14. How to Conduct TB Risk Assessment?

The TB risk assessment is conducted as a first step in the process of developing the TB infection control plan for a facility. The seven principles of the risk assessment using the Hazard Analysis Critical Control Point (HACCP) risk analysis are:

• Planning based on the HACCP process and determine what sections of the risk assessment tool will be used.
• Assemble a multi-disciplinary risk assessment team
• Establish procedures for documentation of all activities and the results of the assessment.
• Establish procedures for validation and verification of the interventions currently being implemented and that they are periodically reassessed.
• Conduct a hazard analysis by investigating all patient pathways to identify critical control points
• Determine the appropriate IC intervention implemented for each critical control point by using the risk assessment questionnaire
  • Evaluate the management of the infection control plan in the facility in order to reduce risk against infection
  • Evaluate compliance with the use of personal protection
  • Evaluate  facility  environmental  controls  and  maintenance  practices,  and  determine  their effectiveness
  • Establish what monitoring plan for the applied IC intervention has been implemented at each of the critical control points
• Identify and recommend corrective action.