Good infection prevention practices in three Brazilian hospitals: Implications for patient safety policies

Autor: Pedro J. Hernández, Cecília Olívia Paraguai de Oliveira Saraiva, Zenewton André da Silva Gama, Sibele Ferreira de Araújo, Laiane G. Paulino, Marise Reis de Freitas, Maria Clara Padoveze
Rok vydání: 2018
Předmět:
0301 basic medicine
medicine.medical_specialty
media_common.quotation_subject
Health Personnel
030106 microbiology
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Patient safety
0302 clinical medicine
Hygiene
medicine
Disease Transmission
Infectious
Infection control
Humans
lcsh:RC109-216
Hand Hygiene
030212 general & internal medicine
Antibiotic prophylaxis
Intensive care medicine
Urinary catheter
media_common
Quality Indicators
Health Care
Cross Infection
business.industry
Transmission (medicine)
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
Pneumonia
Ventilator-Associated
INDICADORES DE QUALIDADE
lcsh:RA1-1270
General Medicine
Hospitals
Infectious Diseases
Harm
Cross-Sectional Studies
Catheter-Related Infections
Urinary Tract Infections
Observational study
Guideline Adherence
business
Brazil
Zdroj: Journal of Infection and Public Health, Vol 12, Iss 5, Pp 619-624 (2019)
Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
ISSN: 1876-035X
Popis: Objective: Healthcare-associated infections (HAI) are a serious patient safety problem. There are effective preventive practices, but little information on adherence in Brazilian hospitals. This study aims at assessing adherence to good HAI prevention practices. Methods: A cross-sectional observational study was conducted at 3 different types of hospitals (public-federal, public-state and private) in Rio Grande do Norte state, Brazil. A total of 19 structure and process indicators were measured based on 7 National Quality Forum Patient Safety Practices. Results: Overall adherence was low, but higher in the private hospital, followed by the public-federal and public-state institutions. There was adequate maintenance of central venous catheters and high vaccine coverage against the influenza virus among health professionals. However, hand hygiene adherence was low, and surgical antibiotic prophylaxis and prevention of multidrug-resistant bacteria transmission, urinary tract infection by urinary catheter and associated with mechanical ventilation were inadequate. Conclusions: Despite the availability of evidence-based recommendations, there is ample room for improvement in adherence to safe practices in the hospitals under study, contributing to the heightened risk of unnecessary harm to patients. Keywords: Patient safety, Nosocomial infection, Safety management, Quality indicators
Databáze: OpenAIRE
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