The Role of Facility Design in Preventing the Transmission of Healthcare-Associated Infections: Background and Conceptual Framework

Zimring, Craig; Jacob, Jesse T; Denham, Megan E.; Kamerow, Douglas; Hall, Kendall K.; Cowan, David Z.; Kasali, Altug; Lenfestey, Nancy; Do, Ellen; Steinberg, James P.

doi:10.1177/193758671300701s04

Cited by 25 publications

(20 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Esse resultado ratifica o que afirmaram os estudos sobre a existência de um crescente corpo de evidências sugerindo que o ambiente construído é importante na prevenção da transmissão de agentes patogênicos, e que soluções de projeto podem reduzir o risco de infecções (24,25,26). Contudo, é evidente que outros aspectos não abarcados pela Arquitetura, como as práticas da ES, seguem como fatores fundamentais nesse processo.…”

Section: Resultados E Discussõesunclassified

Quartos De Isolamento Em Unidades De Urgência E Emergência: Sinergia Entre Legislação E Prática?

2020

View full text Add to dashboard Cite

O quarto de isolamento faz parte de um conjunto de estratégias adotadas no controle e na prevenção das infecções no ambiente hospitalar. Aliado às técnicas hospitalares, ele ajuda a conter as doenças transmissíveis, proteger pacientes, acompanhantes e a equipe de saúde (ES). Todavia, ele não é obrigatório em Unidades de Urgência e Emergência (UUEs), segundo a normativa vigente. O objetivo deste estudo foi investigar a visão dos arquitetos da área hospitalar-classe profissional envolvida na elaboração e revisão de normas para ambientes de saúdesobre a importância de prever quartos de isolamento nessa unidade. A pesquisa, de caráter qualitativo e exploratório, se fundamenta em revisão de literatura, que inclui a análise de normas internacionais, e também na compilação de entrevistas semiestruturadas feitas aos arquitetos. Para os entrevistados, a Arquitetura na forma das barreiras físicas é um componente relevante que auxilia na prevenção e contenção das doenças transmissíveis, e demonstrou-se a importância da presença do quarto de isolamento em UUEs. O estudo também permitiu descobrir obstáculos enfrentados pelos arquitetos na concepção do quarto de isolamento, bem como aspectos de projeto não previstos nas normas brasileiras, mas que podem dar suporte ao planejamento desses ambientes.

show abstract

Section: Resultados E Discussõesunclassified

Quartos De Isolamento Em Unidades De Urgência E Emergência: Sinergia Entre Legislação E Prática?

2020

View full text Add to dashboard Cite

show abstract

“…When proposing the solutions for all the issues, the HF layout and the department configuration was seen to be a contributive parameter. Significant evidence indicated that the HF plan layout was a major contributing factor which increases the NI transmission, and interventions related to the HF environment could mitigate the infection risk [7,79,80]. Currently, consent for controlling the infections is considered an important parameter which could improve the planning, construction, and the operations of the HFs [81].…”

Section: Discussionmentioning

confidence: 99%

A Decision-Making Algorithm for Rearchitecting of Healthcare Facilities to Minimize Nosocomial Infections Risks

Parsia¹,

Sorooshian

2020

IJERPH

View full text Add to dashboard Cite

Most of the healthcare facilities (HFs) have to face the nosocomial infections (NIs), which increase the rates of morbidity, mortality, and financial burden on the HFs and the patients. The control of the NIs is a global issue and requires additional effort. Because the pathogenic microbes can be transmitted among all the HF departments, the layout and design of the HFs (or the department configuration) is considered to play a significant role in control of the NIs. A few of the departments transmit the microbes more than other departments, called ‘cause’, while some other departments are more infected than others, called ‘effect’. Here, the researchers have stated that both the cause and effect departments are risky. This research tried to propose a comprehensive mathematical algorithm for choosing the high-risk department(s) by applying the NI and the managerial criteria to minimize NIs through rearchitecting of the HFs. To develop the algorithm, the researchers applied the multiple criteria decision-making (MCDM) methods. They used Decision-Making Trial and Evaluation Laboratory (DEMATEL) and modified weighted sum method (WSM) methods, and their hybrid, along with a modified nominal group technique (NGT) for data collection. The proposed algorithm was later validated by implementation in a HF as a case study. Based on all results of the algorithm, the high-risk departments in the HF were identified and proposed to be eliminated from the HF in such a way that the facility would retain its functionality. The algorithm was seen to be valid, and the feasibility of the algorithm was approved by the top managers of the HF after the algorithm was implemented in the case study. In conclusion, the proposed algorithm was seen to be an effective solution for minimizing the NIs risk in every HF by eliminating the high-risk departments, which could simplify the HF manager’s decisions.

show abstract

“…Isolation units for airborne infections should be safe enough for high-risk cases, if used properly [1,9,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]. There should be no offices, laboratories, other patient wards or other regular human activities under, over or around this isolation unit.…”

Section: Strict Isolation Unitmentioning

confidence: 99%

Strict Isolation

Andersen¹

2019

Prevention and Control of Infections in Hospitals

View full text Add to dashboard Cite

Strict isolation: suspected highly infectious and transmissible virulent and pathogenic microbes, highly resistant bacterial strains and agents that are not accepted in any form of distribution in the society or in the environment. Examples are completely resistant Mycobacterium tuberculosis, viral haemorrhagic fevers like Ebola and Lassa, pandemic severe influenza and coronavirus like SARS, MERS, etc. In most countries, strict isolation is a rarely used isolation regime but should be a part of the national preparedness plan. For instance, in Norway, strict isolation has not been used for the last 50-60 years, except for one case of imported Ebola infection in 2014. Patients in need of strict isolation should be placed in a separate isolation ward or building. Infection spread by contact, droplet and airborne infection, aerosols, re-aerosols, airborne microbe-carrying particles, skin cells, dust, droplets and droplet nuclei. At the same time, it is always contact transmission (contaminated environment, equipment, textiles and waste). The source of infection is usually a patient but may also be a symptomless carrier or a zoonotic disease.

show abstract

The Role of Facility Design in Preventing the Transmission of Healthcare-Associated Infections: Background and Conceptual Framework

Cited by 25 publications

References 9 publications

Quartos De Isolamento Em Unidades De Urgência E Emergência: Sinergia Entre Legislação E Prática?

Quartos De Isolamento Em Unidades De Urgência E Emergência: Sinergia Entre Legislação E Prática?

A Decision-Making Algorithm for Rearchitecting of Healthcare Facilities to Minimize Nosocomial Infections Risks

Strict Isolation

Contact Info

Product

Resources

About