Role of Human Factors Engineering in Infection Prevention: Gaps and Opportunities

Pennathur, Priyadarshini R.; Herwaldt, Loreen A.

doi:10.1007/s40506-017-0123-y

Cited by 14 publications

(7 citation statements)

References 121 publications

(102 reference statements)

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“…The product is designed to provide visually appealing external cues for each step to help the clinician comply with essential steps of the procedure. This application of principles of human factors engineering is an effective approach to improving staff compliance and improving infection control (Anderson et al, 2010; Pennathur and Herwaldt, 2017).…”

Section: Discussionmentioning

confidence: 99%

The use of procedural kits may reduce unscheduled central line dressing changes: A matched pre–post intervention study

Bahl,

Mielke,

Gibson

et al. 2024

Journal of Infection Prevention

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Background Unscheduled dressing changes for central venous lines (CVLs) have been shown to increase the risk of bloodstream infections. Objective The objective of this study is to determine if the use of an innovative dressing change kit reduces the rate of unscheduled dressing changes. Methods This pre–post interventional study took place at a large, academic, tertiary care center in metro Detroit, Michigan, the United States. We assessed the impact of the interventional dressing change procedure kit on the rate of unscheduled dressing changes for adult patients who underwent placement of a CVL inclusive of a central catheter, peripherally inserted central catheter, or hemodialysis catheter. Data was collected for the pre-intervention cohort through electronic health records (EHRs), while data for the post-intervention cohort were collected by direct observation by trained research staff in combination with EHR data. The primary outcome was the rate of unscheduled dressing changes. Secondary outcomes included rate of unscheduled dressing changes based on admission floor type, etiology of unscheduled dressing changes, and central line-associated bloodstream infections (CLABSIs). Results The study included a convenience sample of 1548 CVLs placed between May 2018 and June 2022 with a matched analysis including 488 catheters in each of the pre- and post-intervention groups. The results showed that the unadjusted rate of unscheduled dressing evaluations was significantly reduced from the pre-intervention group (0.21 per day) to the post-intervention group (0.13 per day) ( p < .001). The adjusted rate ratio demonstrated the same trend at 1.00 pre- and 0.60 post-intervention ( p < .001). Stratifying the analysis based on the highest level of care showed that the intervention was effective in reducing the unadjusted rate of unscheduled dressing evaluations for both the advanced and regular medical floor subgroups pre- to post-intervention; the advanced subgroup had an reduction from 0.22 to 0.15 per day ( p = .001), while the regular medical floor subgroup had a reduction from 0.21 to 0.09 per day ( p < .001). CLABSIs were similar in both groups (0.6% vs 0.8%; p = 1.00) in pre- and post-intervention groups, respectively. Discussion Procedural kits for central line dressing changes are effective in reducing unscheduled dressing changes and may have a role in reducing CLABSI. Further studies assessing the impact of dressing change kits on cost, procedural compliance, and the precise impact on CLABSI are needed.

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Section: Discussionmentioning

confidence: 99%

The use of procedural kits may reduce unscheduled central line dressing changes: A matched pre–post intervention study

Bahl,

Mielke,

Gibson

et al. 2024

Journal of Infection Prevention

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“…The following models and frameworks are used in healthcare, share purposeful experimentation and evaluation to achieve sustainable change, 29 and illustrate the variety of ways • 4Es framework 30 • HAI reduction [32][33][34] • Mortality reduction organizations may approach a problem. These models and frameworks are listed alphabetically.…”

Section: Conceptual Models and Frameworkmentioning

confidence: 99%

Implementing strategies to prevent infections in acute-care settings

Trivedi

Schaffzin

Deloney

et al. 2023

Infect. Control Hosp. Epidemiol.

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This document introduces and explains common implementation concepts and frameworks relevant to healthcare epidemiology and infection prevention and control and can serve as a stand-alone guide or be paired with the “SHEA/IDSA/APIC Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2022 Updates,” which contain technical implementation guidance for specific healthcare-associated infections. This Compendium article focuses on broad behavioral and socio-adaptive concepts and suggests ways that infection prevention and control teams, healthcare epidemiologists, infection preventionists, and specialty groups may utilize them to deliver high-quality care. Implementation concepts, frameworks, and models can help bridge the “knowing-doing” gap, a term used to describe why practices in healthcare may diverge from those recommended according to evidence. It aims to guide the reader to think about implementation and to find resources suited for a specific setting and circumstances by describing strategies for implementation, including determinants and measurement, as well as the conceptual models and frameworks: 4Es, Behavior Change Wheel, CUSP, European and Mixed Methods, Getting to Outcomes, Model for Improvement, RE-AIM, REP, and Theoretical Domains.

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“…The next step is to analyze the opportunities, gaps, risks, and barriers for creating an eHealth environment for the components identified. While the opportunities suggest possible eHealth solutions and applications relevant to components, gaps can be identified in relation to services and infrastructure [29][30][31][32]. For instance, opportunities for collaboration between research and development and health care units such as hospitals, physicians, and pharmaceutical companies can be achieved by using a common electronic platform or portal for sharing information related to diseases, such as symptoms, diagnosis factors, effects of various medicines, and need for medicines and medical equipment.…”

Section: Principal Findingsmentioning

confidence: 99%

Applying eHealth for Pandemic Management in Saudi Arabia in the Context of COVID-19: Survey Study and Framework Proposal

Alsharif

2020

JMIR Med Inform

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Background The increased frequency of epidemics such as Middle East respiratory syndrome, severe acute respiratory syndrome, Ebola virus, and Zika virus has created stress on health care management and operations as well as on relevant stakeholders. In addition, the recent COVID-19 outbreak has been creating challenges for various countries and their respective health care organizations in managing and controlling the pandemic. One of the most important observations during the recent outbreak is the lack of effective eHealth frameworks for managing and controlling pandemics. Objective The aims of this study are to review the current National eHealth Strategy of Saudi Arabia and to propose an integrated eHealth framework that can be effective for managing health care operations and services during pandemics. Methods A questionnaire-based survey was administered to 316 health care professionals to review the current national eHealth framework of Saudi Arabia and identify the objectives, factors, and components that are key for managing and controlling pandemics. Purposive sampling was used to collect responses from diverse experts, including physicians, technical experts, nurses, administrative experts, and pharmacists. The survey was administered at five hospitals in Saudi Arabia by forwarding the survey link using a web-based portal. A sample population of 350 was achieved, which was filtered to exclude incomplete and ineligible samples, giving a sample of 316 participants. Results Of the 316 participants, 187 (59.2%) found the current eHealth framework to be ineffective, and more than 50% of the total participants stated that the framework lacked some essential components and objectives. Additional components and objectives focusing on using eHealth for managing information, creating awareness, increasing accessibility and reachability, promoting self-management and self-collaboration, promoting electronic services, and extensive stakeholder engagement were considered to be the most important factors by more than 80% of the total participants. Conclusions Managing pandemics requires an effective and efficient eHealth framework that can be used to manage various health care services by integrating different eHealth components and collaborating with all stakeholders.

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Role of Human Factors Engineering in Infection Prevention: Gaps and Opportunities

Cited by 14 publications

References 121 publications

The use of procedural kits may reduce unscheduled central line dressing changes: A matched pre–post intervention study

The use of procedural kits may reduce unscheduled central line dressing changes: A matched pre–post intervention study

Implementing strategies to prevent infections in acute-care settings

Applying eHealth for Pandemic Management in Saudi Arabia in the Context of COVID-19: Survey Study and Framework Proposal

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