Infection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Infection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Department of Medicine and Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Ontario, Canada.
J Hosp Infect. 2019 Sep;103(1):101-105. doi: 10.1016/j.jhin.2019.03.014. Epub 2019 Mar 30.
A key component of transmission-based precautions (TBPs) is the use of personal protective equipment (PPE) but healthcare worker (HCW) adherence remains suboptimal. A human factors-based intervention was implemented to improve adherence to TBPs including (i) improved signage, (ii) standardized placement of signage, (iii) introduction of a mask with integrated face shield, and (iv) improvement in PPE availability. Donning of the correct PPE by HCWs improved significantly (79.7 vs 56.4%; P < 0.001). This approach may be more effective than education alone, but further study is required to determine sustainability and subsequent impact on transmission of healthcare-associated infections.
基于传播预防措施（TBPs）的一个关键组成部分是使用个人防护设备（PPE），但医护人员（HCW）的依从性仍然不理想。实施了基于人为因素的干预措施，以提高对 TBPs 的依从性，包括（i）改进标识，（ii）标准化标识的位置，（iii）引入带有集成面罩的口罩，以及（iv）改善 PPE 的可用性。医护人员正确佩戴 PPE 的比例显著提高（79.7%比 56.4%；P < 0.001）。这种方法可能比单纯的教育更有效，但需要进一步研究以确定其可持续性以及对医疗机构相关感染传播的后续影响。
