医院采用自动化监测技术并实施感染预防与控制方案。

Hospital adoption of automated surveillance technology and the implementation of infection prevention and control programs.

机构信息

School of Public Health, University of California, Berkeley, CA 94720-7360, USA.

出版信息

Am J Infect Control. 2011 May;39(4):270-6. doi: 10.1016/j.ajic.2010.10.037.

DOI:10.1016/j.ajic.2010.10.037

PMID:21531272

Abstract

BACKGROUND

This research analyzes the relationship between hospital use of automated surveillance technology (AST) for identification and control of hospital-acquired infections (HAI) and implementation of evidence-based infection control practices. Our hypothesis is that hospitals that use AST have made more progress implementing infection control practices than hospitals that rely on manual surveillance.

METHODS

A survey of all acute general care hospitals in California was conducted from October 2008 through January 2009. A structured computer-assisted telephone interview was conducted with the quality director of each hospital. The final sample includes 241 general acute care hospitals (response rate, 83%).

RESULTS

Approximately one third (32.4%) of California's hospitals use AST for monitoring HAI. Adoption of AST is statistically significant and positively associated with the depth of implementation of evidence-based practices for methicillin-resistant Staphylococcus aureus and ventilator-associated pneumonia and adoption of contact precautions and surgical care infection practices. Use of AST is also statistically significantly associated with the breadth of hospital implementation of evidence-based practices across all 5 targeted HAI.

CONCLUSION

Our findings suggest that hospitals using AST can achieve greater depth and breadth in implementing evidenced-based infection control practices.

摘要

背景

本研究分析了医院使用自动化监测技术（AST）识别和控制医院获得性感染（HAI）与实施基于证据的感染控制实践之间的关系。我们的假设是，使用 AST 的医院在实施感染控制实践方面比依赖人工监测的医院取得了更大的进展。

方法

对 2008 年 10 月至 2009 年 1 月加利福尼亚州所有急性普通护理医院进行了调查。对每家医院的质量主任进行了结构化的计算机辅助电话访谈。最终样本包括 241 家普通急性护理医院（应答率为 83%）。

结果

大约三分之一（32.4%）的加利福尼亚州医院使用 AST 监测 HAI。AST 的采用在统计学上是显著的，并与耐甲氧西林金黄色葡萄球菌和呼吸机相关性肺炎的基于证据的实践的深度实施以及接触预防和手术护理感染实践的采用呈正相关。AST 的使用还与所有 5 种目标性 HAI 的基于证据的实践在医院的广泛实施在统计学上显著相关。