BACKGROUND: With the spread of COVID-19 and the worsening global prevention and control situation, the risk of infection faced by health workers has been unprecedented. It is necessary to fully understand the occupational risks of health workers to protect them and reduce their risk of infection. OBJECTIVE: This study aimed to obtain comprehensive and detailed information on occupational risk factors of infectious diseases for HWs in different dimensions and to propose control strategies for three risk dimensions to protect HWs who are at high risk of infection during the pandemic. METHODS: A total number of 619 articles published from 2010 to 2021 were searched to conduct bibliometric analysis, which were retrieved in the Web of Science database with defined search terms. There were 26 articles met the criteria, and they were screened to identify occupational risk factors. RESULTS: We conducted an analysis of cited institutions, co-citation network analysis of journals, and references from bibliometric analysis. Nine risk factors were extracted, and they were classified and sorted into three dimensions. Infection control strategies for each dimension were proposed. CONCLUSIONS: The risk of infection faced by HWs is unprecedented. Medical institutions should pay more attention to the nine risk factors that we identified and use the three risk dimensions to carry out risk identification and infection control to reduce the infection risk of HWs and protect them better.
The complexity and importance of teamwork in health care demand drastic improvement in the existing methodology of quality assurance. There is a need to develop a quality management system (QMS) for the healthcare sector. The purpose of this paper is to propose and to verify the effectiveness of the qualitycentred management system for healthcare (QMS-H) model in providing safe and reliable health care at the organisational level. This paper presents the QMS-H model derived through an analogy with the QMS model applied in the manufacturing industry and modified according to the features of the healthcare sector, and we discuss the form it should assume and the necessary type of body of knowledge (BOK). We are trying to implement the model in several hospitals in a QMS-H research group, and we are also trying to verify the effectiveness of the model in the research group. At present, the basic foundations of QMS-H have been laid, and many hospitals have now obtained the ISO 9001 certification. Some hospitals have launched policy management and improvement at the organisational level. Since some management indices have been improved, the effectiveness of the model has been suggested.
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