دورية أكاديمية

How effective are monthly departmental tracer surveys? A 5-year retrospective study of 138 surveys in 96 departments.

التفاصيل البيبلوغرافية
العنوان: How effective are monthly departmental tracer surveys? A 5-year retrospective study of 138 surveys in 96 departments.
المؤلفون: Kopuit P; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Bier L; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Abu-Gush S; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Smadga H; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., David R; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Shraga T; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Dery I; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Ezagui BS; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel., Yinnon AM; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel; Faculty of Medicine, Hebrew-University Hadassah Medical School, Jerusalem, Israel. Electronic address: yinnon@szmc.org.il., Benenson S; Infection Control and Prevention Unit, The Eisenberg R&D Authority, Shaare Zedek Medical Center, Jerusalem, Israel; Faculty of Medicine, Hebrew-University Hadassah Medical School, Jerusalem, Israel.
المصدر: American journal of infection control [Am J Infect Control] 2024 Aug; Vol. 52 (8), pp. 872-877. Date of Electronic Publication: 2024 Apr 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 8004854 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-3296 (Electronic) Linking ISSN: 01966553 NLM ISO Abbreviation: Am J Infect Control Subsets: MEDLINE
أسماء مطبوعة: Original Publication: St. Louis, Mosby
مواضيع طبية MeSH: Infection Control*/methods , Infection Control*/standards , Guideline Adherence*/statistics & numerical data, Humans ; Retrospective Studies ; Surveys and Questionnaires ; Tertiary Care Centers/statistics & numerical data ; Cross Infection/prevention & control ; Cross Infection/epidemiology
مستخلص: Background: Repeat department-wide surveys are commonly employed for infection control. There remains debate concerning their cost-effectivess. The aim of the study was to measure the impact of repeat department-wide surveys in major in-patient departments (IPDs) and ambulatory facilities (AFs) in a tertiary care hospital. This was a retrospective study of 138 surveys condcuted in 96 departments over a 5-year period.
Methods: Two itemized questionnaires were designed to assess the most frequently inadequately adhered to infection control measures: one for IPD (with 21 items) and the other for AF (with 17 items).
Results: A total of 72 surveys were conducted in 49 IPDs, of which 39 (54%) were repeat surveys, and 66 surveys in 47 AFs, of which 33 (50%) were repeat surveys. The baseline rate of adherence/department was 71% ± 14 for the IPD, with an increase from the first to the last survey to 82% ± 13 (P = .037). In 15/21 measured infection control items, adherence improved. Adherence to infection control items was lower at baseline in the AFs than in the IPDs (63 ± 27), with an increase to 76 ± 20 (non significant). Although adherence improved for 9 items, it deteriorated in another 8, producing an overall statistically unchanged outcome.
Conclusion: Repeat whole-department surveys contribute moderately to increased adherence to infection control guidelines. AFs demonstrate lower rates of adherence to infection control guidelines and are less receptive to educational measures.
(Copyright © 2024 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Department-wide surveys; Hospital epidemiology; Infection control; Infection control measures; Infection control practitioners; Surveillance
تواريخ الأحداث: Date Created: 20240407 Date Completed: 20240721 Latest Revision: 20240808
رمز التحديث: 20240808
DOI: 10.1016/j.ajic.2024.04.004
PMID: 38583776
قاعدة البيانات: MEDLINE
الوصف
تدمد:1527-3296
DOI:10.1016/j.ajic.2024.04.004