Imperial College Centre for Patient Safety and Service Quality, Faculty of Medicine, Imperial College London, 5th floor Medical School Building, St Mary's Campus, Norfolk Place, London W2 1PG, UK.
J Antimicrob Chemother. 2012 Jul;67 Suppl 1:i29-36. doi: 10.1093/jac/dks200.
This paper explores the progress and challenges associated with the application of organizational factors and approaches to infection prevention and control (IPC) and antibiotic stewardship (AS) in England, many of which have been considered and supported by the Advisory Committee on Antimicrobial Resistance and Healthcare-associated Infections (ARHAI). An organizational perspective is described and the wider macro context and socio-political forces that shape an organizational approach are considered. Factors that drive organizational change in IPC and AS are discussed. The tensions, constraints and dilemmas that can occur are identified and outstanding challenges are debated. Some recommendations for the future direction of IPC and AS organizationally focused strategies and research are proposed.
本文探讨了在英格兰将组织因素和方法应用于感染预防和控制 (IPC) 和抗生素管理 (AS) 方面的进展和挑战，其中许多因素已经被抗菌素耐药性和医院感染咨询委员会 (ARHAI) 考虑和支持。本文描述了一个组织视角，并考虑了影响组织方法的更广泛的宏观背景和社会政治力量。讨论了推动 IPC 和 AS 组织变革的因素。确定了可能出现的紧张、限制和困境，并就悬而未决的挑战进行了辩论。为今后以组织为重点的 IPC 和 AS 战略和研究提出了一些建议。
