卫生保健工作者的感染控制负担:范围审查
R Ungar1, R Gur-Arie2, G S Heriot3
1Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
The Journal of hospital infection
|December 23, 2023
概括
医疗保健工作者 (HCWs) 面临着诸如皮肤问题和时间压力等负担,影响他们遵守感染预防和控制 (IPC) 政策. 解决这些负担是提高患者安全和减少医院获得感染 (HAI) 的关键.
科学领域:
- 医疗保健管理的管理
- 预防和控制感染的预防和控制.
- 职业健康 职业健康 职业健康
背景情况:
- 在医院获得的感染 (HAI) 对患者构成重大风险.
- 遵守感染预防和控制 (IPC) 政策往往是不理想的.
- 对医疗保健工作者 (HCW) 的负担是IPC遵守的一个未被认可的障碍.
研究的目的:
- 识别和理解与高温电机的IPC合规相关的负担.
主要方法:
- 自2000年以来,PubMed和CINAHL对研究进行了系统的文献搜索.
- 包括英语研究,重点关注IPC合规性和相关负担.
- 选了1018个初步结果,其中25篇文章被选中进行最终审查.
主要成果:
- 确定的负担包括皮肤问题,头痛,感官症状和时间压力.
- 衡量IPC合规性的现有工具存在局限性,并且往往忽视了工人的负担.
- 强有力的安全文化与遵守有积极的相关性;对IPC逻辑的了解显示出非线性关系.
结论:
- 需要进一步的研究来充分描述与IPC相关的负担.
- 应该制定降低这些负担的策略,以提高HCW合规性.
- 改善IPC遵守对于减轻HAI和提高患者安全至关重要.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
PPE Use in Healthcare Settings I: Donning
972
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
972


