TY - JOUR
T1 - Hospital organisation, management, and structure for prevention of health-care-associated infection
T2 - A systematic review and expert consensus
AU - systematic review and evidence-based guidance on organization of hospital infection control programmes (SIGHT) study group
AU - Zingg, Walter
AU - Holmes, Alison
AU - Dettenkofer, Markus
AU - Goetting, Tim
AU - Secci, Federica
AU - Clack, Lauren
AU - Allegranzi, Benedetta
AU - Magiorakos, Anna Pelagia
AU - Pittet, Didier
AU - Carmeli, Yehuda
AU - Dittrich, Anna
AU - Ebner, Winfried
AU - Edwards, Rachel
AU - Ferlie, Ewan
AU - Gastmeier, Petra
AU - Hryniewicz, Waleria
AU - Kalenic, Smilja
AU - Kilpatrick, Claire
AU - Sorknes, Nina
AU - Szilagyi, Emese
AU - Vatcheva-Dobrevska, Rossitza
AU - Vincent, Charles
N1 - Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84921029518&partnerID=8YFLogxK
U2 - 10.1016/S1473-3099(14)70854-0
DO - 10.1016/S1473-3099(14)70854-0
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C2 - 25467650
AN - SCOPUS:84921029518
SN - 1473-3099
VL - 15
SP - 212
EP - 224
JO - The Lancet Infectious Diseases
JF - The Lancet Infectious Diseases
IS - 2
ER -