The learning hospital: From theory to practice in a hospital infection prevention program

Hess, Olivia; Srivastava, Meha; Pryor, Rachel; Patrick, Amie; Cooper, Kaila; Godbout, Emily; Anderson, Katie; Doll, Michelle; Stevens, Michael P.; Hemphill, Robin R.; Edmond, Michael B.; Wenzel, Richard P.; Bearman, Gonzalo

doi:10.1017/ice.2019.318

Cited by 8 publications

(4 citation statements)

References 126 publications

(56 reference statements)

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“…A CCIH, dentre outras obrigações, deve criar um Sistema de Vigilância Epidemiológica das Infecções Hospitalares, realizar o treinamento dos funcionários dos hospitais para que estejam aptos a lidar com as IH, controlar o uso de antimicrobianos e fazer inspeção epidemiológica quando ocorrer surtos e aplicar medidas para controlá-los. Para controlar essas situações, o atendimento realizado nas emergências também devem ser bastante verificado e os profissionais devem estar preparados para seguir os preceitos dos contaminantes de risco, além do manejo adequado dos pacientes críticos (HESS et al, 2020;MA et al, 2016).…”

Section: Resultsunclassified

Pesquisa e Extensão: Abordagem Interdisciplinar

2022

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A pesquisa propõe apresentar quais os impactos que a cultura do cancelamento tem na vida do indivíduo cancelado, focando nos conteúdos explícitos de figuras públicas canceladas que interagem nas redes sociais. Para mais, também intenciona descrever os principais impactos financeiros e midiáticos gerados por esses cancelamentos. Método: Foi realizada uma pesquisa com abordagem qualitativa a partir do método da netnografia, que permite uma coleta de dados feita pelas mídias digitais. A análise dos impactos da cultura do cancelamento ocorreu com a seleção de cinco perfis da rede social instagram com a escolha de algumas mulheres famosas da faixa etária de 20 a 35 anos. Resultados e Discussão: Houve uma certificação de que os cancelamentos estão relacionados com lutas sociais e políticas, como questões ligadas à xenofobia, racismo, machismo e lgbtqfobia, além de aspectos referentes à saúde coletiva. Percebeu-se também que essa nova forma de debater os comportamentos das pessoas famosas trouxeram diversas repercussões, tanto no campo da saúde mental, como no marketing pessoal da figura pública. A reação do público, dependendo da pauta, tende a ser agressiva e intolerante. Conclusão: Muitos dos debates que giram em torno dos assuntos que causam o cancelamento levam inúmeras pessoas à reflexão, de modo a esclarecer o pensamento sobre determinados temas que até então poderiam ser desconhecidos para uma população leiga. É necessário que se avalie o modo e a intensidade que a cobrança é feita, evitando ataques e oportunizando que o sujeito cancelado possa se expressar acerca de seus erros, amenizando assim um possível adoecimento mental, sendo necessária a psicologia está atenta a essas demandas que emergem.

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Section: Resultsunclassified

Pesquisa e Extensão: Abordagem Interdisciplinar

2022

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“…The balance of sample size between groups can ensure the feasibility of the results of randomized controlled studies, which provides feasibility for the subsequent comparison of control effect data [31,32].…”

Section: Discussionmentioning

confidence: 99%

Application of integrated equipment quality management mode of operating room and supply room in prevention and control of nosocomial infection

Zhang¹,

Ding²

2022

Preprint

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Backgroud: This paper researches the influence of the integrated equipment quality management model of operating room and supply room and conventional equipment disinfection management scheme on the prevention and control of nosocomial infection. Methods: 200 surgical instruments and surgical instrument kits in the supply room of our hospital from May 2020 to May 2022 are selected as research cases. They are equally divided into the experimental group and the control group by the random number table method, and each group is equipped with 100 pieces of surgical instruments and instrument kit. The control group adopts the conventional equipment disinfection management scheme, and the experimental group adopts the integrated equipment quality management model of operating room and supply room. The number of different types of surgical instruments and surgical instrument kits, the qualified rate of surgical instrument cleaning, the qualified rate of disinfection of surgical instrument kits, the wound infection rate of surgical patients, and the satisfaction of medical staff with the quality of the instruments are compared between the two groups. Results: The results show that the different types of surgical instruments (lumen instruments, hemostatic forceps, and scissors) and the number of surgical instrument kits (puncture kits, accessories kits, and instrument kits) in the experimental group are not significantly different from those in the control group (P > 0.05). The qualified rate of disinfection of surgical instrument kits in the experimental group is significantly higher than that in the control group, and the difference is statistically significant (P < 0.05). The wound infection rate of surgical patients in the experimental group is significantly lower than that in the control group, and the difference is statistically significant (P< 0.05). The satisfaction rate of 50 medical staff with the quality of surgical instruments in the experimental group is significantly higher than that in the control group, and the difference is statistically significant (P < 0.05). Conclusion: It is found that compared with the conventional equipment disinfection management scheme, the integrated equipment quality management model of operating room and supply room can significantly improve the cleaning and disinfection quality of surgical instruments and surgical instrument kits, reduce the risk of postoperative wound infection of surgical patients, improve the satisfaction of medical staff, and achieve the prevention and control of nosocomialinfection.

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“…(2). Variables Collected: Basic information about the patient, whether the blood culture was positive, sampling stie of positive blood culture(peripheral blood, peripherally inserted central catheter [PICC] or both), temperature at fever, time to positivity (TTP), When there are multiple positive results, take the shortest time), C reactive protein, complete blood cell analysis, blood biochemistry, coagulation, procalcitonin (PCT), cytokines, the application of antibiotics before blood collection, [8] Nosocomial infection (defined as more than 48 hours after admission and < 48 hours after discharge), [9] type of pathogen. Blood samples should be taken at the time of fever as the preferred choice, otherwise they should be extracted within 24 hours before and after fever.…”

Section: Methodsmentioning

confidence: 99%

Study on predictive factors of blood culture results in leukemia patients with fever during chemotherapy

Liu

et al. 2023

Medicine

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Infection is a common complication of leukemia patients undergoing chemotherapy. Blood culture results are often needed to guide clinical use, but repeated sampling is often necessary to improve the positive rate and eliminate contamination. The purpose of this paper is to find predictive factors of blood culture results among clinical and laboratory indicators and try to establish a prediction model, so as to better choose the time of blood culture examination, predict the results, and better guide clinical treatment. We retrospectively collected clinical and laboratory data of febrile acute leukemia patients undergoing chemotherapy. The samples were randomly assigned to the training set and the validation set, and the prediction model was constructed from the training set. The calibration curve was made in the validation set and the Hosmer-Lemeshow test was performed to evaluate the prediction performance of the prediction model. A total of 229 patients were included. Univariate and multivariate analyses suggested that temperature at fever and procalcitonin were variables of significant difference between positive and negative blood culture patients. The sensitivity of the 2 variables for predicting blood culture results was high, but the specificity was low. In the process of external validation, the predictive ability of the constructed prediction model to the blood culture results was low. This study identified clinical and laboratory parameters associated with blood culture outcomes, but the predictive model established has low predictive accuracy in external validation.

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The learning hospital: From theory to practice in a hospital infection prevention program

Cited by 8 publications

References 126 publications

Pesquisa e Extensão: Abordagem Interdisciplinar

Pesquisa e Extensão: Abordagem Interdisciplinar

Application of integrated equipment quality management mode of operating room and supply room in prevention and control of nosocomial infection

Study on predictive factors of blood culture results in leukemia patients with fever during chemotherapy

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