Infection Control in Alternative Health Care Settings

Flanagan, Elaine; Cassone, Marco; Montoya, Ana; Mody, Lona

doi:10.1016/j.idc.2016.05.001

Cited by 14 publications

(19 citation statements)

References 63 publications

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“…In addition to protecting healthcare personnel, correct use of PPE is essential for patient safety. A significant proportion of healthcare delivery has moved from healthcare facilities to outpatient and homecare settings [19,20], and it is not uncommon for patients receiving homecare nursing to be colonized or infected with multidrug-resistant organisms [21]. Healthcare-associated infections have a significant financial impact on the U.S. healthcare system, and many of these infections are considered reasonably preventable [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Do medical students receive training in correct use of personal protective equipment?

John

Tomas

Hari

et al. 2017

Medical Education Online

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Background: Healthcare personnel often use incorrect technique for donning and doffing of personal protective equipment (PPE). Objective: We tested the hypothesis that medical students receive insufficient training on correct methods for donning and doffing PPE. Methods: We conducted a cross-sectional survey of medical students on clinical rotations at two teaching hospitals to determine the type of training they received in PPE technique. The students performed simulations of contaminated PPE removal with fluorescent lotion on gloves and were assessed for correct PPE technique and skin and/or clothing contamination. To obtain additional information on PPE training during medical education, residents, fellows, and attending physicians completed written questionnaires on PPE training received during medical school and on knowledge of PPE protocols recommended by the Centers for Disease Control and Prevention. Results: Of 27 medical students surveyed, only 11 (41%) reported receiving PPE training, and none had received training requiring demonstration of proficiency. During simulations, 25 of 27 (92.5%) students had one or more lapses in technique and 12 (44%) contaminated their skin with fluorescent lotion. For 100 residents, fellows and attending physicians representing 67 different medical schools, only 53% reported receiving training in use of PPE and only 39% selected correct donning and doffing sequence. Conclusions: Our findings suggest that there is a need for development of effective strategies to train medical students in correct use of PPE. Abbreviations: PPE: Personal protective equipment; MRSA: Methicillin-resistant Staphylococcus aureus; SARS: Severe acute respiratory syndrome; MERS: Middle East respiratory syndrome; WHO: World Health Organization; CDC: Centers for Disease Control and Prevention; OSCE: Objective structured clinical examination

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Section: Discussionmentioning

confidence: 99%

Do medical students receive training in correct use of personal protective equipment?

John

Tomas

Hari

et al. 2017

Medical Education Online

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“…Research in hand hygiene compliance and safe injection also shows that training of ICrelated knowledge throughout the organization system can increase the operating standardization of health workers in daily work [13,14,[22][23][24] . Strengthening the training of health workers and improving the capability of HAI management can promote IC surveillance activities [16,25] . Surveillance is an important impact factor of IC.…”

Section: Discussionmentioning

confidence: 99%

Model of Healthcare-Associated Infection Control in Primary Health Care Institutions: A Structural Equation Modeling

Zhang

Lai

2019

CURR MED SCI

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The purpose of this study was to construct the model of organization system, management, training and surveillance in healthcare-associated infection prevention and control (IC) of primary health care institutions and identify its effect on patient safety and decreasing economic burden by standardizing IC. A cross-sectional survey was conducted with questionnaires. Data were collected from 268 primary health care institutions in Hubei province, China. Hypotheses on the model of IC were analyzed by means of confirmatory factor analysis and structural equation modeling. The results showed that the fit indices of the hypothesized model of IC satisfied recommended levels: root mean square error of approximation (RMSEA)=0.071; comparative fit index (CFI)=0.965; tucker-lewis index (TLI)=0.956; weighted root mean square residual (WRMR)=1.014. The model showed that organization system had a direct effect on management (β=0.311, P<0.01), and training (β=0.365, P<0.01). Management and training played an intermediary role that partially promoted organization system impact on surveillance. Results also showed that institutional factors such as the number of physicians, the number of nurses, the designated capacity of beds, the actual number of open beds and surgery trips had positive impacts on management (β=0.

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“…The hospitalization report for patient 2A did not specify his NDM-producing K. pneumoniae carrier status at the time of referral to the outpatient clinic at hospital B. Communication between healthcare facilities should be optimized by using electronic medical records and possibly by educating the patient [35]. Such measures may enable earlier appropriate infection control measures to be implemented after the interfacility transfer of patients carrying MDROs.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, outpatient clinics often lack appropriate resources and strategies to prevent dissemination of MDROs, as highlighted elsewhere [36]. The implementation of adequate infection control measures in outpatient settings is crucial, because the healthcare delivery system increasingly switches between acute care facilities and outpatient clinics [35,36]. This study has some limitations.…”

Section: Discussionmentioning

confidence: 99%

An Outpatient Clinic as a Potential Site of Transmission for an Outbreak of New Delhi Metallo-β-Lactamase–producingKlebsiella pneumoniaeSequence Type 716: A Study Using Whole-genome Sequencing

Heinrichs

Argudín

Mendonça

et al. 2018

Clinical Infectious Diseases

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Infection Control in Alternative Health Care Settings

Cited by 14 publications

References 63 publications

Do medical students receive training in correct use of personal protective equipment?

Do medical students receive training in correct use of personal protective equipment?

Model of Healthcare-Associated Infection Control in Primary Health Care Institutions: A Structural Equation Modeling

An Outpatient Clinic as a Potential Site of Transmission for an Outbreak of New Delhi Metallo-β-Lactamase–producingKlebsiella pneumoniaeSequence Type 716: A Study Using Whole-genome Sequencing

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