医学成像环境中的感染预防和控制:范围审查
Yobelli A Jimenez1, Sarah J Lewis2
1University of Sydney, Susan Wakil Health Building (D18), Western Avenue, Camperdown, NSW, 2006, Australia. Yobelli.jimenez@sydney.edu.au.
医疗成像部门的感染预防和控制 (IPC) 需要一种系统方法. 了解工作系统因素对于改善IPC实践和患者安全至关重要.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 感染控制 感染控制
背景情况:
- 感染预防和控制 (IPC) 实践对于防止病原体在医学成像部门 (MID) 传播至关重要.
- 目前对MID中IPC的研究需要综合来确定影响因素.
- 患者安全系统工程倡议 (SEIPS) 模型为分析工作系统组件提供了一个框架.
研究的目的:
- 在MID中进行IPC研究的范围审查.
- 利用SEIPS模型来识别影响IPC实践的工作系统因素.
- 了解影响医疗成像环境中的IPC的挑战和促进者.
主要方法:
- 在三个数据库中进行了全面的文献搜索,使用预定义的术语和医学主题标题.
- 与医疗成像设置中的IPC相关的出版物根据包含标准进行了选择.
- 用SEIPS模型的五个领域 (人,组织,工具和技术,任务,环境) 来分类发现.
主要成果:
- 包括四十六个出版物,涵盖了所有五个SEIPS领域,突出了它们的相互联系.
- 手部卫生是主要重点,与对比增强计算机断层扫描感染经常被报告.
- 人类错误,教育不足和设备/流程问题被确定为影响IPC违规的关键因素.
结论:
- 以SEIPS模型为例的系统方法对于识别MID中增强IPC的障碍和机会是有价值的.
- 需要进一步研究个人决策,程序步骤,教育和对比媒体管理工具.
- 地理位置成为IPC医学成像研究中的一个重要变量.
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