在社区养老院优化加强障碍预防措施的实施
Stephanie Mayoryk1, Lyndsay M O'Hara1, Gwen L Robinson1
1Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
American journal of infection control
|September 22, 2024
概括
养老院的增强屏障预防措施 (EBP) 显著改善了手套和长袍的使用以及对抗多药性生物体 (MDRO) 控制的居民识别. 实施的成功取决于解决设施特定的障碍和促进者.
科学领域:
- 感染控制 感染控制
- 提高医疗保健的质量 改善医疗保健的质量
- 养老院护理服务 养老院护理服务
背景情况:
- 强化屏障预防措施 (EBP) 建议养老院居民使用,以防止多药耐药生物体 (MDRO) 传播.
- 对于EBP的最佳实施策略仍然不清楚,尽管它们被纳入了指南.
研究的目的:
- 通过质量改进计划,优化马里兰州养老院EBP的实施.
- 评估该倡议对EBP遵守的影响,并确定障碍物和促进者.
主要方法:
- 使用4E流程模型 (参与,教育,执行,评估) 的质量改进 (QI) 计划在四个马里兰养老院中实施.
- 与医疗保健人员 (HCP) 进行了半结构化采访,以了解EBP的可接受性.
主要成果:
- 手套的使用率从85%增加到97% (P < .01) 和长袍的使用率从27%增加到78% (P < .01).
- 识别符合条件居民的准确性从63%提高到99% (P < .01).
- 关键的促进者包括HCP对减少MDRO的信念;主要障碍是不舒服的长袍.
结论:
- EBP的实施是复杂的,需要对障碍和促进者的设施特定评估.
- 医疗保健专家的采访为未来EBP实施项目的障碍和促进者提供了有价值的见解.
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