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Health care–associated infection prevention in Japan: The role of safety culture
- Source :
- American Journal of Infection Control. 42:888-893
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Background Limited data exist on the use of infection prevention practices in Japan. We conducted a nationwide survey to examine the use of recommended infection prevention strategies and factors affecting their use in Japanese hospitals. Methods Between April 1, 2012, and January 31, 2013, we surveyed 971 hospitals in Japan. The survey instrument assessed general hospital and infection prevention program characteristics and use of infection prevention practices, including practices specific to preventing catheter-associated urinary tract infection (CAUTI), central line–associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP). Logistic regression models were used to examine multivariable associations between hospital characteristics and the use of the various prevention practices. Results A total of 685 hospitals (71%) responded to the survey. Maintaining aseptic technique during catheter insertion and maintenance, avoiding routine central line changes, and using maximum sterile barrier precautions and semirecumbent positioning were the only practices regularly used by more than one-half of the hospitals to prevent CAUTI, CLABSI, and VAP, respectively. Higher safety-centeredness was associated with regular use of prevention practices across all infection types. Conclusions Although certain practices were used commonly, the rate of regular use of many evidence-based prevention practices was low in Japanese hospitals. Our findings highlight the importance of fostering an organization-wide atmosphere that prioritizes patient safety. Such a commitment to patient safety should in turn promote the use of effective measures to reduce health care–associated infections in Japan.
- Subjects :
- medicine.medical_specialty
Epidemiology
Health Personnel
Logistic regression
Asepsis
Health care associated
Patient safety
Japan
Sepsis
medicine
Humans
Infection control
Safety culture
Intensive care medicine
Infection Control
Catheter insertion
business.industry
Health Policy
Public Health, Environmental and Occupational Health
Pneumonia, Ventilator-Associated
medicine.disease
Hospitals
Pneumonia
Infectious Diseases
Catheter-Related Infections
Urinary Tract Infections
Guideline Adherence
business
Subjects
Details
- ISSN :
- 01966553
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- American Journal of Infection Control
- Accession number :
- edsair.doi.dedup.....49f9c29ba409aa959ddeb38a72912718