使用人类因素工程方法来评估退伍军人事务急症和长期护理设施的环境清洁:定性分析
Linda L McKinley1, Cassie C Goedken2,3, Erin C Balkenende2,3,4
1William S. Middleton Memorial Veterans' Hospital, Madison, Wisconsin.
Infection control and hospital epidemiology
|October 24, 2023
概括
人类因素工程确定了VA设施中持续环境清洁的障碍. 需要采取干预措施来规范清洁实践,特别是对于被占用的房间和特定的表面.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 人类因素工程 人类因素工程
- 预防感染 预防感染
背景情况:
- 环境清洁对于防止医疗机构中病原体传播至关重要.
- 目前的环境清洁实践显示出显著的差异和低的合规性.
- 了解人为因素是标准化清洁方案的关键.
研究的目的:
- 识别影响环境清洁实践的障碍和促进因素.
- 应用人类因素工程 (HFE) 框架来分析清洁工作系统.
- 为制定标准化环境清洁干预措施提供信息.
主要方法:
- 在三个退伍军人事务 (VA) 设施中,与关键利益相关者进行了定性研究.
- 从利益相关者采访的成绩单被分析为主题内容.
- 确定的主题被映射到HFE框架中,以了解影响因素.
主要成果:
- 员工的一致性和老兵动机对清洁有积极的影响,但存在监管障碍.
- 清洁过程的监控在不同地点的方法和频率上有所不同.
- 房间占用率,房间类型 (半私人) 和表面材料显著影响清洁效率和工作量.
结论:
- 人为因素工程分析揭示了有效环境清洁的关键障碍和促进因素.
- 调查结果表明,干预点可以用于标准化清洁实践.
- 对于具有挑战性的场景 (例如,占用房间) 需要制定特定任务的程序.
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