JP2011519457A - 有効な医療機関清掃及び消毒実施 - Google Patents
有効な医療機関清掃及び消毒実施 Download PDFInfo
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Abstract
Description
(1)皮膚:医療従事者のハンド衛生及びスキンケア
(2)硬表面:恒常的なもの(ベッドの横板、ハンドル、床、壁など;動くもの(自動車、静脈内注射用スタンド、車椅子など)
(3)軟表面:装飾的なものであり、たまに清掃されるもの(間仕切カーテン、ドレープ、カーペット、壁紙など)
(4)装置:外科手術用装置;診断方法用装置(内視鏡など)、一般的な装置(聴診器、体温計など)
(5)ヒトの伝染:患者、訪問者&非医療従事者、医療従事者&専門家。また、これは、サービス及び治療動物を含むように拡張可能である。
(6)大気環境:臨床的患者ケア、並びに建設及び改築のための一般的、特別の配慮
(7)水質:患者ケア及び接触、清掃及び/又は消毒
(その他)建物のインフラ&建設:壁、ダクトなどのカビや汚染物;害虫駆除;患者のパーソナルケア用の軟表面:リネン、タオル、ガウンなど。
何を(136A):パラメータが満足されるかどうかを決定するために使用され得る監視手順(単数又は複数)(例えば、消毒剤を分配する場合の有効成分の滴定又は検定)。
どのようにして(136B):パラメータが満足されるかどうかを決定するために使用され得る検定又は検証手順(例えば、滴定手順又は検定の定義、視覚的指標の使用、表面培養などの検証法、経時的監視など)。
頻度(136C):どのくらいの程度、監視手順が行われるべきか(例えば、各清掃後、毎日、毎週、毎月など)。
誰が(136D):誰が監視手順を行うか(例えば、病院環境サービスマネージャー、サービス技術者、清掃従業員、独立して業者など)。
本明細書に記載された方法論のトレーニングされた職員による一貫した応答は、有効な病院清掃方法の正確性及び信頼性を増すのに役立つ。例えば、指標の応用に関連する詳細な指示は、指標が適用される送達方法(ゲルペン、拭き取りなど)を含んでもよく、指標がどのようにして適用されるか(旋回パターン、ドットなど)が提供されてもよい。同様にまた、ATP又は培養試料の回収に関する詳細な指示(拭き取りサイズ又は培養など)も提供されてもよい。指標が提供されるべき特定の場所、又はATP若しくは培養が行われるべき特定の場所(蛇口ポスト対蛇口ハンドル;蛇口ハンドルの近端対蛇口ハンドルの遠端;トイレフラッシュのフランゲの上部又は下部;トイレシートの後ろ、左又は右側;トイレハンドレールの位置など)に関する情報が提供されてもよい。
これらの報告は、例えば、主要な評価指標、例えば、清掃結果、一般行動、部屋清掃効率、製品/ツール概説、ディスペンサー分析、スタッフ知識、従業員満足、患者満足などに関する詳細な分析及び報告を含むことができる。報告は、全データベースを横切って、又は病院若しくは他の医療機関を横切って現在のモジュール実施を評価し得る。報告は、経時的に種々の主要な評価指標の動向を含み、実施可能な改善計画を提供し、最良の実施と比較した現剤の実施を評価し、重要管理点を処理してもよい。図8A〜8Lに示される報告は例示のためだけであること、他の報告もまた患者室モジュールについて生じ得ることが理解されるべきであり、各々は、それらのモジュールに関連したデータについての報告を含む、本発明はこの点に限定されない。
高レベルの消毒剤、患者入浴/拭き取り/洗浄、器具ドレーピング、部位調製、創傷清掃、カート洗浄、床粘着性マット、患者スクリーニング/ID、患者入院前キット、部屋除染、長期の硬質表面消毒剤、軟質表面ミスト/蒸気清掃、製氷機調節、空気ろ過、訪問者障壁/スクリーニング/キット、手術室清掃ソリューション、患者室清掃ソリューション、一般的装置清掃/消毒、GIデバイス清掃/消毒、流体管理/廃棄、清掃/消毒のためのシステム、センサー/モニター/追跡装置などが挙げられる。
Claims (22)
- 医療機関からの回収したデータを受け入れるサーバーコンピュータであって、該回収されたデータが医療機関のための複数の検証プロセス内のモニターされた検証ポイントに基づいているサーバーコンピュータ;
医療機関を独自に特定する病院データと関連した医療機関から回収したデータを記録するサーバーコンピュータと連結されたデータベースであって、医療機関内のモジュールを定義するモジュールデータと医療機関内の各モジュールのための少なくとも1つの検証プロセスを定義するプロセスマップとをさらに記録するデータベース;
回収したデータを分析し、そこから、1以上の医療機関の清浄度を示す検証データを生じさせるサーバーコンピュータに存在する分析アプリケーション;そして
回収したデータ、検証データ、病院データおよびモジュールデータに基づいて、医療機関の清浄度を特徴付けるレポートを生じさせるサーバーコンピュータに存在するレポーティングアプリケーション
を含むシステム。 - サーバーコンピュータが医療機関から遠隔に位置している、請求項1に記載のシステム。
- サーバーコンピュータが医療機関に近い、請求項1に記載のシステム。
- 少なくとも1つの検証ポイントが、検証プロセスの1つのコンポーネントに対して所望の登頂を特定する標的パラメータを含む、請求項1に記載のシステム。
- 少なくとも1つの検証ポイントが、最小消毒濃度を特定する標的パラメータを含む、請求項5に記載のシステム。
- 分注された消毒剤が最小消毒濃度の対する標的パラメータを満たす、請求項5に記載のシステム。
- 分析アプリケーションが、第1の検証データを生じさせる第1期間から回収したデータ、及び第2の検証データを生じさせる第2期間から回収したデータを分析する、請求項1に記載のシステム。
- レポーティングアプリケーションが、第1の検証データと第2の検証データを比較するレポートを生じさせる、請求項1に記載のシステム。
- データベースが、検証プロセスの実行前にモニターされた検証ポイントの状態に対応する基準データを記録する、請求項1に記載のシステム。
- レポーティングアプリケーションが、現在の期間から回収したデータと基準データとを比較するレポートを生じさせる、請求項9に記載のシステム。
- レポーティングアプリケーションが、各モジュールの検証ポイントが満足するかどうかを特定するレポートを生じさせる、請求項1に記載のシステム。
- レポーティングアプリケーションが、モジュールにおけるどの検証ポイントを満足しているのかを特定するレポートを生じさせる、請求項1に記載のシステム。
- 医療機関内の院内感染の汚染媒介物を特定し;
医療機関内の複数のモジュールを定義し、各モジュールは医療期間内の物理的領域又は医療機関内で実行された機能と関連付けられ;
複数のモジュールの各々と複数のプロセスマップの異なるものと関連付け;
1以上の洗浄プロセスマップにおいて特定された検証ポイントをモニターし;そして
各々のモニターされた表現ポイントと関連したプロセスパラメータが満たされるかどうかを確認する
ことを含む方法。 - 医療機関内でモジュールを定義することが、少なくとも1つの患者部屋モジュール、救命救急モジュール、中枢無菌プロセッシングモジュール、手術室モジュール、食事サービスモジュール、浴室モジュール、又は洗濯室モジュールを定義することを含む、請求項13に記載の方法。
- モジュールを定義することが、少なくとも1つの患者スキンケアモジュール、傷洗浄モジュール、又はハンド衛生モジュールを定義することを含む、請求項13に記載の方法。
- 複数のモジュールの各々と1以上の汚染運搬体とを相関させることをさらに含む、請求項13に記載の方法。
- 関連モジュールと関連モジュールと相関された汚染運搬体に基づく複数の洗浄プロセスマップの1つを生じさせることをさらに含む、請求項16に記載の方法。
- 洗浄プロセスマップに関する医療機関のスタッフをトレーニングすることをさらに含む、請求項13に記載の方法。
- ある種のモニターされた検証ポイントと関連したプロセスパラメータが満たされない場合に、医療機関のスタッフを再度トレーニングすることをさらに含む、請求項13に記載の方法。
- 各々のモニターされた検証ポイントと関連したプロセスパラメータが満たされるかどうかに基づいて、検証データを生じさせることをさらに含む、請求項13に記載の方法。
- 検証データに基づいてレポートを生じさせることをさらに含む、請求項20に記載の方法。
- 検証される病院洗浄プロセッシングシステムのコンピュータにおける実行により、コンピュータが、
医療機関から回収したデータを受け入れ、回収したデータが医療機関に対する複数の検証プロセス内でモニターされた検証ポイントに基づき;
医療機関を独自に特定する病院データと関連した医療機関から回収したデータを彫像し;
医療機関内のモジュールを定義するモジュールデータを記録し;
医療機関内の各モジュールについて少なくとも1つの検証プロセスを定義するプロセスマップを記録し;
プロセスマップに関連した回収されたデータを分析し、そこから1以上の医療機関の清浄度を示す検証データを生じさせ;そして
回収データ、検証データ、病院データ及びモジュールデータに基づいて、医療機関の清浄度を特徴付ける少なくとも1つのレポートを生じさせる
ように引き起こさせる指示を含むコンピュータ読み込み可能な媒体。
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CA2722489C (en) | 2018-05-22 |
EP2294544A2 (en) | 2011-03-16 |
AU2009241249A1 (en) | 2009-11-05 |
CA2722489A1 (en) | 2009-05-11 |
AU2009241249B2 (en) | 2013-11-07 |
US20090276239A1 (en) | 2009-11-05 |
JP5539964B2 (ja) | 2014-07-02 |
EP2294544A4 (en) | 2013-01-16 |
WO2009133527A2 (en) | 2009-11-05 |
WO2009133527A3 (en) | 2010-03-25 |
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