en
Scientific article
Review
English

Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus

Published inLancet. Infectious diseases, vol. 15, no. 2, p. 212-224
Publication date2015
Abstract

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.

Keywords
  • Cross Infection/epidemiology/prevention & control
  • Europe/epidemiology
  • Hospitals
  • Humans
  • Infection Control/methods
Citation (ISO format)
ZINGG, Walter et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. In: Lancet. Infectious diseases, 2015, vol. 15, n° 2, p. 212–224. doi: 10.1016/S1473-3099(14)70854-0
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Article (Published version)
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Identifiers
ISSN of the journal1473-3099
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Creation06/15/2015 7:13:00 AM
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