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Development and validation of a time and motion guide to assess the costs of prevention and control interventions for nosocomial infections: A Delphi method among experts.
Tchouaket Nguemeleu, Eric; Boivin, Sandra; Robins, Stephanie; Sia, Drissa; Kilpatrick, Kelley; Brousseau, Sylvain; Dubreuil, Bruno; Larouche, Catherine; Parisien, Natasha.
  • Tchouaket Nguemeleu E; Université du Québec en Outaouais, Department of Nursing Research, Saint-Jérôme, QC, Canada.
  • Boivin S; Centre Intégré de Santé et de Services de Sociaux des Laurentides, Direction de la Santé Publique, Saint-Jérôme, Québec, Canada.
  • Robins S; Université du Québec en Outaouais, Department of Nursing Research, Saint-Jérôme, QC, Canada.
  • Sia D; Université du Québec en Outaouais, Department of Nursing Research, Saint-Jérôme, QC, Canada.
  • Kilpatrick K; Ingram School of Nursing, McGill University, Montréal, Québec, Canada.
  • Brousseau S; Université du Québec en Outaouais, Department of Nursing Research, Saint-Jérôme, QC, Canada.
  • Dubreuil B; Institut de Cardiologie, Montreal Heart Institute, Montréal, Québec, Canada.
  • Larouche C; Centre Intégré Universitaire de Santé et de Services Sociaux du Saguenay, Lac-Saint-Jean, Québec, Canada.
  • Parisien N; Institut National de Santé Publique du Québec, Québec, Canada.
PLoS One ; 15(11): e0242212, 2020.
Article in English | MEDLINE | ID: covidwho-1067391
ABSTRACT

BACKGROUND:

Nosocomial infections place a heavy burden on patients and healthcare providers and impact health care institutions financially. Reducing nosocomial infections requires an integrated program of prevention and control using key clinical best care practices. No instrument currently exists that measures these practices in terms of personnel time and material costs.

OBJECTIVE:

To develop and validate an instrument that would measure nosocomial infection control and prevention best care practice costs, including estimates of human and material resources.

METHODS:

An evaluation of the literature identified four practices essential for the control of pathogens hand hygiene, hygiene and sanitation, screening and additional precaution. To reflect time, materials and products used in these practices, our team developed a time and motion guide. Iterations of the guide were assessed in a Delphi technique; content validity was established using the content validity index and reliability was assessed using Kruskall Wallis one-way ANOVA of rank test.

RESULTS:

Two rounds of Delphi review were required; 88% of invited experts completed the assessment. The final version of the guide contains eight dimensions Identification [83 items]; Personnel [5 items]; Additional Precautions [1 item]; Hand Hygiene [2 items]; Personal Protective Equipment [14 items]; Screening [4 items]; Cleaning and Disinfection of Patient Care Equipment [33 items]; and Hygiene and Sanitation [24 items]. The content validity index obtained for all dimensions was acceptable (> 80%). Experts statistically agreed on six of the eight dimensions. DISCUSSION/

CONCLUSION:

This study developed and validated a new instrument based on expert opinion, the time and motion guide, for the systematic assessment of costs relating to the human and material resources used in nosocomial infection prevention and control. This guide will prove useful to measure the intensity of the application of prevention and control measures taken before, during and after outbreak periods or during pandemics such as COVID-19.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Time and Motion Studies / Cross Infection / Infection Control Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials / Systematic review/Meta Analysis Limits: Humans Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2020 Document Type: Article Affiliation country: Journal.pone.0242212

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Time and Motion Studies / Cross Infection / Infection Control Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials / Systematic review/Meta Analysis Limits: Humans Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2020 Document Type: Article Affiliation country: Journal.pone.0242212