Construction: A model program for infection control compliance

Kidd, Francine; Buttner, Clark; Kressel, Amy B.

doi:10.1016/j.ajic.2006.07.011

Cited by 16 publications

(16 citation statements)

References 7 publications

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“…They do not spontaneously respond to mechanical ventilation deficiencies especially during construction works (Streifel, 2005). In addition, most contractors working on construction-related projects in hospitals are not yet accustomed to taking special precaution when tearing down, maintaining or renovating hospital buildings (Kidd et al, 2007). As a result, many patients in hospitals are exposed to the risk of acquiring HAIs.…”

Section: Introductionmentioning

confidence: 99%

Key performance measures to control maintenance-associated HAIs

Njuangang

Liyanage

2015

International Journal of Health Care Quality Assurance

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Abstract:Purpose: The aim of this research study is to improve the overall level of performance of HM services in the control of HAIs in the NHS. Hence, the identification of the critical success factors (CSFs) and key performance measures in the control of maintenanceassociated HAIs. Design/methodology/approach: The CSFs and performance measures in HM in IC were initially identified through the application of grounded theory analysis. In round one of the Delphi exercise, the complete lists of CSFs and performance measures were presented to the Delphi participants for refinement and modification. The results of the Delphi round one exercise were analysed manually and used to refine the rounds two and three Delphi instruments. In subsequent Delphi rounds, the results were recorded using statistical software called Statistical Package for Social Sciences Statistics (SPSS) version 21, and analysed through descriptive statistics. Finding: In total, eight CSFs and fifty-three key performance measures are identified for reducing the burden of maintenance-associated HAIs in hospitals. For example, establishing clear lines of communication between the ICT (infection control team) and HM unit is important in the prevention of maintenance-associated HAIs in hospitals. Dust prevention is also identified by the healthcare experts as an important measure to prevent the transmission of maintenance-associated HAIs in high-risk patient areas. Originality/value: The findings of this research project provide healthcare authorities a list of CSFs and key performance measures for measuring performance in HM in IC. In doing so, the HM unit will be able demonstrate it contribution to the UK's government overall strategy for reducing the prevalence of HAIs in NHS hospitals.

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Section: Introductionmentioning

confidence: 99%

Key performance measures to control maintenance-associated HAIs

Njuangang

Liyanage

2015

International Journal of Health Care Quality Assurance

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“…Bu çalışmada bizim ça-lışmamıza benzer şekilde infeksiyon kontrol ekibi ile yıkımı yapan ekip arasındaki işbirliğinin önemli olduğu bildirilmektedir (28). Bu gibi durumlarda infeksiyon kontrol ekibi kritik görev üstlenmektedir.…”

Section: Discussionunclassified

İnşaat sırasında hematoloji bilim dalında alınan koruyucu önlemler

AZAP¹

2016

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Amaç: İnşaat dönemleri, bağışıklık sistemleri baskılanmış hematoloji hastaları için invaziv fungal infeksiyonlar açısından yüksek risk taşımaktadır. Bu yazıda inşaat dönemindeki deneyimimizi paylaşmaktayız. Gereç ve Yöntem:Hastanemizin çok yakınında yapılan inşaat nedeniyle hematoloji hastalarında meydana gelebilecek infeksiyonların engellenmesi amacıyla yaptıklarımızı ve bunların sonuçlarını burada özetlemekte-yiz.Bulgular: Hematoloji servisi ve kök hücre nakil ünitesinde tedavi edilen hastaların ve hastanenin fiziksel izolasyonu bu konuda esas önemli unsurlar olarak ortaya çıkmaktadır. Ayrıca yüksek riskli hastalarda ekstra ön-lem olarak antifungal profilaksi yararlıdır.Sonuç: Bu hastalarda infeksiyon kontrolünde risk odaklı multidisipliner bir yaklaşım etkin görünmekte ve infeksiyon kontrol ekibi de kritik bir rol oynamaktadır.Anahtar Sözcükler: İnşaat, İnvaziv Fungal İnfeksiyon, İnfeksiyon Kontrol Aim: Construction periods have an increased risk for invasive fungal infections in immunosuppressive hematology patients. We share our experience during a construction period in this article. Material and Method:We summarize what we had performed to prevent infections in hematology patients due to the construction next to our department building in our hospital and the results. Results:The most important issues in this setting are physical isolation of the hospital building and the patients treated in hematology and stem cell transplantation unit. Antifungal prophylaxis is also beneficial as an additional precaution in high risk patients.Conclusion: Risk based multidisciplinary approach seems to be effective in these patients and infection control team play a critical role.

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“…The safety issues become even more evident when one considers that almost 75% of all construction projects in health care involve an expansion or renovation of an existing healthcare structure while it is still occupied by patients (Newton, 2003). Although the cost of properly conducting a construction project to avoid spreading contaminants can be significant, the initial cost can be minimized with proper planning and education of healthcare staff and construction contractors at the planning stages of a project (Kidd, Buttner, & Kressel, 2007). Projects that do not address infection control early in the planning phase may face costly changes and potential project delays (Newton), as well as injury to patients.…”

Section: Reducing the Risk Of Infection By Preconstruction Planningmentioning

confidence: 99%

“…If the spores are left undisturbed, they are not a threat to immunosuppressed patients. However, new construction and renovation projects often are associated with dissemination of Aspergillus spores (Kidd et al, 2007). Aspergillus spores are easily suspended in the air and can survive for prolonged periods.…”

Section: Aspergillosismentioning

confidence: 99%

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Oncology Care Setting Design and Planning Part II: Designing Healthcare Settings to Prevent Fungal Infections and Improve Handwashing

Sheridan-Leos

2008

Clinical Journal of Oncology Nursing

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This is the second in a two-part series on designing healthcare settings to improve patient safety. Part I addressed concepts of error theory and evidencebased practice as they relate to planning safe care environments (Sheridan-Leos, 2008). Part II describes the design and planning of oncology care settings to prevent fungal infections and improve provider handwashing.There is currently an explosion of healthcare construction and remodeling in the United States; as the oncology population will soon be increasing, oncology care settings are part of the building boom. Given the number of organizations that are adding or planning to add care facilities, the time is now for nursing's input into the design of healthcare facilities.The design of healthcare facilities has an impact on patient safety issues relating to nosocomial infection. A white paper on nursing-sensitive patient outcomes published by the Oncology Nursing Society recognizes prevention of infection as an important safety outcome that is sensitive to nursing interventions (Given & Sherwood, 2005). Additionally, 3 of the 15 outcomes endorsed by the National Quality Forum (2007) as nursing-sensitive performance measures are related to infection. Oncology nurses need to be part of the planning, design, and demolition phases of constructing and remodeling healthcare facilities to mitigate risks for patients with cancer. The objectives of this article are to: (a) describe the impact of healthcare-associated infections on patients with cancer and (b) describe evidence-based design of healthcare environments to prevent fungal infections and promote handwashing.

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Construction: A model program for infection control compliance

Cited by 16 publications

References 7 publications

Key performance measures to control maintenance-associated HAIs

Key performance measures to control maintenance-associated HAIs

İnşaat sırasında hematoloji bilim dalında alınan koruyucu önlemler

Oncology Care Setting Design and Planning Part II: Designing Healthcare Settings to Prevent Fungal Infections and Improve Handwashing

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