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Assessment of adequacy of respiratory infection prevention in hospitals of Inner Mongolia, China: a cross-sectional study using unannounced standardized patients.
Xie, Yijing; McNeil, Edward B; Sriplung, Hutcha; Fan, Yancun; Zhao, Xingsheng; Chongsuvivatwong, Virasakdi.
  • Xie Y; Faculty of Health Management, Inner Mongolia Medical University , Hohhot, China.
  • McNeil EB; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University , HatYai, Thailand.
  • Sriplung H; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University , HatYai, Thailand.
  • Fan Y; Epidemiology Unit, Faculty of Medicine, Prince of Songkla University , HatYai, Thailand.
  • Zhao X; Faculty of Health Management, Inner Mongolia Medical University , Hohhot, China.
  • Chongsuvivatwong V; Inner Mongolia People's Hospital , Hohhot, China.
Postgrad Med ; 132(7): 643-649, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-382140
Semantic information from SemMedBD (by NLM)
1. Evaluation procedure PREVENTS Respiratory Tract Infections
Subject
Evaluation procedure
Predicate
PREVENTS
Object
Respiratory Tract Infections
2. RID CAUSES Infection
Subject
RID
Predicate
CAUSES
Object
Infection
3. Medical procedure on respiratory tract TREATS Outpatients
Subject
Medical procedure on respiratory tract
Predicate
TREATS
Object
Outpatients
4. Evaluation procedure PREVENTS Respiratory Tract Infections
Subject
Evaluation procedure
Predicate
PREVENTS
Object
Respiratory Tract Infections
5. RID CAUSES Infections, Hospital
Subject
RID
Predicate
CAUSES
Object
Infections, Hospital
6. Medical procedure on respiratory tract TREATS Outpatients
Subject
Medical procedure on respiratory tract
Predicate
TREATS
Object
Outpatients
ABSTRACT

INTRODUCTION:

Recent respiratory infectious disease (RID) outbreaks of influenza and the novel coronavirus have resulted in global pandemics. RIDs can trigger nosocomial infections if not adequately prevented.

OBJECTIVE:

The objective of this study was to rate the adequacy of healthcare workers (HCWs) and hospital settings on RID prevention using unannounced standardized patients (USP) in clinical settings of hospital gateways.

METHODS:

Trained USPs visited 5 clinical settings information desks, registration desks, two outpatient departments and the emergency departments in 10 hospitals across 3 cities of Inner Mongolia, China. USPs observed the hospital air ventilation and distance from the nearest hand-washing facilities to each clinical setting, then mimicked symptoms of either tuberculosis or influenza before observing the HCW's behavior. A total of 480 clinical-setting assessments were made by 19 USPs.

RESULTS:

The overall adequacy of triage services was 86.7% and for prevention of the spread of airborne droplets was 83.5%. Almost all hospitals offered adequate air ventilation. Compared to the information desk, adequacy of triage and preventing the spread of airborne droplets by physicians in the three clinical departments was less likely to be adequate. Triage services for USPs simulating symptoms of influenza were 2.6 times more likely to be adequate than for those simulating symptoms of tuberculosis but there was no significant difference in the prevention of the spread of airborne droplets.

CONCLUSIONS:

There is a need to improve respiratory infectious disease procedures in our study hospitals, especially in outpatient and emergency departments.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Outpatient Clinics, Hospital / Respiratory Tract Infections / Patient Simulation / Infection Control / Health Personnel / Emergency Service, Hospital Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: Postgrad Med Year: 2020 Document Type: Article Affiliation country: 00325481.2020.1776015

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Outpatient Clinics, Hospital / Respiratory Tract Infections / Patient Simulation / Infection Control / Health Personnel / Emergency Service, Hospital Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: Postgrad Med Year: 2020 Document Type: Article Affiliation country: 00325481.2020.1776015