背景:电子监视软件(ESS)从医院软件收集多个患者数据,以协助感染控制专业人员预防和控制医院相关感染。这项研究旨在了解最终用户的看法(即,感染控制专业人员)以及与名为ZINC的商业ESS相关的促进者和障碍,并评估其可用性。
方法:在南希大学医院实施商业ESS10个月后,在感染控制专业人员中采用了混合方法研究方法,法国。进行了基于个人半结构化访谈的定性分析,以收集专业人士对ESS的看法,并了解障碍和促进者。定性数据进行了系统编码和主题分析。使用系统可用性量表(SUS)进行定量分析。
结果:包括13名感染控制专业人员。定性分析揭示了技术,安装和使用阶段的组织和人员障碍,以及五个重要的促进者:ESS的相关设计,改进感染预防和控制措施,在专业人士中指定冠军/超级用户,培训,与开发团队合作。定量分析表明,就感知的易用性而言,评估的ESS是一个“良好”的系统,总体中位数SUS评分为85/100。
结论:本研究显示了感染控制专业人员认为的ESS支持住院患者感染的价值。它揭示了实施和采用ESS的障碍和促进因素。应考虑这些障碍和促进者,以促进在其他医院安装软件。
BACKGROUND: Electronic surveillance software (ESS) collects multiple patient data from hospital software to assist infection control professionals in the prevention and control of hospital-associated infections. This study aimed to understand the perceptions of end users (i.e., infection control professionals) and the facilitators and barriers related to a commercial ESS named ZINC and to assess its usability.
METHODS: A mixed-method research approach was adopted among infection control professionals 10 months after the implementation of commercial ESS in the university hospital of Nancy, France. A qualitative analysis based on individual semistructured interviews was conducted to collect professionals\' perceptions of ESS and to understand barriers and facilitators. Qualitative data were systematically coded and thematically analyzed. A quantitative analysis was performed using the System Usability Scale (SUS).
RESULTS: Thirteen infection control professionals were included. Qualitative analysis revealed technical, organizational and human barriers to the installation and use stages and five significant facilitators: the relevant design of the ESS, the improvement of infection prevention and control practices, the designation of a champion/superuser among professionals, training, and collaboration with the developer team. Quantitative analysis indicated that the evaluated ESS was a \"good\" system in terms of perceived ease of use, with an overall median SUS score of 85/100.
CONCLUSIONS: This study shows the value of ESS to support inpatient infections as perceived by infection control professionals. It reveals barriers and facilitators to the implementation and adoption of ESS. These barriers and facilitators should be considered to facilitate the installation of the software in other hospitals.