Krein Sarah L, Olmsted Russell N, Hofer Timothy P, Kowalski Christine, Forman Jane, Banaszak-Holl Jane, Saint Sanjay
Veteran's Affairs Ann Arbor Healthcare System, Center for Practice Management and Outcomes Research, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48113-0170, USA.
Am J Infect Control. 2006 Oct;34(8):507-12. doi: 10.1016/j.ajic.2005.05.017.
Infection control professionals and hospital epidemiologists, using the valid methods of applied epidemiology-surveillance, benchmarking, intervention, evaluation--have largely been responsible for dramatically reducing the incidence of health care-associated infections over the past several decades. However, we believe that the field of infection control can--and should--also be a leader in understanding how research findings can be efficiently and effectively translated into clinical practice. Unfortunately, there is no current reliable information about which preventive practices are being used in US hospitals to prevent common device-related infections. If we are to understand how best to translate research into practice, the reasons hospitals are using some preventive practices-or are not-must be explored more fully. This article provides a framework for one proposed research endeavor to promote the successful translation of proven infection prevention practices and a subsequent decrease in health care-associated infections. In addition, we hope that this article will stimulate increased interest and research in identifying strategies that will successfully move evidence from the peer-reviewed literature to the patient's bedside.
在过去几十年里,感染控制专业人员和医院流行病学家运用应用流行病学的有效方法——监测、基准比对、干预、评估——在很大程度上使得医疗保健相关感染的发生率大幅降低。然而,我们认为感染控制领域能够而且应该成为了解如何将研究成果高效且有效地转化为临床实践的引领者。不幸的是,目前尚无关于美国医院采用哪些预防措施来预防常见器械相关感染的可靠信息。如果我们想要明白如何以最佳方式将研究转化为实践,就必须更全面地探究医院采用某些预防措施或不采用的原因。本文为一项旨在促进已证实的感染预防措施成功转化并随后降低医疗保健相关感染的拟议研究努力提供了一个框架。此外,我们希望本文能激发人们对确定成功将同行评议文献中的证据应用于患者床边的策略的更多兴趣和研究。