Edden Anna Charlotte, Willan Johanna Louise
Royal Victoria Infirmary, UK.
Br J Nurs. 2009;18(18):1138-42. doi: 10.12968/bjon.2009.18.18.44558.
Healthcare-associated infections (HCAIs) are a high priority for health professionals. Under the Health and Social Care Act (2008), NHS organizations that fail to comply with the duties in the act could, in extreme cases, be liable for prosecution. Saving Lives (2007) is a national strategy to prevent and control HCAIs which incorporates seven high-impact interventions or care bundles. These relate to clinical procedures that must be performed correctly and in the same order for each patient, every time, to reduce the risk of a patient contracting an HCAI. Within a large Trust in the north east of England, five practice improvement facilitators were employed to assist with the implementation of the Department of Health's Saving Lives programme. A steering group consisting of senior multidisciplinary team members was set up. One of the aims of the group was to reduce variations in practice and to standardize documentation and clinical practice. This article describes how phase I of the programme was implemented across the Trust and discusses the standardized documentation developed.
医疗保健相关感染（HCAIs）是卫生专业人员的首要任务。根据《健康与社会保健法案》（2008年），未能遵守该法案规定职责的国民保健服务（NHS）组织在极端情况下可能会面临被起诉的责任。《拯救生命》（2007年）是一项预防和控制医疗保健相关感染的国家战略，其中包含七项具有重大影响的干预措施或护理包。这些措施涉及必须每次都以相同顺序正确为每位患者执行的临床程序，以降低患者感染医疗保健相关感染的风险。在英格兰东北部的一个大型信托机构中，聘请了五名实践改进促进者来协助实施卫生部的《拯救生命》计划。成立了一个由多学科高级团队成员组成的指导小组。该小组的目标之一是减少实践中的差异，并使文件记录和临床实践标准化。本文描述了该计划的第一阶段是如何在整个信托机构中实施的，并讨论了所制定的标准化文件记录。
