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Financial and temporal costs of patient isolation in Norwegian hospitals.
Journal of Hospital Infection ( IF 3.9 ) Pub Date : 2019-11-21 , DOI: 10.1016/j.jhin.2019.11.012
H Haugnes 1 , P Elstrøm 2 , O Kacelnik 2 , U Jadczak 3 , T Wisløff 4 , B F de Blasio 5
Affiliation  

BACKGROUND Isolation of patients colonized or infected by antibiotic-resistant bacteria is an established infection-control measure taken in Norway. Local reliable data on the costs of this isolation are needed. METHODS A micro-costing study from a healthcare perspective was conducted on infectious disease wards in three general acute hospitals, utilising direct observation, staff registration, interviews and survey data. FINDINGS The daily additional cost of isolation was €56.8 (95% confidence interval (CI) 42.4-72.7) for non-bedridden patients and €87.5 (95% CI 48.3-129.6) for bedridden patients. Of these sums, labour costs accounted for the largest share (71-72%), followed by the costs of personal protective equipment (21-23%) and waste management (6-8%). Overall, isolation-specific workload amounted to 65 min/day for non-bedridden patients and 95 min/day for bedridden patients, predominantly in the form of extra time used by nurses. Higher isolation costs for bedridden patients were largely attributable to resources used for personal hygiene practices. One-time isolation costs incurred for room cleaning after patient discharge averaged at €14.0 (95% CI 10.7-17.6). CONCLUSIONS Our study provides novel, detailed evidence on resource use attributable to patient isolation in hospitals that can be used to inform future assessments directed toward precautionary hygienic measures. Our results suggest that allocating additional nurse staffing to wards with large numbers of isolated patients should be considered.

中文翻译:

挪威医院隔离患者的财务和时间成本。

背景技术在挪威,隔离由抗生素抗性细菌定植或感染的患者是一项已建立的感染控制措施。需要有关隔离成本的本地可靠数据。方法从卫生保健角度对三所综合性急性病医院的传染病病房进行了微观成本研究,采用直接观察,员工注册,访谈和调查数据的方法。结果对于非卧床患者,隔离的每日额外费用为56.8欧元(95%置信区间(CI)42.4-72.7),卧床患者每天的隔离费用为87.5欧元(95%CI 48.3-129.6)。在这些金额中,人工成本占最大份额(71-72%),其次是个人防护设备(21-23%)和废物管理(6-8%)。全面的,非卧床患者的隔离专用工作量为65分钟/天,卧床患者的隔离工作量为95分钟/天,主要是因为护士需要额外的时间。卧床病人的隔离费用较高,这在很大程度上归因于用于个人卫生习惯的资源。出院后房间清洁的一次性隔离费用平均为€14.0(95%CI 10.7-17.6)。结论我们的研究为医院隔离患者所导致的资源使用提供了新颖,详细的证据,可用于指导未来针对预防性卫生措施的评估。我们的结果表明,应考虑为有大量孤立患者的病房分配更多的护士。卧床病人的隔离费用较高,这在很大程度上归因于用于个人卫生习惯的资源。出院后房间清洁的一次性隔离费用平均为€14.0(95%CI 10.7-17.6)。结论我们的研究为医院隔离患者所导致的资源使用提供了新颖,详细的证据,可用于指导未来针对预防性卫生措施的评估。我们的结果表明,应考虑为有大量孤立患者的病房分配更多的护士。卧床病人的隔离费用较高,主要是由于用于个人卫生习惯的资源。出院后房间清洁的一次性隔离费用平均为€14.0(95%CI 10.7-17.6)。结论我们的研究为医院隔离患者所导致的资源使用提供了新颖,详细的证据,可用于指导未来针对预防性卫生措施的评估。我们的结果表明,应考虑为有大量孤立患者的病房分配更多的护士。有关医院隔离患者的资源使用的详细证据,可用于指导将来针对预防性卫生措施的评估。我们的结果表明,应考虑为有大量孤立患者的病房分配更多的护士。有关医院隔离患者的资源使用的详细证据,可用于指导将来针对预防性卫生措施的评估。我们的结果表明,应考虑为有大量孤立患者的病房分配更多的护士。
更新日期:2019-11-22
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