分析医院接触隔离实践的成本：对护理管理实践、研究和政策的启示。
Analyzing the Cost of Hospital Contact Isolation Practices: Implications for Nursing Administrator Practice, Research, and Policy.
机构信息
Author Affiliations: Associate Professor (Dr Saber), School of Nursing, University of Maine, Faculty Associate (Dr Saber), Senator George J. Mitchell Center for Sustainability Solutions, University of Maine, Orono, Maine; Director for Nursing Research and Evidence-Based Practice (Dr Saber), Northern Light Eastern Maine Medical Center, Bangor, Maine; Professor Emeritus (Dr Norris), School of Nursing and Health Studies, University of Miami, Coral Gables, Florida; Assistant School Director and Senior Lecturer (Dr Reinking), Professor and C.G. Avery Chair (Dr Trompeter), Dixon School of Accounting, University of Central Florida, Orlando, Florida; and Vice President of Nursing and Patient Care Services (Ms Sanford), Northern Light Eastern Maine Medical Center, Bangor, Maine.
出版信息
J Nurs Adm. 2022 Jun 1;52(6):352-358. doi: 10.1097/NNA.0000000000001160.
OBJECTIVES
This study aimed to determine the weekly costs of contact precaution (CP) use with medically stable patients infected/colonized with methicillin-resistant Staphylococcus aureus (MRSA) and to estimate the annual financial and environmental costs of CP.
BACKGROUND
The increasing use of disposables for infection control contributes to increasing hospital costs and amounts of solid waste at rates that are becoming unsustainable.
METHODS
A cost analysis was conducted using data from time/motion observations and previous waste audit study, along with hospital finance department values and US Department of Labor salary rates.
RESULTS
Weekly and annual costs were $521.67 and $557 463 (5% hospital multidrug-resistant organism [MDRO] rate assumed). Personal protective equipment accounted for 43% of the waste produced (approximately 1600 pounds annually).
CONCLUSIONS
Implications for nurse administrators include reevaluating activities that require personal protective equipment (PPE) and partnering with materials and human factor engineers to develop more financially and environmentally sustainable infection control practices.
目的
本研究旨在确定接触预防（CP）在使用过程中对于医学上稳定的耐甲氧西林金黄色葡萄球菌（MRSA）感染/定植患者的每周成本，并估计 CP 的年度财务和环境成本。
背景
为了控制感染而越来越多地使用一次性用品，导致医院成本和固体废物的数量以不可持续的速度增加。
方法
使用时间/动作观察和先前的废物审核研究的数据，以及医院财务部门的数值和美国劳工部的工资率进行成本分析。
结果
每周和每年的成本分别为 521.67 美元和 557463 美元（假设医院多药耐药菌[MDRO]的比例为 5%）。个人防护设备占产生废物的 43%（每年约 1600 磅）。
结论
对护士管理人员的启示包括重新评估需要个人防护设备（PPE）的活动，并与材料和人为因素工程师合作，制定更具财务和环境可持续性的感染控制实践。
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