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Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era
INTRODUCTION: The COVID-19 pandemic has required facilities to quickly respond to a myriad of infection prevention recommendations, as well as design their own protocols. The varied and changing guidance has been difficult for staff to absorb and has presented challenges for managing compliance. APP...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Joint Commission. Published by Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826040/ https://www.ncbi.nlm.nih.gov/pubmed/33526409 http://dx.doi.org/10.1016/j.jcjq.2021.01.007 |
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author | Sands, Kenneth Blanchard, Jackie Grubbs, Ken O‘Neal, Fredrick Schlosser, Michael Korwek, Kimberly Englebright, Jane Perlin, Jonathan |
author_facet | Sands, Kenneth Blanchard, Jackie Grubbs, Ken O‘Neal, Fredrick Schlosser, Michael Korwek, Kimberly Englebright, Jane Perlin, Jonathan |
author_sort | Sands, Kenneth |
collection | PubMed |
description | INTRODUCTION: The COVID-19 pandemic has required facilities to quickly respond to a myriad of infection prevention recommendations, as well as design their own protocols. The varied and changing guidance has been difficult for staff to absorb and has presented challenges for managing compliance. APPROACH: HCA Healthcare recognized the need for a coordinated approach to managing infection prevention guidance during the COVID-19 pandemic and a mechanism for monitoring compliance and responding to implementation challenges remotely. This innovation consisted of a bundle of infection prevention guidance referred to as the Universal Protection Framework that collated existing recommendations into an easy-to-understand structure with four domains: core infection prevention practices, access control, distancing, and patient flow. This was supported by education and clear communication. A remote monitoring program that incorporated a combination of report review and virtual observation via videoconferencing using an on-site leader as a navigator for the discussion assessed 46 survey domains for compliance. RESULTS: This framework was implemented in a large health care system, and to date compliance has been monitored at 15 facilities. Overall, compliance was high (average, 90%). High compliance was seen with oversight and distribution of personal protective equipment, cohorting of COVID-19 patients, facility access controls, and employee exposure monitoring. Challenges were identified in compliance with social distancing and universal masking. CONCLUSION: Complex infection prevention expectations for COVID-19 can be communicated and implemented by bundling into a simple framework. This innovation also demonstrated that compliance can be measured remotely, which may be useful even after the pandemic challenges have passed. |
format | Online Article Text |
id | pubmed-7826040 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Joint Commission. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78260402021-01-25 Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era Sands, Kenneth Blanchard, Jackie Grubbs, Ken O‘Neal, Fredrick Schlosser, Michael Korwek, Kimberly Englebright, Jane Perlin, Jonathan Jt Comm J Qual Patient Saf Innovation Report INTRODUCTION: The COVID-19 pandemic has required facilities to quickly respond to a myriad of infection prevention recommendations, as well as design their own protocols. The varied and changing guidance has been difficult for staff to absorb and has presented challenges for managing compliance. APPROACH: HCA Healthcare recognized the need for a coordinated approach to managing infection prevention guidance during the COVID-19 pandemic and a mechanism for monitoring compliance and responding to implementation challenges remotely. This innovation consisted of a bundle of infection prevention guidance referred to as the Universal Protection Framework that collated existing recommendations into an easy-to-understand structure with four domains: core infection prevention practices, access control, distancing, and patient flow. This was supported by education and clear communication. A remote monitoring program that incorporated a combination of report review and virtual observation via videoconferencing using an on-site leader as a navigator for the discussion assessed 46 survey domains for compliance. RESULTS: This framework was implemented in a large health care system, and to date compliance has been monitored at 15 facilities. Overall, compliance was high (average, 90%). High compliance was seen with oversight and distribution of personal protective equipment, cohorting of COVID-19 patients, facility access controls, and employee exposure monitoring. Challenges were identified in compliance with social distancing and universal masking. CONCLUSION: Complex infection prevention expectations for COVID-19 can be communicated and implemented by bundling into a simple framework. This innovation also demonstrated that compliance can be measured remotely, which may be useful even after the pandemic challenges have passed. The Joint Commission. Published by Elsevier Inc. 2021-05 2021-01-21 /pmc/articles/PMC7826040/ /pubmed/33526409 http://dx.doi.org/10.1016/j.jcjq.2021.01.007 Text en © 2021 The Joint Commission. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Innovation Report Sands, Kenneth Blanchard, Jackie Grubbs, Ken O‘Neal, Fredrick Schlosser, Michael Korwek, Kimberly Englebright, Jane Perlin, Jonathan Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era |
title | Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era |
title_full | Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era |
title_fullStr | Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era |
title_full_unstemmed | Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era |
title_short | Universal Protection: Operationalizing Infection Prevention Guidance in the COVID-19 Era |
title_sort | universal protection: operationalizing infection prevention guidance in the covid-19 era |
topic | Innovation Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826040/ https://www.ncbi.nlm.nih.gov/pubmed/33526409 http://dx.doi.org/10.1016/j.jcjq.2021.01.007 |
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