Haas Janet P
Columbia University School of Nursing, New York, NY 10032, USA.
Am J Infect Control. 2006 Nov;34(9):543-9. doi: 10.1016/j.ajic.2005.12.001.
The Study of the Efficacy of Nosocomial Infection Control (SENIC) conducted in 1975-1976 is the gold standard for judging the resource needs of infection control departments; however, the scope of responsibilities of infection control and the patient populations served have changed dramatically over the last 30 years.
The objective of this paper is to explore the state of the science for performance measurement of infection control departments.
A search of English language literature was conducted using the PubMed, Medline, and CINAHL databases. The terms "infection control" and "department" along with the words "performance," "measurement," "staffing," "effectiveness," and "requirements" were used to search for relevant articles. Reference lists of selected articles were also searched for other papers of interest.
Twelve articles were deemed relevant to infection control department performance since the SENIC study. These fell into four main categories: time management studies, expert opinion, outcome studies, and reports about international infection control departments.
The SENIC study remains the most thorough assessment of the relationship between infection control department activities and patient outcomes. However, the scope of infection control practice has broadened, and the health care delivery system has changed dramatically since that study was performed. Few new studies have assessed infection control department performance and its relationship to patient outcomes, compliance with accepted standards of patient care, or cost of care. A current assessment of infection control department resources, functions and scope of responsibility linked to patient outcomes and cost is needed to give health care institutions a relevant benchmark for infection control resource needs and the return to be expected from that investment.
1975 - 1976年开展的医院感染控制效果研究（SENIC）是判断感染控制部门资源需求的金标准；然而，在过去30年里，感染控制的职责范围和所服务的患者群体发生了巨大变化。
本文的目的是探讨感染控制部门绩效评估的科学现状。
使用PubMed、Medline和CINAHL数据库对英文文献进行检索。使用“感染控制”“部门”以及“绩效”“评估”“人员配备”“有效性”和“要求”等词来搜索相关文章。还对所选文章的参考文献列表进行搜索以查找其他相关论文。
自SENIC研究以来，有12篇文章被认为与感染控制部门绩效相关。这些文章主要分为四类：时间管理研究、专家意见、结果研究以及关于国际感染控制部门的报告。
SENIC研究仍然是对感染控制部门活动与患者结局之间关系最全面的评估。然而，自该研究开展以来，感染控制实践的范围已经扩大，医疗保健提供系统也发生了巨大变化。很少有新的研究评估感染控制部门的绩效及其与患者结局、对公认的患者护理标准的依从性或护理成本之间的关系。需要对感染控制部门的资源、功能和职责范围与患者结局及成本进行当前评估，以便为医疗机构提供感染控制资源需求以及该投资预期回报的相关基准。
