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首页> 外文期刊>Journal of public health management and practice: JPHMP >Implementation of Legionella Prevention Policy in Health Care Facilities: The United States Veterans Health Administration Experience
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Implementation of Legionella Prevention Policy in Health Care Facilities: The United States Veterans Health Administration Experience

机译：卫生保健设施中军团菌预防政策的实施：美国退伍军人卫生管理经验

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Supplemental Digital Content is Available in the Text. Context: The Veterans Health Administration requires implementation of Legionella prevention policy in potable water systems at Department of Veterans Affairs (VA) medical facilities across the United States and territories. Program: The Veterans Health Administration Central Office program offices with expertise in engineering and clinical aspects of Legionella prevention policy have provided joint, structured on-site assistance to VA medical facilities for consultation on policy implementation. Site visits included review of facility documentation and data, discussions with staff, touring of buildings, and development of recommendations. Implementation: Information obtained from on-site consultative assistance provided to VA medical facilities from December 2012 through January 2018 was reviewed to identify engineering and clinical challenges and lessons from implementation of Legionella prevention policy in VA health care buildings. Fifteen consultative site visits were conducted during this period regarding implementation of Legionella prevention and validation of effectiveness. Evaluation: It was found that implementation of Legionella prevention policy in potable water systems was complex and practices varied for each building. Common implementation challenges included capability of applying engineering controls, water stagnation, and assessment of health care association of Legionella cases. Process challenges included routine verification of actions, methods for assessing environmental validation data, and documentation of requirements. It was found that consistent and data-driven implementation of policy is crucial for an effective program. Discussion: Guidance and standards documents in the community for Legionella prevention in building water systems are often general in nature, but implementation requires specific decisions and routine assessments and modifications to optimize outcomes. This real-world review of challenges and lessons from a large health care system with a detailed primary Legionella prevention policy informs future development of guidance and policy, both within and external to VA, and can provide insight to other health care facilities planning to implement practices for water safety.
机译：文本中提供了补充数字内容。背景：退伍军人健康管理局需要在美国和地区的退伍军人事务部（VA）医疗设施部门的饮用水系统中的军团菌预防政策。计划：退伍军人健康管理中央办公室方案办公室方案办公室，工程援助法律政策的工程和临床方面的专业知识，为VA医疗设施提供了联合，有关政策实施的磋商。网站访问包括审查设施文件和数据，与员工的讨论，建筑物的旅游以及建议的发展。实施：从2012年12月到2018年1月向VA医疗设施提供的现场协商援助获得的信息，以识别VA卫生保健建筑中军团菌预防政策的工程和临床挑战和教训。在此期间，在执行军团国预防和效力验证的情况下，在此期间进行了十五次咨询网站。评价：有人发现，在饮用水系统中的军团菌预防政策的实施是复杂的，每栋建筑的实践都是不同的。共同实施挑战包括工程控制，水停滞和治疗管治疗案件的医疗保健协会评估的能力。过程挑战包括常规验证行动，评估环境验证数据的方法以及要求的文件。有人发现，一致和数据驱动的政策实施对于有效计划至关重要。讨论：建筑水系统中军团菌预防社区的指导和标准文件通常是普遍的，但实施需要具体的决策和常规评估和修改来优化结果。这种现实世界审查了具有详细的主要军团国预防政策的大型医疗保健系统的挑战和经验教训可通知未来的VA内部和外部的指导和政策的未来发展，并可能够为计划实施实践的其他医疗保健设施提供洞察力用于水安全。

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