养老院因感染控制而被责令整改。
Nursing home deficiency citations for infection control.
机构信息
Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.
出版信息
Am J Infect Control. 2011 May;39(4):263-9. doi: 10.1016/j.ajic.2010.12.010.
BACKGROUND
This study examined the deficiency citation for infection control (ie, F-Tag 441). This information represents potential problems in infection control as identified in the yearly certification process of almost all US nursing homes.
METHODS
The data used came primarily from the Online Survey, Certification, and Reporting data base, which contains information on both deficiency citations and characteristics of nursing homes. The data for each nursing home from 2000 through 2007 were combined, providing a panel of 100,000 observations. Multivariate analyses and generalized estimating equations with a logit link were used.
RESULTS
An average of 15% of all nursing homes received a deficiency citation for infection control each year from 2000 to 2007. In the multivariate analyses, several staffing levels were robust in their significance. For all 3 types of caregiver examined (ie, nurse aides, Licensed Practical Nurses, and Registered Nurses), low staffing levels were associated with receipt of a deficiency citation for infection control.
CONCLUSION
The high number of deficiency citations for infection control problems identified in this study suggests the need for increased emphasis on these programs in nursing homes to protect vulnerable elders.
背景
本研究检查了感染控制的缺陷引文（即 F-Tag 441）。这些信息代表了几乎所有美国养老院每年认证过程中发现的感染控制潜在问题。
方法
使用的数据主要来自在线调查、认证和报告数据库，其中包含有关缺陷引文和养老院特征的信息。对 2000 年至 2007 年的每个养老院的数据进行了组合，提供了一个包含 100000 个观察值的面板。采用多元分析和带有对数链接的广义估计方程。
结果
2000 年至 2007 年，平均每年有 15%的养老院因感染控制缺陷而受到缺陷引文。在多元分析中，几个人员配备水平具有显著意义。对于所有三种护理人员（即护士助手、执业护士和注册护士），低人员配备水平与感染控制缺陷引文的接收相关。
结论
本研究中发现的大量感染控制缺陷引文表明，需要在养老院中更加重视这些项目，以保护脆弱的老年人。
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