Seda BEHLÜL, Daana BEKTARGANOVA, Macide ARTAÇ ÖZDAL

IMPACT OF EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTIONS IN ENSURING PATIENT SAFETY: A SYSTEMATIC REVIEW OF THE LITERATURE

A culture of safety and the prevention of health care associated infections are among important issues in health care quality and patient safety. This study aimed to evaluate the effectiveness of prevention strategies for eliminating hospital acquired infections, with a focus on ensuring patient safety. Systematic review of the literature reporting the factors essential for effective prevention of hospital acquired infections. Literature compilation was carried out between 9 April and 16 April. Keywords under the search criteria were entered to databases such as PubMed/ Medline to find relevant resources published between 2008 and 2018. Among 40 articles identified in the literature search, 6 articles were included in this review. Implementation of the fundamental infection monitoring, prevention and control of recommendations for all hospitals will assist to enhance the control of infection rates and development of patient safety programs. Transparency and frequent evaluation of the effectiveness and proper training of health professionals, as well as institutional packages and guidelines have been identified as crucial factors contributing to the prevention of health associated infections and patient safety. Health care manager has to focus on improving infection control practices, such as an active learning collaboration, to improve patient safety. Guidelines and comprehensive care quality improvement programs should be prepared and effectively applied in order to prevent Hospital Acquired Infections and to improve patient safety.

Hastane Kaynaklı Enfeksiyonların Etkin Önlenmesinin Hasta Güvenliğine Etkisi: Sistematik Literatür Derlemesi

Hastane kaynaklı enfeksiyonların etkin önlenmesi sağlık bakım kalitesinin dolayısı ile hasta güvenliğinin sağlanmasında önemli bir konudur. Çalışmada hastane kaynaklı enfeksiyonların etkin önlenmesinin hasta güvenliği açısından değerlendirilmesi amaçlanmıştır. Hastane enfeksiyonlarının etkin olarak önlenmesi için gerekli faktörler sistematik literatür derlemesi yöntemi kullanılarak incelenmiştir. Literatür taraması PUBMED/MEDLINE veri tabanında “hospital infections”, “health quality”, “patient safety”, “intervention” anahtar kelimeleri ile 9 Nisan -16 Nisan 2018 tarihleri arasında yapılmıştır. 2008-2018 yılları arasında yayım dili sadece ingilizce olan çalışmalar derlemeye dâhil edilmiştir. Yapılan inceleme sonunda, 2008-2018 yılları arasında hastane enfeksiyonlarının etkin olarak önlenmesi üzerine sağlık bakım kalitesi ve hasta güvenliğine dayalı olarak yapılmış 40 çalışmadan çalışma kriterlerine uygun olan 6 çalışma derlemeye dâhil edilmiştir. Çalışmalarda hastane kaynaklı enfeksiyonların izlenmesi, önlenmesi ve kontrol edilmesi ile ilgili tavsiyelerin enfeksiyon oranlarını azaltılmasında ve sağlık bakım kalitesine bağlı olarak hasta güvenliği programlarının geliştirilmesine yardımcı olacağı belirtilmiştir. Sağlık çalışanlarının etkinliği, verilen eğitimlerin uygunluğu, devamlılığı ve kurumsal olarak hazırlanmış kılavuzlar, hastane kaynaklı enfeksiyonları önleyerek, sağlık bakım kalitesinin artırılmasına katkıda bulunan önemli faktörler arasında yer almaktadır. Sağlık yöneticileri hasta güvenliğini artırmak için aktif öğrenme işbirlikleri ile hastane enfeksiyon kontrol uygulamalarını iyileştirmeye odaklanmalıdır. Hastane kaynaklı enfeksiyonları önlemek ve hasta güvenliğini artırmak için kılavuzlar ve kapsamlı bakım kalitesi iyileştirme programları hazırlanmalı ve etkin bir şekilde uygulanmalıdır.

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