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Title

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

Authors
Holmes, Alison
Dettenkofer, Markus
Goetting, Tim
Secci, Federica
Clack, Lauren
Magiorakos, Anna-Pelagia
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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 & controlEurope/epidemiologyHospitalsHumansInfection Control/methods
Identifiers
PMID: 25467650
Full text
Article (Published version) (280 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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(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

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Deposited on : 2015-07-07

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