Curran Evonne T, Burnett Emma, Robinson Jude, Loveday Heather
Independent Infection Control Nurse Consultant.
University of Dundee, Dundee, UK.
J Infect Prev. 2021 Mar;22(2):75-82. doi: 10.1177/1757177420971849. Epub 2020 Nov 23.
The devolution of health to Scotland in 1999, led for the first time in the NHS, to different priorities and success indicators for infection prevention and control (IPC). This project sought to understand, compare and evaluate the national IPC priorities and available indicators of success.
To identify the national IPC priorities alongside national indicators of success.
Critical analysis of nationally produced documents and publicly available infection-related data up to March 2018.
For both NHS Scotland and England the local and national IPC priorities are evidenced by: (1) people being cared for in an IPC-safe environment; (2) staff following IPC-safe procedures; and (3) organisations continuously striving not just to attain standards, but to improve on them. If national agencies that produce data were also charged with using a Continuous Quality Improvement (CQI) model, then there would be further opportunities to detect and improve on successes.
1999年,医疗服务下放至苏格兰,这在英国国家医疗服务体系(NHS)中首次导致了感染预防与控制(IPC)方面不同的优先事项和成功指标。该项目旨在了解、比较和评估国家层面的IPC优先事项及可用的成功指标。
确定国家层面的IPC优先事项以及国家层面的成功指标。
对截至2018年3月国家编制的文件和公开可得的感染相关数据进行批判性分析。
对于苏格兰NHS和英格兰而言,地方和国家层面的IPC优先事项体现在以下方面:(1)人们在一个符合IPC安全标准的环境中接受护理;(2)工作人员遵循符合IPC安全标准的程序;(3)各机构不仅持续努力达到标准,还力求改进标准。如果负责生成数据的国家机构也被要求采用持续质量改进(CQI)模式,那么将有更多机会发现成功之处并加以改进。