Source avec lien : American Journal of Infection Control, (Prépublication), 8/5/2020. 10.1016/j.ajic.2020.07.030
Contexte P.R.I.D.E est un projet d’amélioration des performances visant à réduire l’incidence de l’exposition des travailleurs de la santé au travail. Ce projet a encouragé les infirmières diplômées à identifier et à isoler rapidement les patients potentiellement infectieux dans les salles d’urgence, afin de prévenir les expositions aux maladies transmissibles par l’air et les gouttelettes, notamment la méningite, la tuberculose (TB) et la rougeole. Méthodes Ce modèle pré et post-intervention a mis en œuvre un projet de conception quasi-expérimentale dans la salle d’urgence (ER). Les précautions d’isolement empiriques basées sur la transmission des Centers for Disease Control (CDC) ont été mises en œuvre pour prévenir les expositions professionnelles. Quatre-vingt infirmières autorisées (IA) ont reçu une formation sur la nouvelle intervention. L’hypothèse de ce projet était que le nouveau processus diminuerait les expositions aux maladies professionnelles.
Background P.R.I.D.E is a performance improvement project to reduce the incidence of occupational health exposures among healthcare workers (HCW). This project encouraged registered nurses to quickly identify and isolate potentially infectious patients in the emergency room, to prevent exposures to airborne and droplet transmitted communicable diseases, including meningitis, tuberculosis (TB) and measles. Methods This pre and post-intervention model implemented a quasi-experimental designed project in the emergency room (ER). The Centers for Disease Control’s (CDC) empiric transmission-based isolation precautions were implemented to prevent occupational health exposures. Eighty registered nurses (RN’s) received education on the new intervention. The assumption of this project was, the new process will decrease occupational health exposures. Results Eight ER RNs reported an occupational health exposure, pre-intervention in quarter 2 of 2019, compared to zero occupational health exposures, post-intervention in quarter 3 of 2019. A Chi- square independence test was used to determine if the categorical variables of the capstone intervention and disease exposure were related in the same RN population. An association between the capstone intervention and disease exposure was observed, X2 (1) = 8.421, p=0.004, indicating the result is statistically significant. Conclusion The P.R.I.D.E project effectively reduced occupational health exposures to airborne and droplet transmitted diseases in the emergency room by 100%. These results should encourage Infection Preventionists to adapt the CDC empiric transmission isolation precautions in their emergency rooms and urgent cares to prevent airborne and droplet transmitted disease exposures.