Journal of Patient Safety and Infection Control最新文献_第5页

Step wise protocol for body wash in critically ill patients in intensive care units: An area/culture oriented approach 重症监护病房危重病人沐浴液的分步方案:区域/文化导向方法

Journal of Patient Safety and Infection Control Pub Date : 2021-01-01 DOI: 10.4103/jpsic.jpsic_24_20

K. Kaur, S. Kaur, S. Shankarnarayan, Nishi Shylla, N. Jain, M. Biswal, K. Jain

{"title":"Step wise protocol for body wash in critically ill patients in intensive care units: An area/culture oriented approach","authors":"K. Kaur, S. Kaur, S. Shankarnarayan, Nishi Shylla, N. Jain, M. Biswal, K. Jain","doi":"10.4103/jpsic.jpsic_24_20","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_24_20","url":null,"abstract":"Background: During active surveillance done by Biswal et al. in 2017, to investigate fungal colonisation and infection in the trauma intensive care unit, several flaws were recorded in patient body wash protocol. Candida auris colonisation was rapidly increasing due to improper body washing. Several patients admitted eventually got colonised with C. auris at different body sites, predominantly in axilla and groin. Aims: To devise a novel and simplified chlorhexidine-based body wash protocol to eradicate bacterial and fungal colonisers. Materials and Methods: A detailed, systematic, standard and practical protocol for body wash depending on the specific work culture and resource availability is required to ensure standard nursing care. Therefore, a simplified chlorhexidine based, step wise body wash protocol to eradicate fungal colonisers which can be implemented and followed in every hospital setting was designed. This new protocol was implemented in the trauma intensive care unit (ICU) for 1 month. Successful implementation of the decolonisation procedure was assessed based on the feedback obtained from the nursing staff. Results: The newly devised chlorhexidine based body wash protocol was successfully able to decolonise C. auris from the body sites such as axilla and groin of ICU patients. Easy and simplified protocol could be followed by nursing staff as well as patient attendants. Nursing staff provided positive feedback in implementing and following the new protocol. Conclusion: The protocol can be easily implemented in any hospital settings with minimum resources. This new protocol can significantly reduce fungal and bacterial colonisation and hospital acquired infections.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121494510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Change in perception regarding the use of Biometric devices at a tertiary care hospital in view of COVID-19 鉴于COVID-19，三级保健医院对生物识别设备使用的看法发生了变化

Journal of Patient Safety and Infection Control Pub Date : 2021-01-01 DOI: 10.4103/jpsic.jpsic_3_21

S. Garg, A. Achra, Narendra Tiwary, K. Nirmal, Stuti Arora, Anuradha Shulania, N. Duggal

{"title":"Change in perception regarding the use of Biometric devices at a tertiary care hospital in view of COVID-19","authors":"S. Garg, A. Achra, Narendra Tiwary, K. Nirmal, Stuti Arora, Anuradha Shulania, N. Duggal","doi":"10.4103/jpsic.jpsic_3_21","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_3_21","url":null,"abstract":"Background: Fingerprint biometric systems are used to identify personnel, grant authorised access and maintain attendance of staff at most places. Despite their many benefits, biometric devices are potential sources of transmission due to contamination from multiple touches by various users. Due to the COVID-19 pandemic, there have been massive shift in infection control practices specially hand hygiene. This study was conducted to understand the attitude and practices of healthcare workers (HCWs) they are likely to follow when biometric devices come to use again. Materials and Methods: The study was conducted using a self-designed questionnaire given to HCWs in different departments of the hospital in the form of a written form by our infection control nurses. The study was conducted for 5 days. The questionnaire was based on various attitudes and practices before and after the COVID-19 outbreak. Results: Overall 304 participants filled the questionnaire, which comprised 85 (28%) doctors, 117 (38.4%) nurses and 102 (33.6%) other staff. Before the emergence of COVID-19, 114 (37.5%) participants felt touching biometric devices is more dangerous than touching other common items such as doorknobs, elevator buttons, countertops and staircase railings which now increased to 183 (60.2%) after the COVID-19. Earlier 77% of participants felt that hand sanitisers should be installed near biometric devices, but now 95.7% feel the need of hand sanitisers near the biometric devices and want to use them. Conclusion: This improvement in hand hygiene might be a result of increased awareness through educational programmes and mass media during the COVID-19 pandemic. Hand sanitisers should be installed near biometric devices before restarting their use which will reduce the risk of contamination of biometric devices by pathogenic organisms.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130829941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hand hygiene compliance – Improvement with multimodal approach in intensive care unit setting 手卫生依从性-重症监护病房设置中多模式方法的改进

Journal of Patient Safety and Infection Control Pub Date : 2021-01-01 DOI: 10.4103/jpsic.jpsic_22_20

S. Garg, S. Malhotra, Patel Pritikumari, A. Kaur, N. Kaur, N. Duggal

引用次数: 0

Qualitative observational assessment of the recommended hand rubbing technique amongst young healthcare workers at an academic hospital 对某学术医院年轻医护人员推荐的搓手技术进行定性观察评估

Journal of Patient Safety and Infection Control Pub Date : 2021-01-01 DOI: 10.4103/jpsic.jpsic_1_21

M. Barry, Raghad Alotaibi, Farah Alotaibi, L. Alotaibi

{"title":"Qualitative observational assessment of the recommended hand rubbing technique amongst young healthcare workers at an academic hospital","authors":"M. Barry, Raghad Alotaibi, Farah Alotaibi, L. Alotaibi","doi":"10.4103/jpsic.jpsic_1_21","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_1_21","url":null,"abstract":"Background: Hand hygiene (HH) is a major cornerstone in preventing hospital-acquired infections. The recommended six-step alcohol-based hand rubbing (ABHR) technique has not been qualitatively evaluated amongst young healthcare workers (HCWs) before. Methods: A cross-sectional observational study at an academic hospital was conducted in 2018; data collectors observed HCWs voluntarily perform ABHR, observing for the quality of the six steps of HH and recording the duration, and if they performed accessory removal then recorded total qualitative scores. Results: Three hundred and seventy-seven young HCWs were qualitatively observed, the mean age of participants was 24.1 years, 49.1% were female, only 10 (2.7%) completely fulfilled all six steps, 97.35% of HCWs had inadequate hand surface coverage and 69.23% did not achieve sufficient timing. The median scores, out of 12, for 3rd-, 4th- and 5th-year medical students, were 6.4, 7.2 and 7.5, respectively, while medical interns scored 7.4 and medical residents scored 7.5 (P = 0.016). Participants with previous HH training sessions scored higher with mean scores of 7.4 versus 6.3 (P ≤ 0.001). Conclusion: The quality of ABHR practised by young HCWs lacked the appropriate coverage of full hands surface coverage and inadequate duration of time, special training and follow-up on the quality of ABHR technique for HCWs early in their career is warranted.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133306705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perception of patient safety culture amongst healthcare personnel in a tertiary care hospital 三级医院医护人员对病人安全文化的认知

Journal of Patient Safety and Infection Control Pub Date : 2021-01-01 DOI: 10.4103/jpsic.jpsic_8_21

K. Meena, Asha P. Shetty

{"title":"Perception of patient safety culture amongst healthcare personnel in a tertiary care hospital","authors":"K. Meena, Asha P. Shetty","doi":"10.4103/jpsic.jpsic_8_21","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_8_21","url":null,"abstract":"Background: Patient safety in healthcare includes the safety of both patients (clients) and healthcare providers. It emphasizes reporting, analysis and prevention of medical errors that often lead to adverse health events and thus it becomes one of the most important aspects needed in a hospital setting. Purpose: The study aimed to assess the perception of patient safety culture amongst healthcare personnel in a tertiary care hospital. Methodology: A descriptive research design was selected as an appropriate method; 380 participants were selected through convenience sampling technique, including physicians, nursing officers and other technical staff. The setting for the study was all departments of a tertiary care hospital, All India Institute of Medical Sciences, Bhubaneswar. The Hospital Survey on Patient Safety Culture, a self-administered questionnaire, was used to assess the perception of patient safety culture. Results: The data were entered into SPSS version 20. The overall response rate in the present study was 84%. The average composite response rate was 57.37%. The dimension of 'teamwork within the unit', 'organisational learning' and 'feedback and communication error' showed the maximum positive responses 81.25%, 79.91% and 70.61%, respectively. Conclusion: Professional practice is a priority to promote patient safety culture amongst healthcare personnel. To have homogeneous patient safety culture amongst all healthcare professional, it is essential to increase awareness about patient safety amongst healthcare personnel and motivate them to participate in the service.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132144341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Antimicrobial resistance: Time to discover treatment strategies rather than treatment options 抗菌素耐药性:是时候发现治疗策略而不是治疗方案了

Journal of Patient Safety and Infection Control Pub Date : 2020-09-01 DOI: 10.4103/jpsic.jpsic_2_21

A. Siddiqui, H. Tripathi

引用次数: 0

The second wave of COVID-19: What can be predicted from the literature till now? 第二波新冠肺炎:从目前的文献可以预测到什么?

Journal of Patient Safety and Infection Control Pub Date : 2020-09-01 DOI: 10.4103/jpsic.jpsic_6_21

M. Biswal, A. Angrup, R. Kanaujia, P. Ray

引用次数: 0

Should we tackle the oral cavity to stop the spread of COVID-19? 我们是否应该解决口腔问题以阻止COVID-19的传播?

Journal of Patient Safety and Infection Control Pub Date : 2020-09-01 DOI: 10.4103/jpsic.jpsic_25_20

Manjusha Rajarshi, N. Gill, Pranauti Mestry

引用次数: 0

Patients as partners in infection prevention and control: An observational study in an Indian Ambulatory care setting 患者在感染预防和控制的合作伙伴:在印度门诊护理设置的观察性研究

Journal of Patient Safety and Infection Control Pub Date : 2020-09-01 DOI: 10.4103/jpsic.jpsic_4_21

N. Jaggi, P. Sissodia, M. Chakraborty, Ajendra Sharma

{"title":"Patients as partners in infection prevention and control: An observational study in an Indian Ambulatory care setting","authors":"N. Jaggi, P. Sissodia, M. Chakraborty, Ajendra Sharma","doi":"10.4103/jpsic.jpsic_4_21","DOIUrl":"https://doi.org/10.4103/jpsic.jpsic_4_21","url":null,"abstract":"Objective: (1) To evaluate the awareness and knowledge of Infection Prevention and Control (IPC) practices among patients and their families in an Indian ambulatory care setting. (2) To impart subsequent training and education to the subjects utilising innovative teaching modules. Methods: The present study is a survey-based observational study conducted in the outpatient department (OPD) of a tertiary care setting. A sample size of 300 patients/visitors in the OPD was randomly selected for a questionnaire-based interview which had questions relevant to awareness of basic IPC practices and judicious use of antibiotics. Subsequently, training and education was imparted to all the patients/visitors arriving at the OPD by infection control (IC) nurses and IC-linked nurses through innovative role plays, pamphlets, posters, standees and banners. The data was compiled and statistically evaluated. Results: The maximum awareness in the group for healthcare-associated infections and standard precautions was reported as 88.8% and 67.6%, respectively. Among the other important parameters, hand hygiene and infection prevention at home were reported as 63.8% and 64.5% awareness, respectively. An overall knowledge and awareness on judicious use of antibiotics was reported as 76.5%. Out of which, a relatively less awareness was reported 62% (185) in people regarding the increasing antimicrobial resistance. Conclusions: Patient and family education in hospitals has been relatively unaddressed in the IC field. This study was successful in making a beginning to promoting this concept and effectively contributing to the culture of patient safety.","PeriodicalId":310565,"journal":{"name":"Journal of Patient Safety and Infection Control","volume":"46 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114306905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum: Seroprevalence of hepatitis C infection in patients undergoing haemodialysis in a tertiary care centre 更正:在三级保健中心接受血液透析的患者中丙型肝炎感染的血清患病率

Journal of Patient Safety and Infection Control Pub Date : 2020-09-01 DOI: 10.4103/2214-207X.315747

引用次数: 0