## Entering ward PPS data

Follow the procedure in this section to create a new PPS survey for each defined ward, entering information from Form W. Before you can enter ward data, you must have defined your surveys and wards.

For each ward (unit) included in the PPS, you need to choose the ward and the date when the PPS was performed in that ward. In principle, a ward should be surveyed on a single day. However, you can enter more than one survey date for the same ward. The ward survey date and specialty are mandatory in both the Light and Standard protocols.

The ward PPS data are entered in the Ward PPS data Form W and W (2) tabs, the fields in which are described in Table 19.

To specify the PPS date, specialty and denominator data:

1. Click Ward PPS data in the main menu.

The Ward PPS data form opens showing the current hospital code.

2. Click the Add item icon or press Ctrl+N to open the form for editing.

You cannot change the hospital code from this form.

3. For each ward (unit) included in the PPS, choose the Ward specialty from the drop-down list and enter the date the PPS was performed in that ward (i.e. the Ward survey date).

A ward survey should be completed within a single day, but if that is not possible, you can enter the other date(s) for the same ward on this form.

4. Fill in the supplementary data for the ward, as relevant. In the Form W (2) you can add comments and observations for the ward, e.g. on the feasibility of the PPS.

5. Click the the Save icon or press Ctrl+S.

6. To start entering patient data in the Standard protocol, exit this form and click Patient/Antimicrobial Use/HAI data in the main menu.

The fields in the Ward PPS Form W tab are described in Table 19. Mandatory fields are indicated by a red asterisk *. Required fields are indicated by a black asterisk *.

Table 19: Ward PPS data Form W and W (2) tab variables

Variable | Description
Hospital code * | Inserted automatically based on the hospital selected during Hospital definition.
Ward name /unit ID * | Unique identifier for each unit (abbreviated ward name) within a hospital; should be used consistently on all forms (link with patient and HAI/AU data) and should remain unchanged in different PPS periods/years.
Ward specialty * | Main ward specialty (≥ 80% of patients require this specialty). If less than 80%, report ‘mixed ward’ (MIX). PED=Paediatric, NEO=Neonatal, ICU=Intensive Care, MED=Medicine, SUR=Surgery, GO=Gynaecology/Obstetrics, GER=Geriatrics, PSY=Psychiatry, RHB=Rehabilitation, LTC=Long-term care, OTH=Other, MIX=Mixed. Allows combination with patient specialty to refine specialties, e.g. paediatrics: ward specialty PED + patient specialty: PEDICU = paediatric ICU, NEOICU = neonatal ICU, SURCARD = paediatric cardiac surgery). A ward with healthy new-borns either must be allocated to GO (GOBAB) when it is located in obstetrics, or to PED (PEDBAB) if it is located in paediatrics. Note: how to code paediatric patients? Use the ward code PED for paediatric wards. If the ward specialty code is PED, then patients should be coded as per consultant/patient specialty MEDGEN, MEDSUR etc. The consultant/patient specialty PEDGEN should be used only for paediatric patients on adult wards.
Hospital survey period * | List of PPS surveys that the ward can participate in.
Ward survey date * | Date on which the data were collected in the ward. Data from a single ward should be collected on one day; date dd/mm/yyyy.
Formal procedure to review antimicrobial within 72 hours? | Is there a formal procedure for a post-prescription review? I.e. to review the appropriateness of an antimicrobial within 72 hours (three calendar days) from the initial order in the hospital? A formal post-prescription review procedure should be documented and adopted by the hospital management and should be performed by a person or team other than the treating physician. The procedure should at least address the prescription of broad-spectrum or reserve antimicrobials. Yes/No/Unknown.
Total number of patients in ward | Total number of patients admitted to the ward before or at 8 a.m. that were not discharged from the ward at the time of the survey. Mandatory for light protocol, optional for standard protocol.
Number of patient-days in ward/year | Number of patient-days in one year for current ward (data from previous year if available, specify year in second column).
Alcohol hand rub consumption in ward liters/year | Number of liters of alcohol hand rub delivered to the ward in one year.
Number of hand hygiene opportunities observed in ward/year | Number of hand hygiene opportunities observed in the current ward in one year. Provide data for previous year if available or the most recent data available (specify year in second column). Report the total number of observed opportunities for hand hygiene, not only the compliant observations.
Number of beds in ward | Total number of beds in ward on the PPS day. Include ‘corridor beds’ and neonatal beds.
Number of beds in ward with AHR dispensers at the point of care | Number of beds in the ward with alcohol hand rub (AHR) dispensers available at the point of care as recommended by the 2009 WHO Guidelines on Hand Hygiene in Health Care. AHR dispensers at the entrance of the patient room only are NOT considered as ‘available at the point of care’. The ‘point of care’ is the place where three elements come together: the patient, the HCW, and care or treatment involving contact with the patient or his/her surroundings (within the patient zone). The concept embraces the need to perform hand hygiene at recommended moments exactly where care delivery takes place. This requires that a hand hygiene product (e.g. alcohol-based hand rub, if available) be easily accessible and as close as possible – within arm’s reach of where patient care or treatment is taking place. Point-of-care products should be accessible without having to leave the patient zone.
Number of HCWs on ward at time of PPS | Number of healthcare workers (HCWs) on ward at the time of PPS.
Number of HCWs on ward carrying AHR dispensers | Number of HCWs on ward carrying AHR dispensers (e.g. in their pocket).
Number of rooms in ward | Total number of rooms in the ward on the PPS day.
Number of single rooms in ward | Total number of single-bed rooms in the ward on the PPS day. Rooms with more than one bed that are designated for use as single occupancy and isolation rooms (e.g. for infection control purposes) should be included.
Number of single rooms with individual toilet and shower | Total number of single-bed rooms with individual toilet and shower in the ward. Rooms which have toilet and shower in a communal area should not be counted. An individual toilet alone or a commode (toilet chair) is not sufficient to qualify for this indicator.
Number of beds occupied at 00:01 on the day of PPS | Number of ward beds occupied at midnight on the day of the PPS (can also be measured at midnight after the PPS took place).
Comments/observations | (Form W (2) tab) Free text field to report e.g. feasibility issues, data quality problems or specific epidemiological information for the current ward.

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Light protocol

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