Using bottleneck analysis to examine the implementation of standard precautions in hospitals.
• Bottleneck analysis was used to examine hospitals' standard precaution implementation. • Service providers' improper use of protection equipment was the primary bottleneck. • High workload and misperceptions contributed to incompliance of standard precaution. • Secondary bottlenecks included diffi...
| Publicado en: | American Journal of Infection Control Vol. 48; no. 7; pp. 751 - 757 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jul2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144204111&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144204111 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Jul2020 vid: 48 iid: 7 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 144204111 144204111 144204111 10.1016/j.ajic.2019.12.003 144204111 ppf: 751 ppct: 6 formats: tig: atl: Using bottleneck analysis to examine the implementation of standard precautions in hospitals. aug: au: Lin, Chunqing Li, Li Chen, Liang Pan, Yunjiao Guan, Jihui affil: Semel Institute for Neuroscience and Human Behavior, Center for Community Health, The University of California at Los Angeles, Los Angeles, CA sug: subj: Infection Control Standards Occupational Exposure Prevention and Control Implementation Science Cross Infection Human Personal Protective Equipment Inventories Recycling Financial Management Budgets Workload Handwashing Sharps Disposal China Hospitals, Public Stratified Random Sample Male Female Adult Health Facility Administrators Physicians Nurses Descriptive Statistics Middle Age Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: • Bottleneck analysis was used to examine hospitals' standard precaution implementation. • Service providers' improper use of protection equipment was the primary bottleneck. • High workload and misperceptions contributed to incompliance of standard precaution. • Secondary bottlenecks included difficulties in finance, recycling, and procurement. Service providers are often inadequately compliant with standard precaution protocols. This study used bottleneck analysis to identify the weakest link in standard precaution implementation and its associated challenges in hospitals. Bottleneck analysis was conducted in 12 hospitals in Fujian Province, China. In each hospital, a focus group was organized among the key informants to illustrate the sequential steps of standard precaution implementation graphically. The level of difficulty and the specific challenges associated with each step were discussed. The sequential activities of standard precaution implementation generally start with making budget for personal protection equipment (PPE), followed by procurement, storage/inventory, in-hospital distribution, in-department distribution, usage/monitoring, and recycling of PPE. Service providers' improper use of PPE was the primary bottleneck. The reasons for improper use of PPE included high workload, time constraints, the sense of wearing PPE would interfere with clinical judgment, and various misconceptions. Making financial planning, recycling, and procurement of PPE were the secondary bottlenecks. Bottleneck analysis is useful to illustrate workflow in healthcare systems and pinpoint constraints in standard precaution implementation. Institutional changes, including targeted provider training, adjustment of providers' workloads, and allocation of budget, are suggested strategies to address the identified bottlenecks in standard precaution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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