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The Importance of User-Centered Design and Evaluation

The Importance of User-Centered Design and Evaluation Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals Original Investigation Research Invited Commentary Systems-Level Solutions to Sharp-End Problems Leora I. Horwitz, MD, MHS The 2002 severe acute respiratory syndrome outbreak in Asia ent study, for instance, the total time required before room and the 2014 Ebola virus disease outbreak in Africa collec- entry, inside, and after exit to use correct contact precautions tively infected thousands of health care workers and dramati- for a patient with C difficile infection was 9.7 min, compared cally raised their consciousness about the correct use of per- with 2.6 min for no compliance. To globally reduce these kinds sonal protective equipment of violations, infection control epidemiologists will need either (PPE). A combination of in- to change health care workers’ risk calculus by making the ac- Related article page 1016 tensive training, ample equip- tual risk of contact more evident (ie, by specifically orienting ment, rigorous protocols, direct observation, and triage of pa- training to demonstrate that unintentional contact is fre- tients to specialized centers ensured that only 3 of the hundreds quent even in these just-stopping-in-to-chat situations, as of health care workers who cared for 24 patients with Ebola found in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

The Importance of User-Centered Design and Evaluation

JAMA Internal Medicine , Volume 178 (8) – Aug 11, 2018

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2018.1902
Publisher site
See Article on Publisher Site

Abstract

Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals Original Investigation Research Invited Commentary Systems-Level Solutions to Sharp-End Problems Leora I. Horwitz, MD, MHS The 2002 severe acute respiratory syndrome outbreak in Asia ent study, for instance, the total time required before room and the 2014 Ebola virus disease outbreak in Africa collec- entry, inside, and after exit to use correct contact precautions tively infected thousands of health care workers and dramati- for a patient with C difficile infection was 9.7 min, compared cally raised their consciousness about the correct use of per- with 2.6 min for no compliance. To globally reduce these kinds sonal protective equipment of violations, infection control epidemiologists will need either (PPE). A combination of in- to change health care workers’ risk calculus by making the ac- Related article page 1016 tensive training, ample equip- tual risk of contact more evident (ie, by specifically orienting ment, rigorous protocols, direct observation, and triage of pa- training to demonstrate that unintentional contact is fre- tients to specialized centers ensured that only 3 of the hundreds quent even in these just-stopping-in-to-chat situations, as of health care workers who cared for 24 patients with Ebola found in

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Aug 11, 2018

References