to look at the number of beds that are used for patients with healthcare-associated infections. That is a considerable number! That number can be turned a monetary value".
"If we want to have the real estimate of healthcare-associated infections, you have to track patients for a considerable period of time, including readmissions and cost for the local communities and the sickness/absence. People will be shocked if we provide the figures on that."
Professor Kjeld Møller Pedersen recommends reading the studies by the Australian Professor and Health Economist Nicholas Graves.
Kelly Schmidtke on behavioural activation for positive change (United Kingdom)
On the episode is Kelly Schmidtke.
Dr. Kelly Schmidtke is a psychologist and a PhD in experimental psychology. She is currently an assistant professor at Warwick Medical School in England. She is the author of several book chapters and research papers.
On decision making
"Our brain doesn't make decisions, we make decisions, as people. And we have to own our decisions, not cast them off to our brain did all the hard work for us [...] You're the holistic thing."
On population behaviour
"My research drifts more towards population problems, how can we influence population behaviour to drift one direction we deem desirable and stop drifting the other direction we deem undesirable."
"MINDSPACE is an acronym used to describe nine different ways you can nudge people: 1) Messenger, 2) Incentives, 3) Norms, 4) default, 5) salience, 6) priming, 7) Affects, 8) Commitments, 9) Ego these are nine different tools.
"A nudge isn't an aspect of our choice environment that exists out there and influences us one way or another. I think a nudge has to be intentionally put there to drift your behaviour in one way or another"
"Fun nudges: "small plates are often recommended to people who try to lose weight. These can work on two levels. 1) perception - visually triggering your mind, 2) practical - you can only get the amount of food (that can be) on the small plate unless you stand up again and refill the plate. This is an example of nudging as long as you're in control of the amount of food. Remember, nudges are supposed to be about your free choice."
"My favourite example of a nudge is like Shore Drive, which is a road in Chicago that has BIG turns that people often miss if they don't pay attention. [...] When you drive, you use the lines as an indicator for how fast you drive, so what they did was shorten the lines, so people would think they drove faster when approaching a turn. Now perceptually, as you drive, it looks for you like you're driving faster, and you'd hit the brakes and drive the appropriate speed through the turn."
Amina Al-Jardani and Amal Saif Al-Maani on the importance of national efforts in infection prevention (Oman)
On the episode is Amina Al-Jardani and Amal Saif Al-Maani.
Dr. Amina Al-Jardani is a Senior consultant microbiologist and the Director of the Central Public Health Laboratories under the Ministry of Health of Oman. She is leading the work of the national reference laboratories involved in the detection of infectious agents.
Dr. Amal Saif Al-Maani is a Senior consultant pediatrician of infectious diseases and the Director of the Infection Prevention & Control Department under the Ministry of Health of Oman. She is working on the national program for IPC and the project for Antimicrobial Resistance.
On working with a team.
"Healthcare is teamwork. A single person will go nowhere without the harmony of the team." - Dr. Amal Saif Al-Maani.
On challenges in healthcare.
"As a healthcare professional, you will face many challenges. To really lead the change and achieve your goals, you need to have 5 P's - passion, persistence, partnerships, patience, persuasion." - Dr. Amina Al-Jardani
On creating awareness.
"The public is part of one health approach. It's not enough to spread the awareness between the doctors and physicians and leave the people who are taking advantage of the service unaware." - Dr. Amal Saif Al-Maani.
Bob Klaber on kindness as the essence of care (United Kingdom)
On the podcast is Bob Klaber.
Dr. Bob Klaber is a Consultant Paediatrician & Director of Strategy, Research & Innovation at Imperial College Healthcare NHS Trust. He has a strong interest in behavioral insights work and leadership development.
Bob is a true role model when it comes to kindness. In the episode, he explains the value of kindness in delivering outstanding care and cultivating kindness in our organizations to deliver better results. I promise you that he has some exciting experiences to share.
"Kindness is right at the heart of everything that is about care.""There is a lot of evidence that kindness in care leads to better outcomes."On opportunities in healthcare
"Over the last 10-15 years, in England where I work, our healthcare system has been quite systematically unkind."
Show notes and some recommendations from Bob:
Find Bob on Twitter: @bobklaberTwitter: Conversation for Kindness. Organizations: The Hush Foundation by Prof. Catherine Crock is hosting an annual conference called The Gathering of Kindness.UK consultancy called the Kaleidoscope. Person to follow: Leonard Berry’s research about kindnessBook: Intelligent Kindness by John Ballat & Penelope CamplingHow to measure kindness: Take a look at this publication by Simon Andersson and JulieBrownlie called Getting the measure of kindness: A guide for organisations
Rosie Bartel on her experience as a Healthcare-Associated Infection survivor (United States)
On the podcast is Rosie Bartel.
Rosie Bartel is a widow, a mother, and a grandmother. In this episode, she shares her personal story.
In 2009, Rosie underwent a total knee replacement that developed into an MRSA staph infection. The Healthcare-Associated Infection led to 55 surgeries, 200+ hospitalizations, and 100 blood transfusions. She has had sepsis and septic shock 12 times. Finally, she underwent a right leg amputation above the knee, which later developed into a total hip amputation with part of the pelvic bone removed.
Rosie uses her stories to help and educate both patients, relatives, and healthcare professionals.
"I don't think they realize how much one little infection can devastate a person forever."
On being a patient with an HAI
"It's much easier to sit in a chair and tell somebody about hand hygiene than to be laying under those white sheets where you don't have any control over your life."
"I can't blame anybody for it, but let's look at all the ways that could fix the world and make it better for patients and safer for patients every single day."
To purchase a copy of Rosie's book:
Rosie's Story: A Story of Faith, Hope, and Survival:
$15.00 per copy in the USA / $20.00 overseas.
Cindie Maagaard on narrative medicine to improve clinical outcomes (Denmark)
On the podcast is Cindie Maagaard
Today's guest is Dr. Cindie Maagaard, an associate professor at the Department of Language and Communication at the University of Southern Denmark. She holds a Ph.D. in postmodern English literature. Since 2010, her passion for narratives has turned to investigate organizational communication. Since 2016 her research has increasingly focused on how narratives are used in contexts of health and medicine to help health professionals and patients understand and communicate about illness - and she is one of the leading experts in the field.
Cindie has published research articles and book chapters on narrative medicine and is the co-editor of a brand new anthology of Danish and international literature written by and about patients and doctors.
On narrative medicine
A starting point for narrative medicine is that any medical perspective includes a patient's life experiences and relationships, worries, hopes, desires, and more. These perspectives are integrated into a medical perspective.
On communicating more empathetically through narratives
Give the patient time in the beginning to talk, maybe beginning with a question. Tell me what I need to know about your situation and why you are here? And give the patient time to unfold that.
Practice attention by reading.
Recommendations from Cindie
The Principles and Practice of Narrative MedicineThe Wounded StorytellerIllness as Metaphor and AIDS and its Metaphors
Compassion - a call to action
An important and very inspiring podcast serie. The episode with Nanja Holland Hansen on compassion is truly important and a must-hear for clinicians and administrators. Hopefully more focus on compassion and the benefits it brings along, will help shape a better future for patients and health care providers.
Positive infektion control
This podcast is very informative, inspiring and educational.
This podcast has been such a pleasure to listen to. It provides insight into the brilliant minds of infection control professionals in today’s changing world. Well worth 30 minutes!