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User Centred Design and Nosocomials in Surgical ICUs: A Mobile Application for Peer Monitoring and Training in Hand Hygiene

机译:手术ICU中的用户居中设计和医院:手动监测和卫生训练的移动应用

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Nosocomial infections are a global public health risk. In low and middle-income countries the problem is acute with very high infection rates commonly contributing to poor patient outcomes including mortality. Organisational, cultural, and individual factors have been identified in these high rates, with poor hand hygiene compliance amongst clinicians a major risk factor. New approaches to achieving clinician behaviour change are required. User-centred approaches have proven effective to engage and support changes in clinician behaviours through the use of electronic tools. This paper reports on the experience of co-designing and implementing a mobile application with clinicians to enhance hand hygiene compliance. The peer monitoring and training supported by the application aims to directly contribute to evidence on reductions in infection rates in two surgical ICUs in Sri Lanka.
机译:医院感染是全球性的公共卫生风险。在低收入和中等收入国家的情况下,问题令人痛苦,具有很高的感染率,通常为包括死亡率的贫困患者结果造成贫困。在这些高利率中确定了组织,文化和个人因素,临床医生患者卫生遵守差的主要危险因素。需要实现临床医生行为变革的新方法。通过使用电子工具,已证明用户居中的方法有效地参与和支持临床医生行为的变化。本文报告了共同设计和实施移动应用程序,与临床医生提升卫生遵守情况。申请支持的同行监测和培训旨在直接促进斯里兰卡两种手术德卢比的有关减少感染率的证据。

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