Safety Culture and Hand Hygiene: Linking Attitudes to Behavior
Safety Culture and Hand Hygiene: Linking Attitudes to Behavior
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DOI：
10.1086/668432
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发表时间：
2012-12-01
影响因子：
4.5
通讯作者：
Rand, Cynthia S.
中科院分区：
文献类型：
--
作者：
Daugherty, Elizabeth Lee;Paine, Lori A.;Rand, Cynthia S.
医院获得性感染(HAI)会对患者造成伤害，并可能与不适当的手部卫生做法有关。安全文化是衡量患者安全相关规范和行为的单位水平，也被认为是对HAI的影响，包括中心线相关血流感染(CLABSI)和呼吸机相关肺炎(VAP)。通过有效的安全态度问卷(SAQ；表1)衡量的安全文化可以通过基于单元的综合安全计划来改善，1、2和多方面的安全干预措施与改善的CLABSI和VAP率相关。3‘4然而，关于客观测量的安全文化是否与特定的员工行为直接相关，如手部卫生，导致HAI的情况，我们知之甚少。这项研究的目的是评估住院病房常规评估的安全文化和观察到的手卫生做法之间的关联。
Hospital-acquired infections (HAIs) result in patient harm and may be linked to inadequate hand hygiene practices. Safety culture, a unit-level measure of patient safety-related norms and behaviors, has also been proposed as an influence on HAIs, including central line-associated bloodstream infections (CLABSIs) and ventilator-associated pneumonia (VAP). Safety culture, as measured by the validated Safety Attitudes Questionnaire (SAQ; Table 1), can be improved through a comprehensive unit-based safety program, 1, 2 and multifaceted safety interventions have been associated with improved CLABSI and VAP rates. 3'4 However, little is known about whether objectively measured safety culture is directly associated with specific staff behaviors, such as hand hygiene, that contribute to HAIs. The objective of this study was to evaluate associations between routinely assessed safety culture and observed hand hygiene practices in inpatient hospital units.