Lloyd-Smith Elisa, Curtin Jim, Gilbart Wayne, Romney Marc G
Infection Prevention and Control, St. Paul's Hospital, Providence Health Care, Vancouver, BC, Canada.
Infection Prevention and Control, St. Paul's Hospital, Providence Health Care, Vancouver, BC, Canada; Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Am J Infect Control. 2014 Dec;42(12):1303-7. doi: 10.1016/j.ajic.2014.08.017. Epub 2014 Nov 25.
In many North American hospitals, conventional infection control operational models often struggle to provide sufficient support to frontline health care workers. The objective of this study was to describe a sustainable infection control champion (ICC) program based on findings from focus groups.
A distributed model of infection control was established by placing infection prevention and control-trained ICCs in 3 Canadian hospitals for a period of 12 months. Subsequently, semistructured focus groups were conducted to describe overall feasibility and impeding and critical factors affecting sustainability. An economic estimate of the ICC program compared with the cost of hiring a new infection control practitioner was also calculated.
Focus group participants considered the program feasible. Barriers included lack of time and staff turnover. Themes critical for the successful implementation of an ICC program included defined ICC roles and goals, adequate support and resources for the ICC, engagement with all levels of staff, flexible structure, and program evaluation. The cost per bed of the ICC program was less than the cost per bed of hiring a new infection control practitioner.
A distributed model of providing infection prevention and control services may have benefit when hospital infection control teams are underresourced, as is often the case. Several key factors are needed for the successful implementation of an ICC program.
在许多北美医院，传统的感染控制运营模式往往难以向前线医护人员提供足够的支持。本研究的目的是根据焦点小组的结果描述一个可持续的感染控制倡导者（ICC）项目。
通过在3家加拿大医院安排接受过感染预防与控制培训的ICC人员，建立了一种分布式感染控制模式，为期12个月。随后，开展了半结构化焦点小组讨论，以描述总体可行性以及影响可持续性的阻碍因素和关键因素。还计算了ICC项目与雇佣一名新的感染控制从业者的成本相比的经济估算。
焦点小组参与者认为该项目可行。障碍包括时间不足和人员流动。对于ICC项目成功实施至关重要的主题包括明确的ICC角色和目标、为ICC提供充足的支持和资源、与各级员工的参与互动、灵活的结构以及项目评估。ICC项目的每张床位成本低于雇佣一名新的感染控制从业者的每张床位成本。
当医院感染控制团队资源不足时（情况通常如此），提供感染预防与控制服务的分布式模式可能有益。ICC项目的成功实施需要几个关键因素。
