Download PDF
Krankenhaushygiene up2date 2024; 19(03): 269-284
DOI: 10.1055/a-2062-3476
Präventionsmaßnahmen

Implementierungsstrategien für Hygienemaßnahmen

Walter Zingg
› Further Information
Also available at
    Permissions and Reprints All articles of this category

Welche Hygienemaßnahmen sind erfolgreich? – Diejenigen, die umgesetzt sind! Am Beispiel der Katheter-assoziierten Sepsis zeigt dieser Beitrag, wie Projekte zur Qualitätsverbesserung und Patientensicherheit in Krankenhäusern implementiert werden können, und was dabei zu beachten ist. Dabei werden verschiedene Modelle der Implementierungswissenschaft erläutert und beispielhaft angewendet.

Schlüsselwörter

Krankenhaushygiene - Hygiene - Strategien - Implementierung - Hygienefachkraft - Consolidated Framework for Implementation Research - CFIR - Expert Recommendations for Implementing Change, ERIC


Publication History

Article published online:
13 August 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Suetens C, Latour K, Karki T. et al. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill 2018; 23: 1800516
    CrossrefPubMedSearch in Google Scholar
  • 2 NRZ. Deutsche nationale Punkt-Prävalenzerhebung zu nosokomialen Infektionen und Antibiotika-Anwendung. 2023
    PubMedSearch in Google Scholar
  • 3 Martone WJ, Gaynes RP, Horan TC. et al. National Nosocomial Infections Surveillance (NNIS) semiannual report, May 1995. A report from the National Nosocomial Infections Surveillance (NNIS) System. Am J Infect Control 1995; 23: 377-385
    CrossrefPubMedSearch in Google Scholar
  • 4 National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004; 32: 470-485
    CrossrefPubMedSearch in Google Scholar
  • 5 Rosenthal VD, Duszynska W, Ider BE. et al. International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2013–2018, Adult and Pediatric Units, Device-associated Module. Am J Infect Control 2021; 49: 1267-1274
    CrossrefPubMedSearch in Google Scholar
  • 6 Geffers C, Schwab F, Behnke M. et al. No increase of device associated infections in German intensive care units during the start of the COVID-19 pandemic in 2020. Antimicrob Resist Infect Control 2022; 11: 67
    CrossrefPubMedSearch in Google Scholar
  • 7 Zingg W, Sax H, Inan C. et al. Hospital-wide surveillance of catheter-related bloodstream infection: from the expected to the unexpected. J Hosp Infect 2009; 73: 41-46
    CrossrefPubMedSearch in Google Scholar
  • 8 Zingg W, Cartier V, Inan C. et al. Hospital-wide multidisciplinary, multimodal intervention programme to reduce central venous catheter-associated bloodstream infection. PLoS One 2014; 9: e93898
    CrossrefPubMedSearch in Google Scholar
  • 9 Pronovost P, Needham D, Berenholtz S. et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355: 2725-2732
    CrossrefPubMedSearch in Google Scholar
  • 10 Gawande A. The checklist manifesto. New York, NY: Metropolitan Books; 2009
    Search in Google Scholar
  • 11 Bion JF, Dixon-Woods M. Keystone, matching Michigan, and bacteremia zero. Crit Care Med 2014; 42: e383-e384
    CrossrefPubMedSearch in Google Scholar
  • 12 Palomar M, Alvarez-Lerma F, Riera A. et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Crit Care Med 2013; 41: 2364-2372
    CrossrefPubMedSearch in Google Scholar
  • 13 Dixon-Woods M, Leslie M, Tarrant C. et al. Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci 2013; 8: 70
    CrossrefPubMedSearch in Google Scholar
  • 14 Dixon-Woods M, Bosk CL, Aveling EL. et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q 2011; 89: 167-205
    CrossrefPubMedSearch in Google Scholar
  • 15 van der Kooi T, Sax H, Pittet D. et al. Prevention of hospital infections by intervention and training (PROHIBIT): results of a pan-European cluster-randomized multicentre study to reduce central venous catheter-related bloodstream infections. Intensive Care Med 2018; 44: 48-60
    CrossrefPubMedSearch in Google Scholar
  • 16 Rabin BA, Brownson RC, Haire-Joshu D. et al. A glossary for dissemination and implementation research in health. J Public Health Manag Pract 2008; 14: 117-123
    CrossrefPubMedSearch in Google Scholar
  • 17 Klein KJ, Sorra JS. The challenge of innovation implementation. Acad Manag Rev 1996; 21: 1055-1080
    CrossrefSearch in Google Scholar
  • 18 Davidoff F, Batalden P, Stevens D. et al. Publication guidelines for improvement studies in health care: evolution of the SQUIRE Project. Ann Intern Med 2008; 149: 670-676
    CrossrefPubMedSearch in Google Scholar
  • 19 Dopson S, Fitzgerald L. The active role of context. In: Dopson S, Fitzgerald L. Knowledge to action? Evidence-based health care in context. Oxford, UK: Oxford University Press; 2006: 223
    Search in Google Scholar
  • 20 Szymczak JE. Beyond barriers and facilitators: the central role of practical knowledge and informal networks in implementing infection prevention interventions. BMJ Qual Saf 2018; 27: 763-765
    CrossrefPubMedSearch in Google Scholar
  • 21 Clack L, Zingg W, Saint S. et al. Implementing infection prevention practices across European hospitals: an in-depth qualitative assessment. BMJ Qual Saf 2018; 27: 771-780
    CrossrefPubMedSearch in Google Scholar
  • 22 Curran GM. Implementation science made too simple: a teaching tool. Implement Sci Commun 2020; 1: 27
    CrossrefPubMedSearch in Google Scholar
  • 23 Damschroder LJ, Aron DC, Keith RE. et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009; 4: 50
    CrossrefPubMedSearch in Google Scholar
  • 24 Damschroder LJ, Reardon CM, Widerquist MAO. et al. The updated Consolidated Framework for Implementation Research based on user feedback. Implement Sci 2022; 17: 75
    CrossrefPubMedSearch in Google Scholar
  • 25 Zingg W, Holmes A, Dettenkofer M. et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Lancet Infect Dis 2015; 15: 212-224
    CrossrefPubMedSearch in Google Scholar
  • 26 Saint S, Kowalski CP, Banaszak-Holl J. et al. How active resisters and organizational constipators affect health care-acquired infection prevention efforts. Jt Comm J Qual Pat Saf 2009; 35: 239-246
    CrossrefPubMedSearch in Google Scholar
  • 27 Greenhalgh T, Robert G, Macfarlane F. et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004; 82: 581-629
    CrossrefPubMedSearch in Google Scholar
  • 28 Saint S, Kowalski CP, Banaszak-Holl J. et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study. Infect Control Hosp Epidemiol 2010; 31: 901-907
    CrossrefPubMedSearch in Google Scholar
  • 29 Elder NC, Brungs SM, Nagy M. et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care 2008; 17: 25-30
    CrossrefPubMedSearch in Google Scholar
  • 30 Hofstede G, Hofstede GJ, Minkov M. Cultures and organisations: software of the mind. New York; NY: McGraw-Hill;: 2010
    Search in Google Scholar
  • 31 Waltz TJ, Powell BJ, Chinman MJ. et al. Expert Recommendations for Implementing Change (ERIC): protocol for a mixed methods study. Implement Sci 2014; 9: 39
    CrossrefPubMedSearch in Google Scholar
  • 32 Powell BJ, Waltz TJ, Chinman MJ. et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci 2015; 10: 21
    CrossrefPubMedSearch in Google Scholar
  • 33 Powell BJ, McMillen JC, Proctor EK. et al. A compilation of strategies for implementing clinical innovations in health and mental health. Med Care Res Rev 2012; 69: 123-157
    CrossrefPubMedSearch in Google Scholar
  • 34 Waltz TJ, Powell BJ, Fernandez ME. et al. Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions. Implement Sci 2019; 14: 42
    CrossrefPubMedSearch in Google Scholar
  • 35 Zingg W, Mutters NT, Harbarth S. et al. Education in infection control: A need for European certification. Clin Microbiol Infect 2015; 21: 1052-1056
    CrossrefPubMedSearch in Google Scholar
  • 36 Trivedi KK, Schaffzin JK, Deloney VM. et al. Implementing strategies to prevent infections in acute-care settings. Infect Control Hosp Epidemiol 2023; 44: 1232-1246
    CrossrefPubMedSearch in Google Scholar
  • 37 Brusaferro S, Cookson B, Kalenic S. et al. Training infection control and hospital hygiene professionals in Europe, 2010: agreed core competencies among 33 European countries. Euro Surveill 2014; 19: 20985
    CrossrefPubMedSearch in Google Scholar