Rodriguez Maria, Ford Dennis, Adams Sheila
Northeast Baptist Hospital, San Antonio, Texas, USA.
Crit Care Nurs Q. 2011 Jan-Mar;34(1):36-45. doi: 10.1097/CNQ.0b013e3182048048.
Construction or renovation in health care facilities can take place on any given week or in any given area. A great deal of time is spent on planning the project and in securing the appropriate permits and regulatory paperwork in accordance with local and state regulatory authority. Also included in construction planning is the estimated project cost. Once the formal approval is received, the race to complete the project begins. The old saying that "time is money" implies that the quicker a project is completed, the less time and money spent and the quicker the renovated space can be used to build volume. Sounds pretty good--right? Unfortunately, if the end result of the renovation or construction is a poorly designed patient unit, it can affect the manner in which staff provide care to a patient as well as their ability to comply with isolation practices and hand hygiene. In an intensive care unit, there is great potential for hospital-acquired infections. In this article, we propose that planners, end users, and infection preventionists commit to working as a team in order to create units that are clinically functional and safer for the patient.
医疗保健设施的建设或翻新可能在任何一周或任何区域进行。大量时间花在规划项目以及根据当地和州监管机构的要求获取适当的许可和监管文件上。建设规划中还包括项目的估计成本。一旦获得正式批准，完成项目的竞赛就开始了。俗话说“时间就是金钱”，这意味着项目完成得越快，花费的时间和金钱就越少，翻新后的空间就能越快投入使用以增加业务量。听起来很不错——对吧？不幸的是，如果翻新或建设的最终结果是设计不佳的病房，它可能会影响工作人员为患者提供护理的方式以及他们遵守隔离措施和手部卫生的能力。在重症监护病房，医院获得性感染的可能性很大。在本文中，我们建议规划者、最终用户和感染预防人员致力于作为一个团队开展工作，以创建对患者具有临床功能性且更安全的病房。
