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Changes to physician and nurse time burdens when caring for patients under contact precautions

Published:March 13, 2017DOI:https://doi.org/10.1016/j.ajic.2017.01.026
      Contact precautions are complex behavioral interventions. To better understand barriers to compliance, we conducted a prospective study that compared the time burden for health care workers caring for contact precautions patients versus other patients. We found that nurses spent significantly more time in the rooms of contact precautions patients. There was no significant change in physician timing. Future studies need to evaluate workflow changes so that barriers to contact precaution implementation can be fully understood and addressed.

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      References

        • Allegranzi B.
        • Pittet D.
        Role of hand hygiene in healthcare-associated infection prevention.
        J Hosp Infect. 2009; 73: 305-315
        • Yokoe D.S.
        • Anderson D.J.
        • Berenholtz S.M.
        • Calfee D.P.
        • Dubberke E.R.
        • Eilingson K.D.
        • et al.
        A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 updates.
        Infect Control Hosp Epidemiol. 2014; 35(Suppl): S21-31
        • Aboelela S.W.
        • Saiman L.
        • Stone P.
        • Lowy F.D.
        • Quiros D.
        • Larson E.
        Effectiveness of barrier precautions and surveillance cultures to control transmission of multidrug-resistant organisms: a systematic review of the literature.
        Am J Infect Control. 2006; 34: 484-494
        • Srinivasan A.
        • Song X.
        • Ross T.
        • Merz W.
        • Brower R.
        • Perl T.M.
        A prospective study to determine whether cover gowns in addition to gloves decrease nosocomial transmission of vancomycin-resistant enterococci in an intensive care unit.
        Infect Control Hosp Epidemiol. 2002; 23: 424-428
        • Gammon J.
        • Morgan-Samuel H.
        • Gould D.
        A review of the evidence for suboptimal compliance of healthcare practitioners to standard/universal infection control precautions.
        J Clin Nurs. 2008; 17: 157-167
        • Seibert D.J.
        • Speroni K.G.
        • Oh K.M.
        • DeVoe M.C.
        • Jacobsen K.H.
        Preventing transmission of MRSA: a qualitative study of health care workers' attitudes and suggestions.
        Am J Infect Control. 2014; 42: 405-411
        • Efstathiou G.
        • Papastavrou E.
        • Raftopoulos V.
        • Merkouris A.
        Factors influencing nurses' compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: a focus group study.
        BMC Nurs. 2011; 10: 1
        • Morgan D.J.
        • Pineles L.
        • Shardell M.
        • Graham M.M.
        • Mohammadi S.
        • Forrest G.N.
        • et al.
        The effect of contact precautions on healthcare worker activity in acute care hospitals.
        Infect Control Hosp Epidemiol. 2013; 34: 69-73
        • Cohen E.
        • Austin J.
        • Weinstein M.
        • Matlow A.
        • Redelmeier D.A.
        Care of children isolated for infection control: a prospective observational cohort study.
        Pediatrics. 2008; 122: e411-5
        • Evans H.L.
        • Shaffer M.M.
        • Hughes M.G.
        • Smith R.L.
        • Chong T.W.
        • Raymond D.P.
        • et al.
        Contact isolation in surgical patients: a barrier to care?.
        Surgery. 2003; 134: 180-188