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Lancet Infect Dis. 2015 Feb;15(2):212-24. doi: 10.1016/S1473-3099(14)70854-0. Epub 2014 Nov 11.

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

Author information

1
Infection Control Programme, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
2
Infection Control Programme, Imperial College London, London, UK.
3
Department of Environmental Health Science, University Hospital of Freiburg, Freiburg, Germany.
4
Department of Environmental Health Science, WHO, Geneva, Switzerland.
5
European Centre for Disease Prevention and Control, Stockholm, Sweden.
6
Infection Control Programme, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland; WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland. Electronic address: didier.pittet@hcuge.ch.

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.

Comment in

PMID:
25467650
DOI:
10.1016/S1473-3099(14)70854-0
[Indexed for MEDLINE]

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