Preventing healthcare-associated infections through human factors engineering

Current Opinion in Infectious Diseases
Jesse T JacobCDC Prevention Epicenters Program

Abstract

Human factors engineering (HFE) approaches are increasingly being used in healthcare, but have been applied in relatively limited ways to infection prevention and control (IPC). Previous studies have focused on using selected HFE tools, but newer literature supports a system-based HFE approach to IPC. Cross-contamination and the existence of workarounds suggest that healthcare workers need better support to reduce and simplify steps in delivering care. Simplifying workflow can lead to better understanding of why a process fails and allow for improvements to reduce errors and increase efficiency. Hand hygiene can be improved using visual cues and nudges based on room layout. Using personal protective equipment appropriately appears simple, but exists in a complex interaction with workload, behavior, emotion, and environmental variables including product placement. HFE can help prevent the pathogen transmission through improving environmental cleaning and appropriate use of medical devices. Emerging evidence suggests that HFE can be applied in IPC to reduce healthcare-associated infections. HFE and IPC collaboration can help improve many of the basic best practices including use of hand hygiene and personal protective equipment b...Continue Reading

References

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Citations

Mar 19, 2019·Human Factors·Frank A DrewsJeanmarie Mayer
Sep 14, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joel M MummaJesse T Jacob
Sep 14, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Molly HarrodSarah L Krein
Apr 16, 2020·The Cochrane Database of Systematic Reviews·Jos H VerbeekF Selcen Kilinc Balci
May 16, 2020·The Cochrane Database of Systematic Reviews·Jos H VerbeekF Selcen Kilinc Balci
Nov 22, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Morgan Jane Katz, Ayse P Gurses
Jan 29, 2020·Antimicrobial Resistance and Infection Control·I-Chen HungWang-Huei Sheng
Aug 14, 2021·The Journal of Hospital Infection·K LedwochJ-Y Maillard
Sep 11, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Joel M MummaJesse T Jacob

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Software Mentioned

HFE

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