Standard work for room entry: Linking lean, hand hygiene, and patient-centeredness

O’Reilly, Kristin; Ruokis, Samantha; Russell, Kristin; Teves, Tim; DiLibero, Justin; Yassa, David S.; Berry, Hannah; Howell, Michael D.

doi:10.1016/j.hjdsi.2015.12.008

Cited by 10 publications

(10 citation statements)

References 20 publications

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“…The full list of studies included [19,38,[46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65] and their main characteristics are shown in Table 2 Additional le 2.…”

Section: Resultsmentioning

confidence: 99%

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Can lean reduce infections? A systematic review and meta-analysis of prospective studies

Patrone

Cristina²,

Spagnolo

et al. 2020

Preprint

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Background: Lean is largely applied to the health sector and on the healthcare-associated infections (HAI). The latter are a plague for our society. However, a few results on the improvement of the outcome have been reported in literature. The purpose of this study is to analyze if the lean application can reduce the healthcare-associated infections rate.Methods: A comprehensive search was performed on PubMed/Medline, Scopus, CINAHL, Cochrane, Embase, and Google Scholar databases using various combinations of the following keywords: "lean" and "infection" from August to December 2019. Inclusion criteria were: 1) research articles with quantitative data and relevant information on lean methodology and its impact on healthcare infections; 2) prospective studies. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines has been used.Results: 22 studies were included in the present meta-analysis. Lean application demonstrated a significant protective role on healthcare-associated infections rate (RR 0.50 [0.38-0.66]) with significant impact on central line-associated bloodstream infections (CLABSIs) (RR 0.47 [0.28-0.82]). There was a significant correlation between lean application and healthcare worker satisfaction and compliance, but no significant decrease of mortality has been reported.Conclusions: Lean has a positive impact on the decreasing of HAIs and on the improvement of compliance and satisfaction of the staff.

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Section: Resultsmentioning

confidence: 99%

“…measured the HAI as primary outcome measure and 8 studies[50-53, 57-59, 64] the healthcare worker compliance. Five studies[38,47,52,60,62] included relevant data on unexpected mortality and 2 studies[48,59] on healthcare workers satisfaction".…”

mentioning

confidence: 99%

Can lean reduce infections? A systematic review and meta-analysis of prospective studies

Patrone

Cristina²,

Spagnolo

et al. 2020

Preprint

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“…Prevalence estimates of MIA are not yet available, but a broad range of pre-conception and early pregnancy infectious and non-infectious inflammatory etiologies cumulatively contribute to this disease process. MIA highlights a major public health priority during preconception and early pregnancy time periods with adverse effects across the lifespan, adversely affecting women during and beyond reproductive years as well as their children ( 43 ).…”

Section: Fetal/neonatal Neurology Consultations During the First Half Of Pregnancymentioning

confidence: 99%

“The First Thousand Days” Define a Fetal/Neonatal Neurology Program

Scher

2021

Front. Pediatr.

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Gene–environment interactions begin at conception to influence maternal/placental/fetal triads, neonates, and children with short- and long-term effects on brain development. Life-long developmental neuroplasticity more likely results during critical/sensitive periods of brain maturation over these first 1,000 days. A fetal/neonatal program (FNNP) applying this perspective better identifies trimester-specific mechanisms affecting the maternal/placental/fetal (MPF) triad, expressed as brain malformations and destructive lesions. Maladaptive MPF triad interactions impair progenitor neuronal/glial populations within transient embryonic/fetal brain structures by processes such as maternal immune activation. Destructive fetal brain lesions later in pregnancy result from ischemic placental syndromes associated with the great obstetrical syndromes. Trimester-specific MPF triad diseases may negatively impact labor and delivery outcomes. Neonatal neurocritical care addresses the symptomatic minority who express the great neonatal neurological syndromes: encephalopathy, seizures, stroke, and encephalopathy of prematurity. The asymptomatic majority present with neurologic disorders before 2 years of age without prior detection. The developmental principle of ontogenetic adaptation helps guide the diagnostic process during the first 1,000 days to identify more phenotypes using systems-biology analyses. This strategy will foster innovative interdisciplinary diagnostic/therapeutic pathways, educational curricula, and research agenda among multiple FNNP. Effective early-life diagnostic/therapeutic programs will help reduce neurologic disease burden across the lifespan and successive generations.

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“…Głównie z tych względów w latach 2000-2012, w trakcie 36 kampanii prowadzonych w 20 europejskich krajach, tylko 50% akcji zostało ocenionych pod względem skuteczności, z czego tylko w 55% z nich skorzystano z udostępnionych przez WHO narzędzi [18]. Wśród ośrodków na całym świecie, które zdecydowały się na pomiar wskaźnika zgodności przestrzegania higieny rąk wśród pracowników, uzyskano niepokojące dane związane z bardzo niskim wskaźnikiem -wynoszącym 40% -co jest absolutnie niedopuszczalnie niską wartością w XXI wieku [19].…”

Section: Kampanie Promujące Higienę Rąkunclassified

Higiena rąk wśród personelu medycznego – co jeszcze można zrobić

Potocka¹,

Rożkiewicz²

2016

Forum Zakażeń

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STRESZCZENIE:Higiena rąk jest postrzegana jako najprostsza, a zarazem najważniejsza metoda zapobiegania infekcjom w oddziałach szpitalnych. Pomimo tego wskaźnik przestrzegania wytycznych higieny rąk wśród pracowników ochrony zdrowia, a szczególnie wśród lekarzy, pozostaje na niskim poziomie. W ostatnich latach przeprowadzono wiele kampanii promują-cych higienę rąk. Mimo intensywnych starań wskaźnik przestrzegania higieny rąk -po począt-kowej poprawie -wciąż pozostaje na niskim poziomie. Dokonano analizy czynników mogą-cych mieć wpływ na to zjawisko, takich jak: brak wiedzy naukowej, przepracowanie, zmęcze-nie kampaniami itp. Szczególnie podkreślono rolę indywidualnego zachowania, złych nawyków oraz etycznego kryzysu wśród pracowników ochrony zdrowia, które mogą być odpowiedzialne za nieprzestrzeganie higieny rąk podczas opieki nad pacjentem.SŁOWA KLUCZOWE: etyka, higiena rąk, kampanie promujące, negatywne czynniki, personel medyczny, wskaźnik przestrzegania higieny rąk ABSTRACT: Hand hygiene has been identified as one of the simplest, but most important, methods to prevent cross-infection in healthcare facilities. In spite of this fact, the hand hygiene compliance rate remains low among healthcare workers, especially among physicians. In recent years a lot of promotional campaigns for hand hygiene were performed. Despite these intensive efforts compliance about hand hygiene after initial improved is still poor. We investigated factors associated with this phenomenon, such as lack of scientific information, overwork, campaign fatigue etc. We want to emphasize the role of individual behavior, bad habits of employees and an ethical crisis among healthcare workers in low hand hygiene compliance during patient care.

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Standard work for room entry: Linking lean, hand hygiene, and patient-centeredness

Cited by 10 publications

References 20 publications

Can lean reduce infections? A systematic review and meta-analysis of prospective studies

Can lean reduce infections? A systematic review and meta-analysis of prospective studies

“The First Thousand Days” Define a Fetal/Neonatal Neurology Program

Higiena rąk wśród personelu medycznego – co jeszcze można zrobić

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