Im Februar dieses Jahres erschien im Lancet Infectious Diseases Journal eine interessante Review zu evidenzbasierter Infektprävention „Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus„, zu der Lauren Clack in unserem Team einen entscheidenden Beitrag geleistet hat.
- Organisation von Spitalhygiene auf der Ebene des Spitals
- Bettenbelegung, Stellen, Arbeitslast, Pool-Personal
- Zugang zu Material und Ergonomie
- Guidelines und deren Umsetzung
- Surveillance und Feedback
- Multimodale und multidisziplinäre Programme und deren verhaltenspsychologische Aspekte
- Positive Organisationskultur
In the February issue of this year’s Lancet Infectious Diseases Journal, our colleagues Zingg et al. published a systematic review and evidence-based guidance on organisation of hospital infection control programmes (SIGHT). The objective of the ECDC-funded review was to provide evidence-based guidance on the optimal organisation of infection control programmes, particularly in acute-care settings – and further to provide structure and process indicators for monitoring.
The review, which focused mainly on management and organisation features, identified 10 key components of effective infection prevention programmes. These included:
- organisation of infection control at the hospital level
- bed occupancy, staffing, workload, and employment of pool or agency nurses
- availability of and ease of access to materials and equipment and optimum ergonomics
- appropriate use of guidelines
- education and training
- surveillance and feedback
- multimodal and multidisciplinary prevention programmes that include behavioural change
- engagement of champions
- positive organisational culture
The review proposes several manageable and widely-applicable means of reducing healthcare associated infections and improving patient safety. It represents an important piece of work that is widely-relevant for all those involved in the infection prevention and patient safety community.