Abstract:
BACKGROUND:In the industrial setting, employee perceptions regarding their organization's commitment to safety (i.e., safety climate) have been shown to be important correlates to both the adoption and maintenance of safe work practices and to workplace injury rates. However, safety climate measures specific to the hospital setting have rarely been evaluated. This study was designed to develop a short and effective tool to measure hospital safety climate with respect to institutional commitment to bloodborne pathogen risk management programs and to assess the relationship between hospital safety climate and (1) employee compliance with safe work practices and (2) incidents of workplace exposure to blood and other body fluids. METHODS:A questionnaire, which included 46 safety climate items, was developed and tested on a sample of 789 hospital-based health care workers at risk for bloodborne pathogen exposure incidents. RESULTS:A 20-item hospital safety climate scale that measures hospitals' commitment to bloodborne pathogen risk management programs was extracted through factor analysis from the 46 safety climate items. This new hospital safety climate scale subfactored into 6 different organizational dimensions: (1) senior management support for safety programs, (2) absence of workplace barriers to safe work practices, (3) cleanliness and orderliness of the work site, (4) minimal conflict and good communication among staff members, (5) frequent safety-related feedback/training by supervisors, and (6) availability of personal protective equipment and engineering controls. Of these, senior management support for safety programs, absence of workplace barriers to safe work practices, and cleanliness/orderliness of the work site were significantly related to compliance (P<.05). In addition, both senior management support for safety programs and frequent safety-related feedback/training were significantly related to workplace exposure incidents (P<.05). Thus the most significant finding in terms of enhancing compliance and reducing exposure incidents was the importance of the perception that senior management was supportive of the bloodborne pathogen safety program. CONCLUSIONS:Hospital safety climate with regards to bloodborne pathogens can be measured by using a short, 20-question scale that measures 6 separate dimensions. Whereas all 6 dimensions are essential elements of overall safety climate, 3 dimensions are significantly correlated with compliance, and 1 dimension (senior management support) is especially significant with regard to both compliance and exposure incidents. This short safety climate scale can be a useful tool for evaluating hospital employees' perceptions regarding their organization's bloodborne pathogens management program. In addition, because this scale measures specific dimensions of the safety climate, it can be used to target problem areas and guide the development of intervention strategies to reduce occupational exposure incidents to blood and other body fluids.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Gershon RR,Karkashian CD,Grosch JW,Murphy LR,Escamilla-Cejudo A,Flanagan PA,Bernacki E,Kasting C,Martin Ldoi
10.1067/mic.2000.105288subject
Has Abstractpub_date
2000-06-01 00:00:00pages
211-21issue
3eissn
0196-6553issn
1527-3296pii
S0196-6553(00)18842-Xjournal_volume
28pub_type
杂志文章abstract:BACKGROUND:Hospital-acquired Legionnaires' disease is associated with the presence of Legionella pneumophila in hospital water systems. In the United Kingdom, the Department of Health recommends maintaining hot water temperatures >55°C and cold water temperatures <20°C at the point of delivery to prevent proliferation ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.12.005
更新日期:2019-07-01 00:00:00
abstract::From 1988 through 1992, we conducted a prospective study of postdischarge surgical wound infection surveillance in our institution. A total of 6604 patients were seen after discharge in a centralized outpatient clinic, supervised by the infection control commission. Wounds were inspected, stitches were removed, and dr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(95)90059-4
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:Optimal usability is crucial in providing protection for health care workers who are exposed to severe acute respiratory syndrome day and night while taking care of patients with the virus. No research study has yet tested the usability of personal protective clothing (PPC). METHOD:The study was carried out...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2003.08.004
更新日期:2004-04-01 00:00:00
abstract::The primary job responsibility of infection preventionists (IPs) is to lead organizational initiatives that prevent and control health care-associated infections. Increasingly, IPs are participating in activities that support antimicrobial stewardship programs (ASPs). We conducted a survey of Association of Profession...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.02.003
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:We aimed to investigate the frequency of standard precautions (SPs) compliance and the factors affecting the compliance among nursing students (NSs). METHODS:A cross-sectional survey study guided by the health belief model was conducted in 2009. The study questionnaire is valid (content validity index, 0.81...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.03.007
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Influenza is responsible for thousands of deaths in the United States and presents particular challenges in health care facilities with a greater prevalence of people at increased risk for adverse outcomes. Annual influenza vaccination has long been recommended, and employer policies influence the likelihood...
journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting. METHODS:A quasiexperimental study involving multiple interventions to reduce the incidence of CLABSI was conducted in a medical-surgical intensive care unit (IC...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.11.012
更新日期:2010-08-01 00:00:00
abstract::Necrotizing fasciitis is a severe polybacterial infection characterized by necrosis of the fascia and adjacent soft tissues with rapid expansion of the infection along the fascial planes. It is a rare and potentially fatal entity in the head and neck region. We present 2 patients with head and neck cancers who develop...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.01.010
更新日期:2015-04-01 00:00:00
abstract::Accurate and rapid antimicrobial susceptibility testing with pathogen identification in bloodstream infections is critical to life results for early sepsis intervention. Advancements in rapid diagnostics have shortened the time to results from days to hours and have had positive effects on clinical outcomes and on eff...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.02.022
更新日期:2018-09-01 00:00:00
abstract::A questionnaire survey was carried out anonymously among 2557 health care workers in Denmark and Norway to identify and quantify factors that affect the handwashing behavior of physicians, nurses, and other staff groups who perform direct patient care. For number of daily patient contacts physicians reported significa...
journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,多中心研究
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更新日期:1992-04-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.040
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Biocidal high-touch surfaces contact surfaces can be used to help reduce healthcare-acquired infections (HAIs). While the bactericidal protocols are well developed, there remains high variability in the methods used to evaluate the virucidal properties of such surfaces. This paper seeks to identify the most ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2020.02.008
更新日期:2020-10-01 00:00:00
abstract::We examined the efficacy of 5 experimental handwash formulations in removing nontoxigenic Clostridium difficile spores from the hands of health care workers. Handwashing with sand resulted in an additional 0.5-log reduction in spore recovery compared with the current standard of soap and water. ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.02.008
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Infection preventionists (IPs) play key roles in preventing health care-associated infections and ensuring quality of care. To develop strategies to support comprehensive infection prevention practice, it is critical to understand key aspects of their practice. METHODS:A task force of expert IPs, staff repr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.12.012
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to identify the cause of an unusual outbreak of gram-negative bacteremia in patients undergoing long-term hemodialysis. METHODS:We performed direct observation and investigation of current dialysis techniques and facilities including microbiologic sampling in a long-term hemodi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(96)90023-1
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:ICD-9-CM coding alone has been proposed as a method of surveillance for health care-associated infections (HAIs). The accuracy of this method, however, relative to accepted infection control criteria is not known. METHODS:Retrospective analysis of patients at an academic medical center in 2005 who underwent...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2008.01.004
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:A cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery. METHODS:This 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (m...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.06.021
更新日期:2014-10-01 00:00:00
abstract::In a retrospective study conducted over 12 months in a multi-hospital system, the incidence of bloodstream infections associated with midline catheters was not significantly lower than that associated with central venous catheters (0.88 vs 1.10 infections per 1,000 catheter-days). Additional research is needed to furt...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.11.004
更新日期:2020-09-01 00:00:00
abstract::Chlorhexidine gluconate (CHG) decreases hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) that can cause colonization and infection. A standard approach is the bathing of all patients with CHG to prevent MRSA transmission. To decrease CHG utilization, this study assessed selective daily administrati...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.026
更新日期:2014-05-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.01.013
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Health care-associated infections (HCAIs) are preventable with adoption of recognized preventive measures. The first step is to identify patients at higher risk of HCAI. This study aimed to identify patient risk factors (RFs) present on admission and acquired during inpatient stay which could be associated w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.03.036
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Better characterization of risk factors for extended-spectrum β-lactamase (ESBL)-producing bacteria is important for prevention, control, and treatment. This study aimed to identify risk factors for ESBL-producing Escherichia coli in a population of patients at an acute care urban teaching hospital. METHODS...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.04.001
更新日期:2012-03-01 00:00:00
abstract::The increased use of triple-lumen catheters has brought with it an increase in sepsis. We undertook a study to determine whether this increase was related to the length of time a catheter was in place. Culture of the fluid in each of the three lumens of all triple-lumen catheters in the medical intensive care units wa...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(90)90185-u
更新日期:1990-06-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.019
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:Surgical site infections (SSIs) are a serious and costly post-op complication. Generating SSI rates often requires labor-intensive methods, but increasing numbers of publications reported SSI rates using administrative data. METHODS:Index laminectomy and spinal fusion procedures were identified using Canadia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.10.010
更新日期:2020-10-20 00:00:00
abstract::To assess the implementation of hepatitis B virus (HBV) vaccination programs for hospital workers, we mailed questionnaires to all 229 licensed Michigan hospitals. The response rate was 96% (221/229); of these, 68% (150/221) had vaccination programs. Although multiple hospital characteristics were associated with the ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(88)90059-4
更新日期:1988-10-01 00:00:00
abstract:BACKGROUND:Airborne infection isolation rooms (AIIRs) help prevent the spread of infectious agents in hospitals. The performance of 678 AIIRs was evaluated and compared with construction design guidelines. METHODS:The pressure differentials (DeltaP) between the isolation rooms and adjacent areas were measured, and ven...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2006.10.012
更新日期:2007-06-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1067/mic.2000.109886
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Carbapenem-resistant gram-negative (CRGN) infections have been increasing in recent years and associated with significant morbidity, mortality, and health care costs. The aim of this study was to evaluate the epidemiologic and clinical risk characteristics, risk factors, and outcome of CRGN infections and to...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.08.013
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Catheter-associated urinary tract infection is the most common health care-associated infection, is considered avoidable, and has cost implications for health services. Prevalence is high in nursing homes, but little research has been undertaken to establish whether implementing clinical guidelines can reduc...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2016.09.015
更新日期:2017-05-01 00:00:00