Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-26T08:21:59.207Z Has data issue: false hasContentIssue false
  • English
  • Français

Development and Application of Evaluation Indices for Hospital Infection Surveillance and Control Programs in the Republic of Korea

Published online by Cambridge University Press:  02 January 2015

Hyang Soon Oh ,
Hae Won Cheong ,
Seung Eun Yi ,
Ho Kim ,
Kang Won Choe  and
Sung Il Cho
Hyang Soon Oh*
Affiliation:
Infection Control Service, Seoul National University Hospital, Seoul National University, Seoul, and the Department of Nursing, Kwang Dong University, GangNeung, Republic of Korea
Hae Won Cheong
Affiliation:
Departments of Epidemiology, Seoul National University, Seoul, and the Department of Nursing, Kwang Dong University, GangNeung, Republic of Korea
Ho Kim
Affiliation:
Statistics, Seoul National University, Seoul, and the Department of Nursing, Kwang Dong University, GangNeung, Republic of Korea
Kang Won Choe
Affiliation:
School of Public Health, and the Department of Internal Medicine, School of Medicine, Seoul National University, Seoul, and the Department of Nursing, Kwang Dong University, GangNeung, Republic of Korea
Sung Il Cho
Affiliation:
Departments of Epidemiology, Seoul National University, Seoul, and the Department of Nursing, Kwang Dong University, GangNeung, Republic of Korea
*
Infection Control Service, Seoul National University Hospital, 28 Yongon-dong, Chongno-gu, Seoul, 110-744, Republic of Korea ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective.

To develop new evaluation indices of infection control and to use them to evaluate Korean infection surveillance and control programs (ISCPs).

Design.

We performed a questionnaire-based survey to 164 acute care general hospitals throughout the Republic of Korea that had more than 300 beds. Study methods were based completely on those of the Study on the Efficacy of Nosocomial Infection Control (SENIC). Four SENIC indices (hospital epidemiologist index, infection control nurse index, surveillance index, and control index) and 4 newly developed indices (healthcare worker index, quality improvement index, resource index, and hand hygiene facilities index) were used to evaluate Korean ISCPs. Data were collected by questionnaire from June 17 to October 11, 2003.

Setting.

One hundred sixty-four general hospitals with more than 300 beds in the Republic of Korea.

Results.

Personnel from 85 general hospitals responded to the study questionnaire. The reliability and validity of the evaluation indices were statistically significant (P<.05). The 8 evaluation indices were categorized into 2 factor groups: personnel factors (hospital epidemiologist index and infection control nurse index) and activity factors (the remaining 6 indices). Korean ISCPs showed a major weakness in surveillance. The scores for the newly developed evaluation indices were better than those for the SENIC evaluation indices. However, most Korean hospitals were estimated to have had only slight reductions in nosocomial infection rates. The evaluation indices were influenced significantly by the number of beds in the hospital, whether the hospital was located in the Seoul-Gyonggi region, the presence of full-time infection control nurses at the hospital, the education level of the infection control nurses, and the nurses' experience in infection control (P<.05).

Conclusions.

The reliability and validity of the SENIC evaluation indices and the newly developed evaluation indices were satisfactory in evaluating Korean ISCPs. However, surveillance should be improved to increase the efficacy of Korean ISCPs.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 4 , April 2007 , pp. 435 - 445
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Scheckler, WE, Brimhall, D, Buck, AS, et al.Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: a consensus panel report. Am J Infect Control 1998;26:47–60.CrossRefGoogle ScholarPubMed
2.Haley, RW, Hooton, TM, Schoenfelder, IR, et al.Effect of an infection surveillance and control program on the accuracy of retrospective chart review. Am J Epidemiol 1980;111:543–555.Google Scholar
3.Haley, RW, Culver, DH, White, JW, et al.The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985;121:182–205.CrossRefGoogle ScholarPubMed
4.Haley, RW, Morgan, WM, Culver, DH, et al.Update from the SENIC Project: hospital infection control: recent progress and opportunities under prospective payment. Am J Infect Control 1985;13:97–108.Google Scholar
5.Haley, RW, Quade, D, Freeman, HE, et al.Study on the efficacy of nosocomial infection control (SENIC Project): summary of study design. The SENIC Project. Am J Epidemiol 1980;111:472–485.Google Scholar
6.Oh, HS, Yi, SE, Choe, KW. Epidemiological characteristics of occupational blood exposures of health care workers in a university hospital in South Korea for 10 years. J Hosp Infect 2005;60:269–275.Google Scholar
7.Eickhoff, TC. General comments on the study on the efficacy of nosocomial infection control (SENIC Project). Am J Epidemiol 1980;111:465–469.CrossRefGoogle Scholar
8.Department of Health, Education, and Welfare and Centers for Disease Control. Appendix B: design of the preliminary screening questionnaire and specifications for computing indexes of surveillance and control. Am J Epidemiol 1980;111:613–621.Google Scholar
9.Hughes, JM. Study on the efficacy of nosocomial infection control (SENIC Project): results and implications for the future. Chemotherapy 1988;34:553–561.CrossRefGoogle Scholar
10.Donabedian, A. The Methods and Findings of Quality Assessment and Monitoring. Ann Arbor, MI: Health Administration Press; 1985.Google Scholar
11.Donabedian, A. The quality of medical care. Science 1978;200:856–864.Google Scholar
12.Donabedian, A. The quality of medical care: a concept in search of a definition. J Fam Pract 1979;9:277–284.Google Scholar
13.Donabedian, A. A Guide to Medical Care Administration: Medical Care Appraisal—Quality and Utilization. Vol. 2. 3rd ed. Washington, DC: American Public Health Association; 1975:2–41.Google Scholar
14.Department of Health, Education, and Welfare and Centers for Disease Control. Appendix C: preliminary screening questionnaire (PSQ) survey form. Am J Epidemiol 1980;111:622–627.Google Scholar
15.Haley, RW. A strategy for reducing infectious complications. In: Managing Hospital Infection Control for Cost-Effectiveness. Chicago, IL: American Hospital Publishing; 1986:26–33.Google Scholar
16.Yi, SE. A Study on Epidemiological Characteristics of Nosocomial Infection and Developing an Effective Control Model in Korea. Seoul, Republic of Korea: Department of Public Health, Seoul National University; 1993.Google Scholar
17.Boyce, JM, Pittet, D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol 2002;23:S3–S40.Google Scholar
18.Gaynes, RP. Surveillance of nosocomial infections. In: Bennett, JV, Brachmann, PS, eds. Hospital Infections. Philadelphia, PA: Lippincott-Raven;1998:65–84.Google Scholar
19.Nguyen, GT, Proctor, SE, Sinkowitz-Cochran, RL, et al.Status of infection surveillance and control programs in the United States, 1992-1996. Am J Infect Control 2000;28:392–400.CrossRefGoogle ScholarPubMed
20.Emori, TG, Haley, RW, Stanley, RC. The infection control nurse in US hospitals, 1976-1977: characteristics of the position and its occupant. Am J Epidemiol 1980;111:592–607.CrossRefGoogle ScholarPubMed
21.Quattrin, R, Pecile, A, Conzut, L, et al.Infection control nurse: a national survey. J Nurs Manag 2004;12:375–380.CrossRefGoogle ScholarPubMed
22.Campbell, BA, McCunn, SM, Trotman, M, et al.The infection control practitioner in Canadian hospitals with more than 200 beds. Am J Infect Control 1986;14:224–228.Google Scholar