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Infectious Risk Moments: A Novel, Human Factors–Informed Approach to Infection Prevention

Published online by Cambridge University Press:  10 May 2016

Lauren Clack
Affiliation:
Division of Infectious Diseases and Infection Control, University Hospital of Zurich, Zurich, Switzerland
Jan Schmutz
Affiliation:
Industrial Psychology and Human Factors, Department of Psychology, University of Fribourg, Fribourg, Switzerland
Tanja Manser
Affiliation:
Institute for Patient Safety, University of Bonn, Bonn, Germany
Hugo Sax*
Affiliation:
Division of Infectious Diseases and Infection Control, University Hospital of Zurich, Zurich, Switzerland
*
Division of Infectious Diseases and Infection Control, University Hospital of Zurich, Raemistrasse 100, Zurich 8091, Switzerland ([email protected]).

Extract

We pilot tested a novel human factors–informed concept to identify infectious risk moments (IRMs) that occur with high frequency during routine intensive care. Following 30 observation-hours, 28 potential IRMs related to hand hygiene, gloves, and objects were expert rated. A comprehensive IRM inventory may provide valuable taxonomy for research, training, and intervention.

Infect Control Hosp Epidemiol 2014;35(8):1051–1055

Type
Concise Communication
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

1. Harbarth, S, Sax, H, Gastmeier, P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect 2003;54(4):258266.CrossRefGoogle ScholarPubMed
2. Umscheid, CA, Mitchell, MD, Doshi, JA, Agarwal, R, Williams, K, Brennan, PJ. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011;32(2):101114.CrossRefGoogle ScholarPubMed
3. Pittet, D, Allegranzi, B, Sax, H, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6(10):641652.CrossRefGoogle ScholarPubMed
4. Pittet, D, Allegranzi, B, Boyce, J; World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. The World Health Organization Guidelines on Hand Hygiene in Health Care and their consensus recommendations. Infect Control Hosp Epidemiol 2009;30(7):611622.CrossRefGoogle Scholar
5. Bonten, MJ, Hayden, MK, Nathan, C, et al. Epidemiology of colonisation of patients and environment with vancomycin-resistant enterococci. Lancet 1996;348(9042):16151619.CrossRefGoogle ScholarPubMed
6. Schabrun, S, Chipchase, L. Healthcare equipment as a source of nosocomial infection: a systematic review. J Hosp Infect 2006;63(3):239245.CrossRefGoogle ScholarPubMed
7. Huang, SS, Datta, R, Platt, R. Risk of acquiring antibiotic-resistant bacteria from prior room occupants. Arch Intern Med 2006;166(18):19451951.CrossRefGoogle ScholarPubMed
8. Hill, C, King, T, Day, R. A strategy to reduce MRSA colonization of stethoscopes. J Hosp Infect 2006;62(1):122123.CrossRefGoogle ScholarPubMed
9. de Gialluly, C, Morange, V, de Gialluly, E, Loulergue, J, van der Mee, N, Quentin, R. Blood pressure cuff as a potential vector of pathogenic microorganisms: a prospective study in a teaching hospital. Infect Control Hosp Epidemiol 2006;27(9):940943.CrossRefGoogle ScholarPubMed
10. Longtin, Y, Schneider, A, Tschopp, C, et al. Contamination of stethoscopes and physicians’ hands after a physical examination. Mayo Clin Proc 2014;89(3):291299.CrossRefGoogle ScholarPubMed
11. Sax, H, Allegranzi, B, Uckay, I, Larson, E, Boyce, J, Pittet, D. “My five moments for hand hygiene”: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67(1):921.CrossRefGoogle ScholarPubMed
12. Gordon, TJ, Glenn, JC. An introduction to the Millennium Project. Technol Forecast Soc 1994;47(2):147170.CrossRefGoogle Scholar
13. Slovic, P. The Perception of Risk. London: Earthscan, 2000.Google Scholar
14. Tversky, A, Kahneman, D. Availability: a heuristic for judging frequency and probability. Cogn Psychol 1973;5(2):207232.CrossRefGoogle Scholar
15. Kasperson, RE, Renn, O, Slovic, P, et al. The social amplification of risk: a conceptual framework. Risk Anal1988;8(2):177187.CrossRefGoogle Scholar
16. Skinner, B. A case history in scientific method. Am Psychol 1956;11(5):221.CrossRefGoogle Scholar
17. Renn, O. Risk perception: a systematic review of concepts and research results. In: Avoiding and Managing Environmental Damage from Major Industrial Accidents. Proceedings of the Air Pollution Control Association International Conference; November 1985; Vancouver, British Columbia. Pittsburgh, PA: Air Pollution Control Association, 1986:377408.Google Scholar
18. Slovic, P, Peters, E. Risk perception and affect. Curr Direct Psychol Sci 2006;15(6):322325.CrossRefGoogle Scholar
19. Gurses, AP, Murphy, DJ, Martinez, EA, Berenholtz, SM, Pronovost, PJ. A practical tool to identify and eliminate barriers to compliance with evidence-based guidelines. Jt Comm J Qual Patient Saf 2009;35(10):526532.Google ScholarPubMed
20. Barnes, S, Golden, B, Wasil, E. Exploring the effects of network structure and healthcare worker behavior on the transmission of hospital-acquired infections. IIE Trans Healthcare Syst Eng 2012;2(4):259273.CrossRefGoogle Scholar