Can Successful Implementation of the Common Canister Program Deliver Cost Containment and Improved Infection Control?

2012 ◽  
Vol 47 (9) ◽  
pp. 700-711 ◽  
Author(s):  
Scott Neel ◽  
Allison Tauman
Author(s):  
Sean Wei Xiang Ong ◽  
Pei Hua Lee ◽  
Yian Kim Tan ◽  
Li Min Ling ◽  
Benjamin Choon Heng Ho ◽  
...  

Abstract Background: The risk of environmental contamination by severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in the intensive care unit (ICU) is unclear. We evaluated the extent of environmental contamination in the ICU and correlated this with patient and disease factors, including the impact of different ventilatory modalities. Methods: In this observational study, surface environmental samples collected from ICU patient rooms and common areas were tested for SARS-CoV-2 by polymerase chain reaction (PCR). Select samples from the common area were tested by cell culture. Clinical data were collected and correlated to the presence of environmental contamination. Results were compared to historical data from a previous study in general wards. Results: In total, 200 samples from 20 patient rooms and 75 samples from common areas and the staff pantry were tested. The results showed that 14 rooms had at least 1 site contaminated, with an overall contamination rate of 14% (28 of 200 samples). Environmental contamination was not associated with day of illness, ventilatory mode, aerosol-generating procedures, or viral load. The frequency of environmental contamination was lower in the ICU than in general ward rooms. Eight samples from the common area were positive, though all were negative on cell culture. Conclusion: Environmental contamination in the ICU was lower than in the general wards. The use of mechanical ventilation or high-flow nasal oxygen was not associated with greater surface contamination, supporting their use and safety from an infection control perspective. Transmission risk via environmental surfaces in the ICUs is likely to be low. Nonetheless, infection control practices should be strictly reinforced, and transmission risk via droplet or airborne spread remains.


Author(s):  
Sheila Adam ◽  
Sue Osborne ◽  
John Welch

Both critical illness and treatment in the critical care unit are extremely stressful, presenting great physical and psychological challenges for patients and their families. There are a range of compensatory responses to stress which may be adaptive, but severe or prolonged stress can induce a destructive spiral of decompensation. The importance of a holistic approach to care cannot be overemphasized; this chapter sets out the priorities of care for critically ill patients, and the common needs and problems for both patients and their families. The issues discussed include the mechanisms of stress in critical illness, the promotion of sleep, use of analgesia and sedation, management of delirium, complications of immobility, mouth, eye, and skin care, infection control, requirements for safe transfer, and care of the dying patient.


2002 ◽  
Vol 23 (7) ◽  
pp. 407-410 ◽  
Author(s):  
David P. Calfee ◽  
Barry M. Farr

During the past several years, major changes have occurred in the way in which health care is provided and financed. One of the outcomes of these changes has been a greater emphasis on providing quality health care at a low cost. This has led many healthcare facilities to question the necessity of all expenditures and to reduce spending when at all possible. Many healthcare facilities have solicited the services of consulting groups to provide recommendations regarding cost-containment strategies appropriate for their particular institution.


2013 ◽  
Vol 3 (2) ◽  
pp. 82-86
Author(s):  
Ashwin Muralidhar Jawdekar

ABSTRACT Having a policy on infection control based on current evidence and guidelines is essential for all dental practices. The evidence shows that all the members of the dental team may not possess adequate knowledge of all relevant aspects related to infection control, such as the transmission of infectious diseases, current regulations, etc. Moreover, there exists evidence to support the value of education and certified training the dental professionals in improving their understanding of infection control policies and procedures. The training must be provided by an expert team comprising of an academician with suitable clinical experience and demonstrable expertize in dentistry, and a microbiologist who understands the needs of dental settings. Evidence suggests that a training over 10 hours is associated with maximal benefits; and the CDC and BDA guidelines recommend training to all dental staff (clinical as well as nonclinical) for optimal benefits. Successful implementation of the infection control policies depends on the adequate provision of time and facilities for the same. How to cite this article Jawdekar AM. Infection Control Policy for Dental Practice: An Evidence-based Approach. J Contemp Dent 2013;3(2):82-86.


This volume includes a variety of intervention strategies utilizing peers as change agents in school-based interventions. The book presents an updated conceptualization of peer-mediated interventions (PMIs), including peer-mediated academic interventions, peer-mediated behavioral interventions, and peer-mediated group supports. Each section includes a chapter describing the research supporting each category of PMI, as well as practical chapters detailing the use of different strategies that fit under each of the categories. The practical chapters describe the common procedures involved in each PMI, recommendations for successful implementation with an equity lens in applied settings, and useful resources such as implementation scripts for use in schools.


2012 ◽  
Vol 433-440 ◽  
pp. 372-378
Author(s):  
Barbara Lyonnet ◽  
Maurice Pillet ◽  
Magali Pralus

Any company wishing to implement a Lean approach is faced with the following issue: should Lean be implemented sequentially or simultaneously? No consensus on the method for implementing Lean has been established. For this reason we sought to find out if there was an implementation order regarding Lean practices. 25 Lean experts were interviewed. We used a precedence method to identify the potential precedence for implementing certain Lean practices. We considered only the common responses from over 50% of Lean experts interviewed. We showed that five precedence levels could exist. Understanding these levels should contribute to the creation of a deployment standard for Lean, as well as the successful implementation of Lean practices in companies.


Think India ◽  
2015 ◽  
Vol 18 (1) ◽  
pp. 7-15
Author(s):  
M. Maschendar Goud ◽  
V Usha Kiran

Aam Aadmi has achieved tremendous transformation from the stage of isolation to the stage of decision maker in the era of globalization. Increasing political concerns, neglecting the confidence on Aam Aadmi has resulted in huge loss to the dictators. In view of the importance of Aam Aadmi, a great change has occurred in terms of concern for Aam Aadmi in the present era. Increasing initiations of social schemes including Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) and National Food Security Bill, 2013 are some of the best examples which show that the government is highly concerned for the development and as well as empowerment. In view of the emergence of two of the most popular schemes by the government, the present paper will critically examine the need for social schemes for Aam Aadmi. Further, the paper also contributes the benefits of the schemes. Further, the challenges ahead for the successful implementation of the scheme have also been presented in the paper. The present paper is mainly based on the secondary data. The data pertaining to the opinions of the common people especially in rural India have also been considered. The paper provides the valuable observations on examining the impact of social schemes for the upliftment of Aam aadmi.


Author(s):  
M. Maschendar Goud ◽  
V Usha Kiran

Aam Aadmi has achieved tremendous transformation from the stage of isolation to the stage of decision maker in the era of globalization. Increasing political concerns, neglecting the confidence on Aam Aadmi has resulted in huge loss to the dictators. In view of the importance of Aam Aadmi, a great change has occurred in terms of concern for Aam Aadmi in the present era. Increasing initiations of social schemes including Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) and National Food Security Bill, 2013 are some of the best examples which show that the government is highly concerned for the development and as well as empowerment. In view of the emergence of two of the most popular schemes by the government, the present paper will critically examine the need for social schemes for Aam Aadmi. Further, the paper also contributes the benefits of the schemes. Further, the challenges ahead for the successful implementation of the scheme have also been presented in the paper. The present paper is mainly based on the secondary data. The data pertaining to the opinions of the common people especially in rural India have also been considered. The paper provides the valuable observations on examining the impact of social schemes for the upliftment of Aam aadmi.


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