通过使用有针对性的多模式捆绑战略,改善医院环境卫生
Michelle Allen1, Lisa Hall2, Kate Halton1
1Centre for Research Excellence in Reducing Healthcare Associated Infections, Institute of Health and Biomedical Innovation, School of Public Health and Social Work, Queensland University of Technology, Australia.
Infection, disease & health
|May 8, 2024
概括
环境卫生套餐显著提高了医院的清洁性能和工作人员的知识,但它没有改变与医疗保健相关的感染率. 这项研究强调了实施科学的有效性,提高了医院环境服务工作人员的实践.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防和控制感染.
- 在医疗保健机构的实施科学.
背景情况:
- 与医疗保健相关的感染 (HAI) 构成重大风险,通常与环境污染和低于最佳的清洁实践有关.
- 有效的环境卫生对于减少交叉传播和预防医院中高危人体感染至关重要.
- 研究将基于证据的实践转化为现实世界的医院清洁协议是必不可少的.
研究的目的:
- 评估多模式环境卫生包对HAI费率的影响.
- 评估环境服务工作者 (ESW) 清洁绩效的变化.
- 测量包对ESW知识和对卫生实践的态度的影响.
主要方法:
- 一个前性的,前后的研究设计在一个大都会教学医院的八个病房中被采用.
- 一个实施科学框架指导了在9个月的时间里 (3个月的预干预,6个月的干预) 开发和推出一套多模式的卫生包.
- 在干预之前和干预期间收集了HAI率,清洁性能 (使用紫外线标记器) 和ESW知识/态度的数据.
主要成果:
- 在六个月的干预期间,没有观察到HAI率的统计学上显著下降.
- 清洁性能显著改善,紫外线标记物的去除从病房的61.1%增加到95.4%.
- 该研究表明,环境服务工作人员的知识和态度显著改善.
结论:
- 实施的环境卫生套餐有效地吸引了环境服务人员.
- 将感染预防策略与实施科学原则相结合,成功增强了医院的清洁实践.
- 虽然对HAI费率的直接影响需要进一步调查,但该套餐在提高清洁性能和员工参与度方面被证明是有效的.
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