减少浪费和提高供应商安全:回顾性分析与从COVID-19大流行中吸取的教训
Johannes Heymer1, Stefani Fruchi1, Anna Hein1
1Department of Internal Medicine, Klinikum Stuttgart, Stuttgart, Germany.
实施感染控制措施在COVID-19大流行期间在重症监护室 (ICU) 显著减少了个人防护设备 (PPE) 的使用,而没有增加医护人员的感染.
科学领域:
- 医疗保健中的环境可持续性
- 预防和控制感染.
- 医疗保健管理和政策
背景情况:
- 重症监护病房 (ICU) 产生大量的废物,个人防护设备 (PPE) 是其中的主要贡献者.
- COVID-19大流行突显了个人防护设备供应和可用性的全球挑战.
- 减少个人防护设备的消费对于开发更环保的医疗保健实践至关重要.
研究的目的:
- 调查COVID-19大流行期间从PPE使用中学到的经验教训.
- 评估与流行病相关的协议对个人防护设备消费的影响.
- 评估减少个人防护设备使用对医院获得的感染对医疗保健工作者的影响.
主要方法:
- 在大流行期间实施的ICU标准操作程序的回顾分析.
- 从2020年到2023年检查个人防护设备消费和患者日数据.
- 评估感染控制措施对个人防护设备使用模式的影响.
主要成果:
- 实施四项关键的感染控制措施 (队列,访问限制,机构个人防护设备协议,员工培训) 导致口罩和隔离袍的使用大幅减少.
- 在大流行初期,卫生保健工作者中没有记录住院感染.
- 显示个人防护设备消费量大幅下降.
结论:
- 在不影响医疗保健专业人员安全的情况下,在ICU中减少个人防护设备的消耗是可行的.
- 调查结果可以为未来的政策提供信息,旨在减少个人防护设备的浪费和环境影响.
- 强调综合感染控制战略的有效性.
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