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

Zingg, Walter; Holmes, Alison; Dettenkofer, Markus; Goetting, Tim; Secci, Federica; Clack, Lauren; Allegranzi, Benedetta; Magiorakos, Anna-Pelagia; Pittet, Didier

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Title		Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus
Authors		Zingg, Walter Holmes, Alison Dettenkofer, Markus Goetting, Tim Secci, Federica Clack, Lauren Allegranzi, Benedetta Magiorakos, Anna-Pelagia Pittet, Didier show all authors [1 - 9]
Published in		The Lancet Infectious Diseases. 2015, vol. 15, no. 2, p. 212-24
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
Identifiers		DOI: 10.1016/S1473-3099(14)70854-0 PMID: 25467650
Full text		Article (Published version) (280 Kb) - Limited access to UNIGE
Structures		Faculté de médecine / Section de médecine clinique / Département de médecine interne des spécialités Faculté de médecine / Section de médecine clinique / Département de santé et de médecine communautaires
Research group		Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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: The Lancet Infectious Diseases, 2015, vol. 15, n° 2, p. 212-24. https://archive-ouverte.unige.ch/unige:73968