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https://www.readbyqxmd.com/read/28105882/quality-improvement-in-hospitals-barriers-and-facilitators
#1
Dick E Zoutman, B Douglas Ford
Purpose The purpose of this paper is to examine quality improvement (QI) initiatives in acute care hospitals, the factors associated with success, and the impacts on patient care and safety. Design/methodology/approach An extensive online survey was completed by senior managers responsible for QI. The survey assessed QI project types, QI methods, staff engagement, and barriers and factors in the success of QI initiatives. Findings The response rate was 37 percent, 46 surveys were completed from 125 acute care hospitals...
February 13, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28103161/nurses-practice-in-preventing-postoperative-wound-infections-an-observational-study
#2
S Ding, F Lin, A P Marshall, B M Gillespie
OBJECTIVE: Surgical site infections (SSIs) are serious postoperative complications that may lead to undesired patient outcomes. Previous research has used survey and chart audit methods to describe wound care practices. However, little research has been published using contemporaneous observations to describe the surgical wound management practices of nurses. The aim of this study was to prospectively describe surgical nurses' postoperative wound care practices and the extent to which observed surgical wound practices aligned with evidence-based guideline recommendations...
January 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28087887/evaluation-of-a-standardized-ward-round-in-a-prenatal-inpatient-setting
#3
Katie Christensen, Sarah Janssens, Michael Beckmann
OBJECTIVE: To evaluate the impact of incorporating a standardized ward round (SWR) tool including checklists for communication, safety, and efficiency into ward rounds. METHODS: A prospective non-randomized, before-and-after observational study was conducted at a tertiary maternity hospital in Brisbane, Australia, between October 1, 2014, and October 1, 2015. Obstetric team members performing prenatal ward rounds used role-specific lanyards prompting the structure of each consultation...
December 10, 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28081910/the-global-hand-sanitizing-relay-promoting-hand-hygiene-through-innovation
#4
E Tartari, D Pires, F Bellissimo-Rodrigues, M De Kraker, T-H Borzykowski, B Allegranzi, D Pittet
On the 10(th) anniversary of the 'Clean Care is Safer Care' programme, the World Health Organization (WHO) Collaborating Centre on Patient Safety launched the 'Global Hand Sanitizing Relay 2015' (HSRelay). This hospital-wide activity promotes the WHO handrubbing technique to improve hand hygiene (HH) compliance. More than 15,000 healthcare workers (HCWs) from 133 hospitals in 43 countries participated. Between May and September 2015, 14 hospitals submitted pre- and post-event HH compliance data; 57% (8/14) reported a significant increase while others showed minimal or no improvement (average absolute change 9...
November 17, 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28081557/student-led-intervention-to-innovate-hand-hygiene-practice-in-auckland-region-s-medical-students-the-no-hharms-study
#5
Nathanael Cc Lucas, Carl G Hume, Abdal Al-Chanati, William Diprose, Sally Roberts, Josh Freeman, Vernon Mogol, David Hoskins, Richard Hamblin, Chris Frampton, Warwick Bagg, Alan F Merry
BACKGROUND: Hand hygiene is important in reducing healthcare-associated infections. The World Health Organization has defined 'five moments' when hand hygiene compliance is required. During 2013, New Zealand national data showed poor compliance with these moments by medical students. AIM: To improve medical students' compliance with the five moments. METHODS: In this prospective student-led quality improvement initiative, student investigators developed, implemented and evaluated a multi-modal intervention comprising a three-month social media campaign, a competition and an entertaining educational video...
January 13, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28079641/world-health-organization-framework-multimodal-hand-hygiene-strategy-in-piedmont-italy-health-care-facilities
#6
Fabrizio Bert, Sebastian Giacomelli, Daniela Ceresetti, Carla Maria Zotti
OBJECTIVES: In 2009, the World Health Organization (WHO) introduced the "Hand Hygiene Self-Assessment Framework" (HHSAF) to evaluate the level of the application of the Multimodal Hand Hygiene Improvement Strategy (MHHIS), which defines preventive interventions, standards, and tools conceived to improve hand hygiene in healthcare facilities. The aim of our study was to evaluate the implementation of the MHHIS in Piedmont healthcare units in 2014 using the HHSAF document. METHODS: Our surveillance was performed through collection and analysis of the data from 50 Piedmont healthcare facilities recorded through the HHSAF in 2014...
January 10, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28075419/surveillance-of-clostridium-difficile-infections-results-from-a-six-year-retrospective-study-in-nine-hospitals-of-a-north-italian-local-health-authority
#7
Greta Roncarati, Laura Dallolio, Erica Leoni, Manuela Panico, Angela Zanni, Patrizia Farruggia
Clostridium difficile is an emerging cause of healthcare associated infections. In nine hospitals of an Italian Local Health Authority the episodes of C. difficile infection (CDI) were identified using the data registered by the centralized Laboratory Information System, from 2010 to 2015. CDI incidence (positive patients for A and/or B toxins per patients-days) was analysed per year, hospital, and ward. A number of cases approximately equivalent to the mean of identified cases per year were studied retrospectively to highlight the risk factors associated to CDI and their severity...
January 10, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28071141/psychosocial-factors-mediating-the-effect-of-the-chobi7-intervention-on-handwashing-with-soap
#8
Christine Marie George, Shwapon Biswas, Danielle Jung, Jamie Perin, Tahmina Parvin, Shirajum Monira, K M Saif-Ur-Rahman, Mahamud-Ur Rashid, Sazzadul Islam Bhuyian, Elizabeth D Thomas, Robert Dreibelbis, Farzana Begum, Fatema Zohura, Xiaotong Zhang, David A Sack, Munirul Alam, R Bradley Sack, Elli Leontsini, Peter J Winch
Inadequate hand hygiene is estimated to result in nearly 300,000 deaths annually, with the majority of deaths being among children younger than 5 years. In an effort to promote handwashing with soap and water treatment behaviors among highly susceptible household members of cholera patients, we recently developed the Cholera-Hospital-Based Intervention-for-7-Days (CHoBI7); chobi means picture in Bengali. This 1-week handwashing with soap and water treatment intervention is delivered by a promoter in the hospital and the home to cholera patients and their household members...
January 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28070310/implementation-of-the-who-multimodal-hand-hygiene-improvement-strategy-in-a-university-hospital-in-central-ethiopia
#9
Frieder Pfäfflin, Tafese Beyene Tufa, Million Getachew, Tsehaynesh Nigussie, Andreas Schönfeld, Dieter Häussinger, Torsten Feldt, Nicole Schmidt
BACKGROUND: The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. METHODS: The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3...
2017: Antimicrobial Resistance and Infection Control
https://www.readbyqxmd.com/read/28068912/intensified-hand-hygiene-campaign-including-soap-and-water-wash-may-prevent-acute-infections-in-office-workers-as-shown-by-a-recognized-exposure-adjusted-analysis-of-a-randomized-trial
#10
Tapani Hovi, Jukka Ollgren, Carita Savolainen-Kopra
BACKGROUND: Variable exposure to causative agents of acute respiratory (RTI) or gastrointestinal tract infections (GTI) is a significant confounding factor in the analysis of the efficacy of interventions concerning these infections. We had an exceptional opportunity to reanalyze a previously published dataset from a trial assessing the effect of enhanced hand hygiene on the occurrence of RTI or GTI in adults, after adjustment for reported exposure and other covariates. METHODS: Twenty-one working units (designated clusters) each including at least 50 office employees, totaling 1,270 persons, were randomized into two intervention arms (either using water-and-soap or alcohol-rub in hand cleansing), or in the control arm...
January 9, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28065962/compliance-of-surgical-hand-washing-before-surgery-role-of-remote-video-surveillance
#11
Ambreen Khan, Sidrah Nausheen
OBJECTIVE: To evaluate and increase the compliance of surgical hand scrubbing with periodic feedback. METHODS: This study was conducted at the Aga Khan Hospital for Women and Children, Karachi, Pakistan, from April to July 2014. A remote video auditing system consisting of human auditors was used for visualising surgical hand wash compliance of the surgical team. The equipment, which used motion sensor, was installed in the scrub area wall, visualising the scrub sink only...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28065332/clostridium-difficile-contamination-of-health-care-workers-hands-and-its-potential-contribution-to-the-spread-of-infection-review-of-the-literature
#12
REVIEW
Ingrid Jullian-Desayes, Caroline Landelle, Marie-Reine Mallaret, Christian Brun-Buisson, Frédéric Barbut
BACKGROUND: Clostridium difficile infection (CDI) can be transmitted from patient to patient by the hands of health care workers (HCWs); however, the relative importance of this route in the spread of C difficile in the hospital is currently unknown. Our aim was to review studies examining HCWs' hand carriage and its potential role in CDI transmission. METHODS: First, English-speaking references addressing HCWs' hand sampling obtained from the PubMed database were reviewed...
January 1, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28062315/simplifying-the-who-how-to-hand-rub-technique-three-steps-are-as-effective-as-six-results-from-an-experimental-randomized-cross-over-trial
#13
Sarah Tschudin-Sutter, Manfred L Rotter, Reno Frei, Danica Nogarth, Peter Häusermann, Anne Stranden, Didier Pittet, Andreas F Widmer
OBJECTIVES: The World Health Organization (WHO) issued guidelines on hand hygiene recommending a six-step "how to hand rub" technique for applying alcohol-based hand rub. However, adherence to all six steps is poor. We assessed a simplified three-step technique and compared it to the conventional WHO six-step technique in terms of bacterial counts' reduction on healthcare workers' (HCW) hands. METHODS: Thirty-two participants were randomly assigned to clean their hands following the six-step "how to hand rub" technique (WHO-reference group) or a simplified three-step technique (intervention group)...
January 3, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/28061850/food-safety-knowledge-attitudes-and-practices-of-institutional-food-handlers-in-ghana
#14
Fortune Akabanda, Eli Hope Hlortsi, James Owusu-Kwarteng
BACKGROUND: In large scale cooking, food is handled by many individuals, thereby increasing the chances of food contamination due to improper handling. Deliberate or accidental contamination of food during large scale production might endanger the health of consumers, and have very expensive repercussions on a country. The purpose of this study was to evaluate the food safety knowledge, attitudes, and practices among institutional food- handlers in Ghana. METHODS: The study was conducted using a descriptive, cross-sectional survey of 29 institutions by conducting face to face interview and administration of questionnaire to two hundred and thirty-five (235) institutional food-handlers...
January 6, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28056885/working-conditions-and-public-health-risks-in-slaughterhouses-in-western-kenya
#15
Elizabeth Anne Jessie Cook, William Anson de Glanville, Lian Francesca Thomas, Samuel Kariuki, Barend Mark de Clare Bronsvoort, Eric Maurice Fèvre
BACKGROUND: Inadequate facilities and hygiene at slaughterhouses can result in contamination of meat and occupational hazards to workers. The objectives of this study were to assess current conditions in slaughterhouses in western Kenya and the knowledge, and practices of the slaughterhouse workers toward hygiene and sanitation. METHODS: Between February and October 2012 all consenting slaughterhouses in the study area were recruited. A standardised questionnaire relating to facilities and practices in the slaughterhouse was administered to the foreperson at each site...
January 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28056822/the-first-occurrence-of-a-ctx-m-esbl-producing-escherichia-coli-outbreak-mediated-by-mother-to-neonate-transmission-in-an-irish-neonatal-intensive-care-unit
#16
Ciara O'Connor, Roy K Philip, John Kelleher, James Powell, Alan O'Gorman, Barbara Slevin, Neil Woodford, Jane F Turton, Elaine McGrath, Cathriona Finnegan, Lorraine Power, Nuala H O'Connell, Colum P Dunne
BACKGROUND: Escherichia coli (E. coli) comprise part of the normal vaginal microflora. Transfer from mother to neonate can occur during delivery resulting, sometimes, in neonatal bacterial disease. Here, we aim to report the first outbreak of CTX-M ESBL-producing E. coli with evidence of mother-to-neonate transmission in an Irish neonatal intensive care unit (NICU) followed by patient-to-patient transmission. METHODS: Investigation including molecular typing was conducted...
January 5, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28052790/a-randomized-trial-to-determine-the-impact-of-an-educational-patient-hand-hygiene-intervention-on-contamination-of-hospitalized-patient-s-hands-with-healthcare-associated-pathogens
#17
Venkata C K Sunkesula, Sirisha Kundrapu, Shanina Knighton, Jennifer L Cadnum, Curtis J Donskey
We conducted a non-blinded randomized trial to determine the impact of a patient hand-hygiene intervention on contamination of hospitalized patients' hands with healthcare-associated pathogens. Among patients with negative hand cultures on admission, recovery of pathogens from hands was significantly reduced in those receiving the intervention versus those receiving standard care. Infect Control Hosp Epidemiol 2016;1-3.
January 5, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28051232/epidemiology-of-nosocomial-infections-about-70-cases
#18
Mohamed Hedfi, Hassen Khouni, Youssra Massoudi, Cherif Abdelhedi, Karim Sassi, Adnen Chouchen
Background - The infections associated with care (IAS) constitute a major public health problem by the morbi- mortality than they generate as well as by their cost to support. The prevention of these infections has become a priority for several years everywhere in the world and in the occurrence in Tunisia. Aim - The purpose of our study is to assess the prevalence of nosocomial infections as well as develop their microbiologic  profiles in the different departments of  the hospital of FSI  Marsa Tunisia and try to highlight the risk factors that can influence these infections Methods - It was a retrospective study about  patients with noscomila infection who were admitted in the different care unit of the Hospital of FSI  Marsa and this on a period of 6 years from 1 January 2009 to 31 December 2014 Results - We have identified seventy(70) patients having contracted a nososcomial infection during the period of study for 24600 hospital admission, with a prevalence rate of 0...
July 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28050520/oral-health-and-oral-contraceptive-is-it-a-shadow-behind-broad-day-light-a-systematic-review
#19
REVIEW
Irfan Ali, Basavaraj Patthi, Ashish Singla, Ritu Gupta, Kuldeep Dhama, Lav Kumar Niraj, Jishnu Krishna Kumar, Monika Prasad
INTRODUCTION: Oral contraceptives are one of the risk factors for gingival disease. Oral contraceptives can affect the proliferation of cell, growth and differentiation of tissues in the periodontium. Nowadays recent research has suggested that the newer generation oral contraceptives have less influence on gingival diseases. AIM: The purpose of this study was to systematically review the effect of oral contraceptives on periodontium. MATERIALS AND METHODS: A literature review was performed; PubMed, PubMed Central and Cochrane Library, Embase, Google Scholar were searched from 1970 up to December 2015 to identify appropriate studies...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28050409/prevalence-of-anaemia-and-its-associated-risk-factors-among-adolescent-girls-of-central-kerala
#20
P M Siva, A Sobha, V D Manjula
INTRODUCTION: Adolescent age group is the window of opportunity to correct nutritional status of children. If we intervene correctly during this period we can prevent future consequences of nutritional deficiencies. Very few studies have been conducted in kerala regarding adolescent anaemia. AIM: To estimate prevalence of anaemia and its associated factors among adolescent girls of central Kerala, India. MATERIALS AND METHODS: A cross-sectional study was conducted among 257 adolescent girls of ettumanoor panchayat, the field practice area of Government Medical College, Kottayam...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
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