Download or read book Environmental Cleaning for the Prevention of Healthcare Associated Infections written by Department of Health and Human Services and published by Lulu.com. This book was released on 2015-10-28 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The cleaning of hard surfaces in hospital rooms is essential for reducing the risk of healthcare-associated infections. Many methods are available for cleaning and monitoring cleanliness, but their comparative effectiveness is not well understood. Purpose: This Technical Brief summarizes the evidence base addressing environmental cleaning of high-touch surfaces in hospital rooms and highlights future research directions.

Download or read book Environmental Cleaning for the Prevention of Healthcare Associated Infections written by and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Environmental Cleaning for the Prevention of Healthcare associated Infections written by Brian F. Leas and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: The cleaning of hard surfaces in hospital rooms is essential for reducing the risk of healthcare-associated infections. Many methods are available for cleaning and monitoring cleanliness, but their comparative effectiveness is not well understood. PURPOSE: This Technical Brief summarizes the evidence base addressing environmental cleaning of high-touch surfaces in hospital rooms and highlights future research directions. METHODS: A systematic search for published and gray literature since 1990 was performed using PubMed, EMBASE, CINAHL, the Cochrane Library, and other resources. Clinical studies examining the cleaning and disinfection of high-touch surfaces in adult inpatient hospital rooms were included. Primary outcomes of interest were patient infection, colonization, or surface contamination with Clostridium difficile, methicillin-resistant Staphylococcus aureus, or vancomycin-resistant enterococci. Additionally, 12 Key Informants were interviewed, representing environmental services management, hospital infection control, and clinical infectious diseases. FINDINGS: Eighty studies were included. Forty-nine studies examined cleaning modalities, including chemical agents, self-disinfecting surfaces, and no-touch technologies. Fourteen studies evaluated monitoring strategies, including visual inspection, microbiological cultures, assays, and ultraviolet light. Seventeen studies addressed challenges or facilitators to implementation. Sixty-five studies used nonrandomized concurrent or historical controls. The outcome of surface contamination was reported in 57 studies; infection rates were reported in 25. CONCLUSIONS: Comparative-effectiveness studies directly comparing disinfection modalities and monitoring strategies are limited. Future research should examine and compare newly emerging strategies, such as peracetic acid, hydrogen peroxide wipes, enhanced coatings, and microfiber cloths as cleaning strategies, and adenosine triphosphate and ultraviolet light technologies as monitoring strategies. Patient colonization and infection rates should be included as outcomes when possible. Other challenges to be addressed include identification of surfaces posing the greatest risk of pathogen transmission, developing standard thresholds for defining cleanliness, and using methods to adjust for confounders such as hand-hygiene practices when examining the impact of disinfection modalities.

Download or read book Daily Environmental Cleaning for the Prevention of Healthcare associated Infections written by Linda McKinley and published by . This book was released on 2021 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare-associated infections (HAIs) are a significant source of morbidity and mortality causing serious physical, psychological and financial consequences. Although the risk of HAIs remains high, there are many opportunities to prevent HAIs. Environmental surfaces in healthcare settings are a major reservoir for pathogen transmission and subsequent infection. Cleaning and disinfection of environmental surfaces is a critical entry-point for HAI prevention strategies. However, cleaning compliance remains low, and we lack an understanding of variation in environmental cleaning practices. Key areas that have not been effectively studied are predictors of cleaning compliance and barriers and facilitators to the work system within the VA. Furthermore, patient perspectives on environmental cleaning within healthcare have not been examined.This project contributes to closing the gaps in the literature through the following three specific aims: 1) To describe predictors of environmental cleaning compliance. 2) To conduct a work system analysis to identify contextual barriers and facilitators to environmental cleaning. 3) To explore the patient perspective on environmental cleaning within the healthcare environment by engaging patients in the research process. A convergent mixed methods approach was used with quantitative (i.e., direct observation of environmental service staff performing environmental cleaning) and qualitative (i.e., semi-structured interviews of healthcare workers) data collection across three Veterans Affairs acute-care (AC) and long-term care (LTC) facilities. We performed descriptive and multiple logistic regression analysis on observation data. Interviews were audio recorded, transcribed, and analyzed for themes within The Systems Engineering Initiative for Patient Safety (SEIPS) model constructs (i.e., Person, Environment, Organization, Tasks, Tools and Technologies). Semi-structured interviews with hospitalized patients were conducted at one of the VA sites and analyzed using rapid qualitative inquiry. Sixty-two room observations occurred between December 2018 - May 2019. The average observed surface cleaning rate during daily cleaning in patient rooms was 33.6% for all environmental surfaces and 60.0% for high-touch surfaces (HTSs). Higher cleaning rates were observed with bathroom surfaces, Odds Ratio (OR) = 3.23 (2.70, 3.85), HTSs OR = 1.57 (1.32, 1.86)), and reusable medical equipment OR = 1.40 (2.70, 3.85). Lower cleaning rates were observed when cleaning semi-private rooms OR = 0.71 (0.53, 0.97)) and rooms in Acute Care OR = 0.56 (0.42, 0.75)). In analysis stratified by patient presence (i.e., present, or absent) in the room during cleaning, patient absence was associated with higher cleaning rates for HTSs OR = 1.71 (1.24, 2.36)). In addition, there was a decline in the odds of bathroom surfaces being cleaned more frequently than bedroom surfaces OR = 1.97 (1.42, 2.74) and of private rooms being cleaned more frequently than semi-private rooms OR = 0.26 (0.07 - 0.93). Eighteen staff interviews were conducted between January - June 2019. Patient presence during cleaning and cleaning of semi-private rooms were identified as potential barriers; this supports findings from the quantitative analysis. We found many environmental services (EVS) staff were Veterans and motivated to serve fellow Veterans, especially to prevent them from acquiring infections. However, hiring of former service members comes with regulatory hurdles that impact staffing. Staffing challenges resulted in staff inconsistency. Staff consistency was felt to be essential to teamwork and improve cleaning practices. Fifteen patient interviews were conducted between July - September 2020. Patients expressed feeling "in the way" while EVS staff were cleaning, possibly rushing cleaning procedures. Patients expressed confidence in EVS staff's skilled work and noted "soft skills" as desirable attributes, including camaraderie and relationship building which can develop between Veteran patients and Veteran EVS staff during daily room cleaning. Overall observed rates of daily cleaning of environmental surfaces in both AC and LTC was low. Standardized environmental cleaning practices to address specific predictors of compliance, specifically cleaning practices when patients are present in rooms and semi-private rooms are needed to achieve improvements in cleaning rates. Using a human-factors work system analysis approach we identified barriers and facilitators to environmental cleaning. Addressing staffing challenges through staffing models that promote consistency and teamwork may be an important entry point for intervention to improve the work system for environmental cleaning. Engaging patients in the research process identified environmental cleaning as a priority for HAI patient-centered infection prevention practices. Interpersonal skill development of EVS staff is needed to address actual or perceived disruption to patients' quiet time or build upon Veteran peer relationships promoting a safe and healing environment. Cleaning procedures may become more patient-centric if rationale for cleaning is explained (e.g., importance to prevent infections) and based on patient preferences (e.g., while patient is out of the room). Future research is needed to evaluate people-centric interventions to standardize cleaning practices, address workplace barriers and facilitators and measure patient-centered outcomes.

Download or read book Caring for People who Sniff Petrol Or Other Volatile Substances written by National Health and Medical Research Council (Australia) and published by . This book was released on 2011 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.

Download or read book Prevention and Control of Infections in Hospitals written by Bjørg Marit Andersen and published by Springer. This book was released on 2019-02-25 with total page 1127 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume offers extensive information on preventive and infection surveillance procedures, routines and policies adapted to the optimal infection control level needed to tackle today’s microbes in hospital practice. It especially focuses on preventive measures for serious hospital infections. Each chapter includes a practical section that addresses the main aspects of procedures and treatment, and a theoretical section that contains updated documentation that can be used for further study, or to help select infection control measures. Infection control concerns all healthcare professional working directly or indirectly with patients; in diagnosis, treatment, isolation measures, operations, equipment, drugs, cleaning, textiles, transport, porter service, food and water, building and maintenance, etc. Hygiene and environmental control is central to infection prevention for patients, visitors and staff alike. Good hygienic practices, individual infection control, well implemented and frequent environmental cleaning, and a high professional standard of hygiene in the treatment and care of patients, are essential to patient safety and a safe working environment. Addressing this essential topic, this book is intended for doctors, nurses and other healthcare workers, students in health-related subjects, hospital managers and health bureaucrats, as well as patients and their families.

Download or read book Practical Healthcare Epidemiology written by Ebbing Lautenbach and published by Cambridge University Press. This book was released on 2018-04-19 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: A clear, hands-on outline of best practices for infection prevention that directly improve patient outcomes across the healthcare continuum.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book WHO Guidelines on Hand Hygiene in Health Care written by World Health Organization and published by World Health Organization. This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.

Download or read book Patient Safety and Quality in Pediatric Hematology Oncology and Stem Cell Transplantation written by Christopher E. Dandoy and published by Springer. This book was released on 2017-06-06 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a concise yet comprehensive overview of patient safety issues and quality improvement for the pediatric hematology/oncology/stem cell transplant practice. The book reviews patient safety in complex healthcare delivery systems, delineates the various safety issues affecting pediatric hematology/oncology patients, and discusses quality improvement methods and improvement science that allow the reader to implement and sustain change in their home institution. The text also explores mechanisms to measure quality and safety outcomes, allowing the provider to implement proven processes shown to minimize harm to patients. Written by experts in the field, Patient Safety and Quality in Pediatric Hematology/Oncology and Stem Cell Transplantation is a valuable resource for healthcare professionals treating pediatric hematology, oncology and stem cell transplant patients.

Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Download or read book Essential Environmental Health Standards for Health Care written by John Adams and published by World Health Organization. This book was released on 2008-05-16 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensuring safe environmental health conditions in health care can reduce the transmission of health care-associated infections. This document provides guidelines on essential environmental health standards required for health care in medium- and low-resource countries and support the development and implementation of national policies.

Download or read book Environmental cleaning and infection prevention and control in health care facilities in low and middle income countries written by World Health Organization and published by World Health Organization. This book was released on 2023-03-07 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Guide to Infection Control in the Hospital written by Richard Putnam Wenzel and published by PMPH-USA. This book was released on 2002 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infections, especially those occurring postoperatively, remain a major problem in hospitals. This handy pocket-sized manual provides guidelines and protocols for preventing infections, and managing them if they occur. It covers various types of infection, and is suitable for members of infection control teams.

Download or read book Prevention of Healthcare Associated Infections written by Usha Krishnan Baveja and published by Jaypee Brothers Medical Publishers. This book was released on 2021-01-31 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevention and control of infection in healthcare environments is now more important than ever. From simple hand washing to full PPE (personal protective equipment), hygiene maintenance has never been more at the forefront of people’s minds than during the Coronavirus COVID-19 outbreak. This book is a practical guide to the prevention and control of healthcare and laboratory-associated infections. Divided into twelve sections, the text begins with an introduction to the basic science of infection and the use of antimicrobial agents. The following sections cover prevention and control of infection in different environments and situations including hospitals, laboratories, specific patient groups, and high risk and procedure areas. Different infection transmission methods are discussed in depth. The book concludes with guidance on standards and sample protocols, and training techniques. The comprehensive text is further enhanced by images and flow charts, and each chapter includes MCQs (multiple choice questions) to assist learning and revision. Key points Comprehensive guide to prevention and control of infection in healthcare environments Covers different environments, patient groups and infection transmission methods Features images and flow charts to assist learning Each chapter concludes with MCQs on the topic

Download or read book Essentials of Hospital Infection Control written by S Apruba Sastry and published by Jaypee Brothers Medical Publishers. This book was released on 2019-02-08 with total page 553 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Decontamination in Hospitals and Healthcare written by James T. Walker and published by Woodhead Publishing. This book was released on 2019-11-26 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decontamination in Hospitals and Healthcare, Second Edition, enables users to obtain detailed knowledge of decontamination practices in healthcare settings, including surfaces, devices, clothing and people, with a specific focus on hospitals and dental clinics. Offers in-depth coverage of all aspects of decontamination in healthcare Examines the decontamination of surgical equipment and endoscopes Expanded to include new information on behavioral principles in decontamination, control of microbiological problems, waterborne microorganisms, pseudomonas and the decontamination of laundry