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Potential of innovations in hygiene management – a managerial perspective

机译：卫生管理创新的潜力-管理的角度

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Assessment of the current situation is crucial before introducing innovative infection prevention measures. According to the literature, hospital managers should take on the role of “power promoters” in adopting infection prevention measures due to their position and decision-making authority. However, there is no empirical evidence for whether or not this assumption is valid. This paper reports German hospital managers’ perceptions of current challenges in infection prevention and control and innovative prevention measures. We analysed the managerial promoters and barriers of adopting innovations in order to derive recommendations for improving the innovation process in hospitals using the novel AHOI-approach to actively involve patients and their relatives in anti-infection measures. All 3877 medical, nursing and administrative managers of German hospitals were invited to participate in an online survey. The first set of questions intended to determine their perception of problems of hygiene management in their institution and in particular in the interaction with patients and their relatives. The second set of questions was asked to identify potential challenges and barriers to combating nosocomial infections and involving patients and their relatives in infection prevention. Two hundred six managers from German hospitals participated in the survey. Transmission of pathogens was seen as the main problem in the inpatient area, especially in acute care hospitals and stationary geriatric care. Barriers to the implementation of novel infection prevention concepts were primarily perceived as lack of time and refinancing by health insurance providers. The surveyed hospital managers assessed that the active involvement of patients and their relatives in infection prevention could strengthen the infection prevention of their institution. Hospital managers are open to innovative hygiene interventions. In particular, they welcome the active involvement of patients and their relatives in infection prevention. Therefore, financial and institutional barriers, such as insufficient funding of hygiene management, must be overcome.
机译：在采用创新的感染预防措施之前，评估当前状况至关重要。根据文献，医院管理人员应根据其职位和决策权，在采取感染预防措施时担当“动力推动者”的角色。但是，没有经验证据可以证明此假设是否有效。本文报道了德国医院管理者对感染预防和控制以及创新预防措施当前挑战的看法。我们分析了采用创新的管理推动因素和障碍，以期提出使用新型AHOI方法改善医院创新过程的建议，从而使患者及其亲属积极参与抗感染措施。邀请了德国医院的所有3877位医疗，护理和行政管理人员参加在线调查。第一组问题旨在确定他们对所在机构，特别是与患者及其亲属的互动中的卫生管理问题的看法。提出了第二组问题，以确定与医院感染作斗争以及使患者及其亲属参与预防感染的潜在挑战和障碍。来自德国医院的206名管理人员参加了调查。病原体的传播被认为是住院区域的主要问题，尤其是在急诊医院和固定的老年护理中。实施新的预防感染概念的障碍主要被健康保险提供者认为缺乏时间和资金筹措。接受调查的医院管理人员评估说，患者及其亲属积极参与预防感染可以加强其机构的预防感染。医院管理人员愿意接受创新的卫生干预措施。特别是，他们欢迎患者及其亲属积极参与预防感染。因此，必须克服财务和机构上的障碍，例如卫生管理资金不足。

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