Multimodal strategies to improve infectious safety in dental health care facilities

18 серпня 2021
907
Спеціальності :
Резюме

Purpose: to study the state of the organization of infectious safety and to offer multimodal strategies for its improvement in dental healthcare facilities. The object of research: infectious safety systems in tertiary care facilities of dental profile. The subject of research: the organizational structure, functions, tools, measures for infectious safety in the studied institutions. Research methods: system approach; comparative, logical and structural analysis; descriptive modeling; graphic. Results. It is established that infectious safety systems operate in accordance with regulatory requirements. However, infection prevention and control programs do not include measures to vaccinate health workers against parenteral hepatitis and influenza and to strengthen the culture of infectious safety, there are no clear criteria for monitoring and evaluating preventive measures. There are no tools for self-control on infectious safety issues, internal audit is used to a limited extent; clear interaction between all stakeholders is not established; infrastructure components (engineering networks, communications) are separated from the infectious safety system. Traditional methods of staff training are used in the workplace. Multimodal strategies based on world evidence-based practices on infectious safety have been proposed to be used to improve the organization of infectious safety activities. It is recommended to introduce checklists as carriers of criteria for monitoring, evaluation and self-control tools, use of internal thematic audit, establishment of communications between stakeholders, introduction of interactive forms of employee training in the workplace and strengthening the culture of infectious safety. Conclusions. The use of a set of multimodal strategies based on world evidence-based practices will ensure the improvement of infectious safety measures in dental healthcare facilities.

References:

  • 1. World Health Organization (2018) Patient safety. Global action to ensure patient safety. Report of the General Director (apps.who.int/gb/ebwha/pdf_files/EB144/B144_29-ru.pdf). (In Rus.).
  • 2. World Health Organization (2019) Patient safety. Global action to ensure patient safety. Report of the General Director (apps.who.int/gb/ebwha/pdf_files/WHA72/A72_27-ru.pdf).
  • 3. World Health Organization (2021) Patient safety. Global action to ensure patient safety. Report of the General Director (apps.who.int/gb/ebwha/pdf_files/EB148/B148_6-ru.pdf).
  • 4. Slawomirski L., Auraaen A., Klazinga N.S. et al. (2017) The Economics of Patient Safety: Strengthening a value-based approach to reducing patient harm at national level (http://www.oecd-ilibrary.org/docserver/5a9858cd-en.pdf?expires=1593688230&id=id&accname=guest&checksum=B1730733897FC2DC01D171C38D4218F2).
  • 5. National Academies of Sciences, Engineering, and Medicine (2018) Crossing the Global Quality Chasm: Improving Health Care Worldwide (doi.org/10.17226/25152).
  • 6. State Committee of Ukraine on Industrial Safety, Labour Protection and Mountain Supervision (2007) Order of the State Committee of Ukraine on Industrial Safety, Labour Protection and Mountain Supervision from 28.12.2007 № 331 «About the statement of Rules of a choice and application of means of individual protection of respiratory organs» (zakon.rada.gov.ua/laws/show/z0285-08#Text) (In Ukr.).
  • 7. Ministry of Health of Ukraine (2010) Order of the Ministry of Health of Ukraine from 21.09.2010 № 798 «About the statement of methodical recommendations «Surgical and hygienic processing of hands of medical staff» (zakon.rada.gov.ua/rada/show/v0798282-10#Text) (In Ukr.).
  • 8. Ministry of Health of Ukraine (2013) Order of the Ministry of Health of Ukraine from 01.06.2013 № 460 «About the statement of protocols of the nurse (paramedic, midwife) on care of the patient and performance of the basic medical procedures and manipulations» (zakon.rada.gov.ua/rada/show/v0460282-13#Text) (In Ukr.).
  • 9. Ministry of Health of Ukraine (2014) Order of the Ministry of Health of Ukraine from 11.08.2014 № 552 «On approval of the State sanitary norms and rules «Disinfection, pre-sterilization cleaning and sterilization of medical devices in health care facilities» (zakon.rada.gov.ua/laws/show/z1067-14#Text) (In Ukr.).
  • 10. Ministry of Health of Ukraine (2014) Order of the Ministry of Health of Ukraine from 30.04.2014 № 293 «About approval of the Instruction on collection, sorting, transportation, storage, disinfection and washing of linen in health care facilities» (zakon.rada.gov.ua/laws/show/z0556-14#Text) (In Ukr.).
  • 11. Ministry of Health of Ukraine (2015) Order of the Ministry of Health of Ukraine from 08.06.2015 № 325 «About the statement of the State sanitary and anti-epidemic rules and norms concerning management of medical waste» (zakon.rada.gov.ua/laws/show/z0959-15#Text) (In Ukr.).
  • 12. Ministry of Social Policy of Ukraine (2018) Order of the Ministry of Social Policy of Ukraine from 29.11.2018 № 1804 «About the statement of the Minimum requirements of safety and health protection at use by workers of personal protective equipment at a workplace» (zakon.rada.gov.ua/laws/show/z1494-18#Text) (In Ukr.).
  • 13. World Health Organization (2016) Global Guidelines for the Prevention of Surgical Site Infection. Geneva, 186 p.
  • 14. World Health Organization (2016) Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. Geneva, 91 р.
  • 15. World Health Organization (2018) Implementation manual to support the prevention of surgical site infections at the facility level — turning recommendations into practice. Geneva, 136 p.
  • 16. World Health Organization (2019) Minimum requirements for infection prevention and control. Geneva, 70 p.
  • 17. Centers for Disease Control and Prevention (2016) Infection Prevention Checklist for Dental Settings: Basic Expectations for Safe Care. Atlanta, 20 p. (http://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care-checklist.pdf).
  • 18. Centers for Disease Control and Prevention (2016). Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Atlanta, 44 р.
  • 19. World Health Organization (2009) Implementation manual WHO surgical safety checklist 2009: safe surgery saves lives. Geneva, Switzerland, 20 p.
  • 20. World Health Organization (2010) Hand Hygiene Self-Assessment Framework 2010. Introduction and user instructions (http://www.who.int/gpsc/country_work/hhsa_framework_October_2010.pdf?ua=1).