2023-09-28 14:46:10 +00:00
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abstract: 'Background: Healthcare facilities in low-and middle-income countries,
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including the Philippines, face substantial challenges in achieving
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effective infection control. Early stages of interventions should
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include efforts to understand perceptions held by healthcare workers who
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participate in infection control programs.
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Methods: We performed a qualitative study to examine facilitators and
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barriers to infection control at an 800-bed, private, tertiary hospital
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in Manila, Philippines. Semi-structured interviews were conducted with
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22 nurses, physicians, and clinical pharmacists using a guide based on
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the Systems Engineering Initiative for Patient Safety (SEIPS). Major
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facilitators and barriers to infection control were reported for each
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SEIPS factor: person, organization, tasks, physical environment, and
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technology and tools.
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Results: Primary facilitators included a robust, long-standing infection
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control committee, a dedicated infection control nursing staff, and
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innovative electronic hand hygiene surveillance technology. Barriers
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included suboptimal dissemination of hand hygiene compliance data, high
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nursing turnover, clinical time constraints, and resource limitations
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that restricted equipment purchasing.
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Conclusions: The identified facilitators and barriers may be used to
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prioritize possible opportunities for infection control interventions. A
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systems engineering approach is useful for conducting a comprehensive
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work system analysis, and maximizing resources to overcome known
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barriers to infection control in heavily resource-constrained settings.'
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affiliation: 'Safdar, N (Corresponding Author), Univ Wisconsin, Dept Med, Div Infect
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Dis, Madison, WI 53705 USA.
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Safdar, N (Corresponding Author), William S Middleton Mem Vet Adm Med Ctr, Madison,
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WI 53705 USA.
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Safdar, N (Corresponding Author), Univ Wisconsin, Infect Control Dept, 5221 Med
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Fdn Centennial Bldg,1685 Highland Ave, Madison, WI 53705 USA.
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Mitchell, Kaitlin F.; Barker, Anna K., Univ Wisconsin, Dept Populat Hlth Sci, Madison,
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WI 53705 USA.
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Mitchell, Kaitlin F.; Barker, Anna K.; Safdar, Nasia, Univ Wisconsin, Dept Med,
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Div Infect Dis, Madison, WI 53705 USA.
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Abad, Cybele L., Med City, Dept Med, Div Infect Dis, Pasig, Philippines.
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Safdar, Nasia, William S Middleton Mem Vet Adm Med Ctr, Madison, WI 53705 USA.
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Safdar, Nasia, Univ Wisconsin, Infect Control Dept, 5221 Med Fdn Centennial Bldg,1685
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Highland Ave, Madison, WI 53705 USA.'
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article-number: '90'
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author: Mitchell, Kaitlin F. and Barker, Anna K. and Abad, Cybele L. and Safdar, Nasia
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author-email: ns2@medicine.wisc.edu
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author_list:
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- family: Mitchell
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given: Kaitlin F.
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- family: Barker
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given: Anna K.
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- family: Abad
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given: Cybele L.
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- family: Safdar
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given: Nasia
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da: '2023-09-28'
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doi: 10.1186/s13756-017-0248-2
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files: []
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issn: 2047-2994
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journal: ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
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keywords: 'Systems Engineering Initiative for Patient Safety; Philippines;
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Infection control; Hand hygiene; Intervention implementation'
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keywords-plus: 'INTENSIVE-CARE UNITS; HAND HYGIENE; COLLABORATION; PRESCRIPTION;
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IMPROVEMENT; PREVENTION; DOCTORS; IMPACT; SAFETY; ADULT'
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language: English
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month: SEP 2
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number-of-cited-references: '33'
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papis_id: 6a67cf24c94ccecc702187ace7f5172a
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ref: Mitchell2017infectioncontrol
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times-cited: '9'
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title: 'Infection control at an urban hospital in Manila, Philippines: a systems engineering
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assessment of barriers and facilitators'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000409054800001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '18'
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volume: '6'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Infectious
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Diseases;
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Microbiology; Pharmacology \& Pharmacy'
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year: '2017'
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