Cinical risk Management and Patient Safety Center, Via Pietro Dazzi 1, 50141, Firenze; Italy.
UOC Chirurgia Generale, Ospedale Valtiberina, Sansepolcro, Usl Toscana Sud-Est, Viale Galileo Galilei, 101, 52037 Sansepolcro AR, Italy.
Int J Qual Health Care. 2021 Jan 12;33(Supplement_1):51-55. doi: 10.1093/intqhc/mzaa137.
In response to the coronavirus disease of 2019 (COVID-19) pandemic, healthcare systems worldwide have stepped up their infection prevention and control efforts in order to reduce the spread of the infection. Behaviours, such as hand hygiene, screening and cohorting of patients, and the appropriate use of antibiotics have long been recommended in surgery, but their implementation has often been patchy.
The current crisis presents an opportunity to learn about how to improve infection prevention and control and surveillance (IPCS) behaviours. The improvements made were mainly informal, quick and stemming from the frontline rather than originating from formal organizational structures. The adaptations made and the expertise acquired have the potential for triggering deeper learning and to create enduring improvements in the routine identification and management of infections relating to surgery.
This paper aims to illustrate how adopting a human factors and ergonomics perspective can provide insights into how clinical work systems have been adapted and reconfigured in order to keep patients and staff safe.
For achieving sustainable change in IPCS practices in surgery during COVID-19 and beyond we need to enhance organizational learning potentials.
为应对 2019 年冠状病毒病（COVID-19）大流行，全球各国的医疗保健系统都加强了感染预防和控制工作，以减少感染的传播。手部卫生、患者筛查和分组、以及抗生素的合理使用等措施早已在外科领域得到推荐，但这些措施的实施往往参差不齐。
当前的危机为了解如何改进感染预防和控制及监测（IPC）行为提供了机会。所做的改进主要是非正式的、快速的，源自一线，而不是来自正式的组织结构。所做的调整和获得的专业知识有可能引发更深入的学习，并为常规识别和管理与外科相关的感染创造持久的改进。
本文旨在说明采用人为因素和工效学的观点如何提供对临床工作系统如何进行调整和重新配置以确保患者和员工安全的见解。
为了在 COVID-19 期间及以后实现外科领域感染预防和控制实践的可持续变革，我们需要增强组织学习潜力。
