scholarly journals Human factors considerations in designing for infection prevention and control in neonatal care – findings from a pre-design inquiry

Ergonomics ◽  
2017 ◽  
Vol 61 (1) ◽  
pp. 169-184 ◽  
Author(s):  
Chantal Trudel ◽  
Sue Cobb ◽  
Kathryn Momtahan ◽  
Janet Brintnell ◽  
Ann Mitchell
Keyword(s):  
Human Factors ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Neonatal Care ◽  
Infection Prevention And Control ◽  
And Control

scholarly journals Rapid conversion of an in-patient hospital unit to accommodate COVID-19: An interdisciplinary human factors, ethnography, and infection prevention and control approach

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245212
Author(s):  
Raad Fadaak ◽  
Jan M. Davies ◽  
Marlot Johanna Blaak ◽  
John Conly ◽  
Joanne Haslock ◽  
...  
Keyword(s):  
Human Factors ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Infection Prevention And Control ◽  
Control Approach ◽  
Specific Care ◽  
And Control ◽  
Rapid Conversion

Background In response to the Coronavirus disease-19 (COVID-19) pandemic, in-patient units in hospitals around the world have altered their patient care routines and Infection Prevention and Control (IPC) practices. Our interdisciplinary team of applied Human Factors (HF), ethnography, and IPC experts assisted one Unit, normally serving general surgical and orthopedic patients, as it rapidly converted to deliver COVID-19-specific care. This paper describes the conversion experience of the Unit, and outlines broader lessons for other acute care teams faced with similar issues. Methods We deployed walkthroughs, simulations, and ethnography to identify important safety gaps in care delivery processes on the Unit. These interventions were undertaken using interdisciplinary theories of implementation that combined systems-level HF perspectives, ethnographic approaches, and individual-level IPC perspectives. Timely recommendations were developed and delivered to Unit staff for feedback and implementation. Results We describe three interventions on the Unit: 1) the de-cluttering and re-organization of personal protective equipment (PPE); 2) the reconfiguring of designated ‘dirty’ tray tables and supplies; and 3) the redesign of handling pathways for ‘dirty’ linens and laundry. Each of these interventions was implemented to varying degrees, but all contributed to discussions of safety and IPC implementation that extended beyond the Unit and into the operations of the broader hospital. Conclusions Leveraging our team’s interdisciplinary expertise and blended approaches to implementation, the interventions assisted in the Unit’s rapid conversion towards providing COVID-19-specific care. The deployment and implementation of the interventions highlight the potential of collaboration between HF, ethnography, and IPC experts to support frontline healthcare delivery under pandemic conditions in an effort to minimize nosocomial transmission potential in the acute healthcare setting.

A Health System’s Preparedness for the “Next Ebola”

2017 ◽  
Vol 26 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Justin H. Baers ◽  
Katelyn Wiley ◽  
J. M. Davies ◽  
Jeff K. Caird ◽  
Greg Hallihan ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Human Factors ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Lessons Learned ◽  
Infection Prevention And Control ◽  
In Situ Simulation ◽  
Health Region ◽  
And Control

We share lessons learned from a collaborative in situ simulation of Ebola preparedness for a large health region. The lessons are to use proactive analysis, undertake in situ simulation, and have professionals in infection prevention and control and those in human factors collaborate. These lessons are applicable as generalizable concepts, not only to Ebola preparedness but also to other infectious diseases, including the “next Ebola.” Implementing these concepts will help contribute to improvements in both patient and provider safety.

scholarly journals Human Factors Engineering Contributions to Infection Prevention and Control

2019 ◽  
Vol 61 (5) ◽  
pp. 693-701 ◽  
Author(s):  
Frank A. Drews ◽  
Lindsay C. Visnovsky ◽  
Jeanmarie Mayer
Keyword(s):  
Human Factors ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Future Research ◽  
Human Factors Engineering ◽  
Life Threatening ◽  
Current Infection ◽  
Healthcare Associated ◽  
And Control

Objective: This article provides a review of areas that present significant challenges in infection prevention and control and describes human factors engineering (HFE) approaches that have been applied successfully to these areas. In addition, implications and recommendations for HFE use in future research are discussed. Background: Infection prevention and control aims to prevent patients and health care personnel from acquiring preventable infections in healthcare. Effective infection control practices of healthcare-associated infections have recently become even more critical with the emergence of life-threatening infections. HFE could benefit infection prevention and control in addressing older and more recent challenges, but uptake has been limited. Method/Results: This literature review is an integration and synthesis of recently published research that describes HFE-based approaches in infection prevention and control to address the challenges for three specific topics. The results of the review suggests that HFE is in a position to support work in infection prevention and control and improve overall healthcare safety. Conclusion: HFE provides conceptual frameworks and methods that have significant potential to improve infection prevention and control. Application: The work reviewed can provide potential solutions for current infection prevention and control challenges by applying HFE based recommendations.

scholarly journals Sustainable neonatal CLABSI surveillance: consensus towards new criteria in the Netherlands

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
I. E. Heijting ◽  
◽  
T. A. J. Antonius ◽  
A. Tostmann ◽  
W. P. de Boode ◽  
...  
Keyword(s):  
Blood Culture ◽  
The Netherlands ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Expert Panel ◽  
Neonatal Care ◽  
Blood Cultures ◽  
Infection Prevention And Control ◽  
Consensus Procedure ◽  
And Control

Abstract Background Central line-associated bloodstream infections (CLABSI) are a main focus of infection prevention and control initiatives in neonatal care. Standardised surveillance of neonatal CLABSI enables intra- and interfacility comparisons which can contribute to quality improvement. To date, there is no national registration system for CLABSI in neonatal care in the Netherlands and several criteria are used for local monitoring of CLABSI incidence rates. To achieve standardised CLABSI surveillance we conducted a consensus procedure with regard to nationwide neonatal CLABSI surveillance criteria (SC). Methods A modified Delphi consensus procedure for the development of nationwide neonatal CLABSI SC was performed between January 2016 and January 2017 in the Netherlands. An expert panel was formed by members of the Working Group on Neonatal Infectious Diseases of the Section of Neonatology of the Dutch Paediatric Society. The consensus procedure consisted of three expert panel rounds. Results The expert panel achieved consensus on Dutch neonatal CLABSI SC. Neonatal CLABSI is defined as a bloodstream infection occurring more than 72 h after birth, associated with an indwelling central venous or arterial line and laboratory confirmed by one or more blood cultures. In addition, the blood culture finding should not be related to an infection at another site and one of the following criteria can be applied: 1. a bacterial or fungal pathogen is identified from one or more blood cultures; 2. the patient has clinical symptoms of sepsis and 2A) a common commensal is identified in two separate blood cultures or 2B) a common commensal is identified by one blood culture and C-reactive protein level is above 10 mg/L in the first 36 h following blood culture collection. Conclusions The newly developed Dutch neonatal CLABSI SC are concise, specified to the neonatal population and comply with a single blood culture policy in actual neonatal clinical practice. International agreement upon neonatal CLABSI SC is needed to identify best practices for infection prevention and control.

Effective infection prevention and control strategies in a large accredited psychiatric facility in Singapore

2020 ◽  
Author(s):  
Daniel Poremski ◽  
Sandra Henrietta Subner ◽  
Grace Lam Fong Kin ◽  
Raveen Dev Ram Dev ◽  
Mok Yee Ming ◽  
...  
Keyword(s):  
Mental Health ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Control Strategies ◽  
Infection Prevention And Control ◽  
Psychiatric Facility ◽  
Essential Services ◽  
Community Transmission ◽  
And Control

The Institute of Mental Health in Singapore continues to attempt to prevent the introduction of COVID-19, despite community transmission. Essential services are maintained and quarantine measures are currently unnecessary. To help similar organizations, strategies are listed along three themes: sustaining essential services, preventing infection, and managing human and consumable resources.

Barriers to infection prevention and control practice among Amhara region teaching hospitals in Ethiopia: Qualitative study

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Walelegn Worku Yallew ◽  
Abera Kumie ◽  
Feleke Moges Yehuala
Keyword(s):  
Healthcare Worker ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Teaching Hospitals ◽  
Infection Prevention And Control ◽  
Amhara Region ◽  
Implementation Barriers ◽  
Control Practice ◽  
And Control

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.

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