Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning
| Autor: | Maurizio Cardi, Molly Smyth, Martina Cardi, Paul Bowie, Mark-Alexander Sujan, Francesco Di Marzo, Giulio Toccafondi, Massimo Sartelli |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
HD
medicine.medical_specialty Control (management) medical pandemics health care systems human factors engineering appropriate use covid-19 coronavirus pandemic Introducti 030230 surgery 03 medical and health sciences 0302 clinical medicine Leverage (negotiation) Pandemic antibiotics coronavirus surgical procedures operative infections washing hands infection prophylaxis surveillance medical pandemics health care systems human factors engineering appropriate use covid-19 coronavirus pandemic Introducti medicine Infection control Humans AcademicSubjects/MED00860 Hand Hygiene 030212 general & internal medicine Original Research Article operative infections washing hands infection prophylaxis surveillance Cross Infection Infection Control business.industry Health Policy Public Health Environmental and Occupational Health Human factors and ergonomics COVID-19 General Medicine Surgery Anti-Bacterial Agents Surgical Procedures Operative Organizational learning Epidemiological Monitoring antibiotics coronavirus surgical procedures Organizational structure Ergonomics business RA RD |
| Zdroj: | International Journal for Quality in Health Care |
| ISSN: | 1464-3677 1353-4505 |
| Popis: | Background In response to the coronavirus disease of 2019 (COVID-19) pandemic, healthcare systems worldwide have stepped up their infection prevention and control efforts in order to reduce the spread of the infection. Behaviours, such as hand hygiene, screening and cohorting of patients, and the appropriate use of antibiotics have long been recommended in surgery, but their implementation has often been patchy. Methods The current crisis presents an opportunity to learn about how to improve infection prevention and control and surveillance (IPCS) behaviours. The improvements made were mainly informal, quick and stemming from the frontline rather than originating from formal organizational structures. The adaptations made and the expertise acquired have the potential for triggering deeper learning and to create enduring improvements in the routine identification and management of infections relating to surgery. Results This paper aims to illustrate how adopting a human factors and ergonomics perspective can provide insights into how clinical work systems have been adapted and reconfigured in order to keep patients and staff safe. Conclusion For achieving sustainable change in IPCS practices in surgery during COVID-19 and beyond we need to enhance organizational learning potentials. |
| Databáze: | OpenAIRE |
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