On the scene: staff development at University Hospital, University of Washington. Phantom Unit.
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The study reports an experience carried out by the Departamento de Assistência de Enfermagem do Hospital Universitário da USP, the implantation and development of the retrospective auditory process for the evaluation of their activities as an instrument for control and maintenance of the quality of nursing care given the community. It describes the various steps, instruments and reports used, as well as the use of the auditory's findings for reviewing the assistential and educational programs developed by the department.
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Factors affecting infection are the existence of infectious microorganisms, sensitivity of hosts, number of microorganisms, and infectious routes. Efforts to prevent infection focus on not allowing these factors to reach the threshold level. Inspection by an infection control team (ICT) of a hospital is one countermeasure for preventing nosocomial infection. We summarize here the problems for complete prevention of nosocomial infection based on the results of inspection by our ICT, so that staff working in the hospital can recognize the importance of preventing nosocomial infection. The following were commonly observed problems in our clinics found by the ICT : (1) incomplete practice of standard precautions and/or isolation precautions, (2) noncompliance with guidelines for the prevention of cross-infection, and (3) inappropriate management of medical rejectamenta. Infection control can be accomplished by strictly observing the standard precautions and isolation precautions. The ICT inspection round in the hospital could be an effective metaff working in the hod to clarify and overcome the problems involved in infection.
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