期刊
LANCET INFECTIOUS DISEASES
卷 15, 期 2, 页码 212-224出版社
ELSEVIER SCI LTD
DOI: 10.1016/S1473-3099(14)70854-0
关键词
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资金
- European Centre for Disease Prevention and Control [ECDC/10/026]
- UK Clinical Research Collaboration
- Imperial College Healthcare Trust National Institute for Health Research Biomedical Research Centre
- Medical Research Council [G0800777] Funding Source: researchfish
- MRC [G0800777] Funding Source: UKRI
Despite control efforts, the burden of health-care-associated infections in Europe is high and leads to around 37 000 deaths each year. We did a systematic review to identify crucial elements for the organisation of effective infection-prevention programmes in hospitals and key components for implementation of monitoring. 92 studies published from 1996 to 2012 were assessed and ten key components identified: organisation of infection control at the hospital level; bed occupancy, staffing, workload, and employment of pool or agency nurses; availability of and ease of access to materials and equipment and optimum ergonomics; appropriate use of guidelines; education and training; auditing; surveillance and feedback; multimodal and multidisciplinary prevention programmes that include behavioural change; engagement of champions; and positive organisational culture. These components comprise manageable and widely applicable ways to reduce health-care-associated infections and improve patients' safety.
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