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Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning.
Toccafondi, Giulio; Di Marzo, Francesco; Sartelli, Massimo; Sujan, Mark; Smyth, Molly; Bowie, Paul; Cardi, Martina; Cardi, Maurizio.
  • Toccafondi G; Cinical risk Management and Patient Safety Center, Via Pietro Dazzi 1, 50141, Firenze; Italy.
  • Di Marzo F; UOC Chirurgia Generale, Ospedale Valtiberina, Sansepolcro, Usl Toscana Sud-Est, Viale Galileo Galilei, 101, 52037 Sansepolcro AR, Italy.
  • Sartelli M; UOC Chirurgia Generale, Dipartimento chirurgia maggiore oncologica Ospedale di Macerata, - Asur 9 Via Santa Lucia, 2, 62100 Macerata MC, Italy.
  • Sujan M; Human Factors Everywhere Ltd., UK and Warwick Medical School, University of Warwick Coventry, CV4 7AL, UK.
  • Smyth M; Chartered Institute of Ergonomics and Human Factors, The Courtyard, Wootton Park, Wootton Wawen, Warwickshire B95 6HJ, UK.
  • Bowie P; NHS Education for Scotland, UK, Westport 102, Edinburgh Westport 102, West Port, Edinburgh, EH3, 9DN, UK.
  • Cardi M; Associate Architect of Bryden Wood, UK 100 Gray's Inn Road, London, UK.
  • Cardi M; Università "La Sapienza", Dipartimento di Chirurgia Pietro Valdoni, Viale del Policlinico, 155 00161, Roma, Italy.
Int J Qual Health Care ; 33(Supplement_1): 51-55, 2021 Jan 12.
Artículo en Inglés | MEDLINE | ID: covidwho-1139994
ABSTRACT

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.
Asunto(s)

Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Operativos / Control de Infecciones / COVID-19 Tipo de estudio: Estudio de cohorte / Estudio observacional / Estudio pronóstico / Ensayo controlado aleatorizado Límite: Humanos Idioma: Inglés Revista: Int J Qual Health Care Asunto de la revista: Servicios de Salud Año: 2021 Tipo del documento: Artículo

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Operativos / Control de Infecciones / COVID-19 Tipo de estudio: Estudio de cohorte / Estudio observacional / Estudio pronóstico / Ensayo controlado aleatorizado Límite: Humanos Idioma: Inglés Revista: Int J Qual Health Care Asunto de la revista: Servicios de Salud Año: 2021 Tipo del documento: Artículo