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1.
Jt Comm J Qual Patient Saf ; 37(1): 3-10, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21306060

RESUMO

BACKGROUND: Prevention of health care-associated infections starts with scrupulous hand hygiene (HH). Improving HH compliance is a major target for the World Health Organization Patient Safety Challenge and is one of The Joint Commission's National Patient Safety Goals. Yet, adherence to HH protocols is generally poor for health care professionals, despite interventions designed to improve compliance. At Tufts Medical Center (Boston), HH compliance rates were consistently low despite the presence of a traditional HH campaign that used communication and education. METHODS: A comprehensive program incorporated strong commitment by hospital leadership-who were actively involved in responsibilities previously only performed by infection preventionists and quality and patient safety staff-dedication of financial resources, including securing a grant; collaborating with a private advertising firm in a marketing campaign; and employing a multifaceted approach to education, observation, and feedback. RESULTS: This campaign resulted in a rapid and sustained improvement in HH compliance: Compared with the mean HH compliance rate for the six months before the campaign (72%), postcampaign HH compliance (mean = 94%) was significantly greater (p < .0001). Factors contributing to the success of the campaign included the development of the marketing campaign to fit this academic medical center's particular culture, strong support from the medical center leadership, a multifaceted educational approach, and monthly feedback on HH compliance. CONCLUSIONS: A comprehensive campaign resulted in rapid and sustained improvement in HH compliance at an academic medical center after traditional communication and education strategies failed to improve HH performance.


Assuntos
Fidelidade a Diretrizes/organização & administração , Desinfecção das Mãos/métodos , Capacitação em Serviço/organização & administração , Guias de Prática Clínica como Assunto , Centros Médicos Acadêmicos , Hospitais com 300 a 499 Leitos , Humanos , Avaliação de Programas e Projetos de Saúde
2.
Adolesc Med Clin ; 17(1): 49-77, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16473293

RESUMO

A variety of medical conditions can present, or be associated, with psychiatric symptoms. At times, these may be so prominent that they can overshadow the underlying pathophysiologic process that accounts for them. Thus, it is equally important for mental health providers to be alert to the possibility that adolescents whom they are treating may have symptoms related to a treatable medical condition as it is for primary care providers to conduct a targeted history and physical examination with their adolescent patients exhibiting psychiatric symptoms. Using the biopsychosocial approach, these two domains are not considered separately or hierarchically, but as highly interactive. In some cases (eg, adrenal insufficiency), appropriate and continued treatment of the underlying condition results in resolution of the psychiatric symptoms. In others (eg, SLE), treatment of the underlying condition may alleviate but may also exacerbate psychiatric symptoms. Therefore, comprehensive treatment of adolescents with psychiatric symptoms due to a medical condition may require the professional services of primary care, mental health, and specialty care providers, but their services should follow the collaborative model espoused throughout the other articles in this volume.


Assuntos
Doenças do Sistema Nervoso Central/diagnóstico , Gastroenteropatias/diagnóstico , Cardiopatias/diagnóstico , Pneumopatias/diagnóstico , Transtornos Psicofisiológicos/diagnóstico , Adolescente , Medicina do Adolescente/métodos , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Medição de Risco
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