临界接入医院需要的资源,以解决发现的感染预防和控制计划缺口
Mounica Soma1,2, Jody Scebold1,2, Angela Vasa1,3
1National Infection Control and Strengthening Collaborative, Nebraska Medicine, Omaha, NE, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|March 19, 2024
概括
感染预防和控制 (IPC) 差距在临界接入医院 (CAH) 中仍然存在. 像标准化审计工具和培训材料这样的资源对于改善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
- 感染控制 感染控制
- 公共卫生 公共卫生
背景情况:
- 临界接入医院 (CAH) 在农村医疗保健提供中发挥着至关重要的作用.
- 有效的感染预防和控制 (IPC) 计划对于所有医疗机构的患者安全至关重要.
- 确定IPC的资源需求对于解决方案缺口至关重要.
研究的目的:
- 检查感染预防专家 (IP) 需要的资源,以解决现有的感染预防和控制 (IPC) 计划缺口.
- 为了确定在临界接入医院 (CAHs) 内的特定IPC实践差距.
- 确定CAH最需要的资源类型,以减轻已识别的IPC差距.
主要方法:
- 一项由49个问题组成的调查对FEMA第七区域的授权CAH进行了管理.
- 该调查评估了IPC计划基础设施,培训,审计/反实践和病原体识别.
- 计算了IPC分数,后续问题探讨了减轻差距的资源需求. 统计分析包括威尔士t测试.
主要成果:
- 19.3%的CAH参与了调查;14.3%完成了所有调查问题,IPC中位数为35.
- 最重要的IPC缺口包括缺乏药物转移计划 (77%),中央静脉导管审计/反 (76%),以及HRP/SCD实验室风险评估 (76%).
- 标准化审计工具,教育资源和员工培训材料被确定为关键需求.
结论:
- 严重的感染预防和控制 (IPC) 实践差距存在于临界接入医院 (CAH).
- 需要有针对性的资源,包括标准化工具和培训,以有效地缓解这些IPC差距.
- 解决这些资源需求可以提高IPC计划的有效性和CAH患者的患者安全.
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