I agree with the above statements. Daily rounds, markers, and imaging are vital. Furthermore, close communication with nursing staff can often identify concerns by those providing bedside care. Not only an this type of communication identify potential issues in individual patients under your care but could additionally assist in alerting physicians in recent outbreaks in the ICU or other local hospitals/ICUs staffed by many of the same individuals. Discussions with bedside staff often (1) alerts providers regarding observed issues, (2) provides valuable information, and (3) benefits all individuals involved.
Another who agrees here.....with the addition of detailed handovers at rounds.
Perhaps that's implied by what's already been said,but I think it's worth emphasizing,as it's easy to miss things during busy times,and as above,good communication between the various members of the team(not just nursing staff,we've found,as physiotherapists and other staff members can be equally sharp in picking up changes or new signs).
Always be on the lookout for patterns of infection,and regular high level input from microbiology make a big impact as well.
Maybe the best way of saying it in short is close team integration.
Thank you all for your valuable responses, in fact I am looking for a software to give an alert upon surveillance data entry when detecting an unusual event, I found the WHO free SatScan cluster detection software is useful in this regard, except that it is has many modules to select from which is confusing and also the file format it accept to read the surveillance data is uncommon and format transfer to DBF is complicated. I am sorry if my question was not that clear.
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