Reorganization of nurse scheduling reduces the risk of healthcare associated infections

Abstract Efficient prevention and control of healthcare associated infections (HAIs) is still an open problem. Using contact data from wearable sensors at a short-stay geriatric ward, we propose a proof-of-concept modeling study that reorganizes nurse schedules for efficient infection control. This...

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Autores principales:	Eugenio Valdano, Chiara Poletto, Pierre-Yves Boëlle, Vittoria Colizza
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/822e9a8939f04cf3ad2a4d26d2fbf362
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spelling	oai:doaj.org-article:822e9a8939f04cf3ad2a4d26d2fbf3622021-12-02T14:23:32ZReorganization of nurse scheduling reduces the risk of healthcare associated infections10.1038/s41598-021-86637-w2045-2322https://doaj.org/article/822e9a8939f04cf3ad2a4d26d2fbf3622021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86637-whttps://doaj.org/toc/2045-2322Abstract Efficient prevention and control of healthcare associated infections (HAIs) is still an open problem. Using contact data from wearable sensors at a short-stay geriatric ward, we propose a proof-of-concept modeling study that reorganizes nurse schedules for efficient infection control. This strategy switches and reassigns nurses’ tasks through the optimization of shift timelines, while respecting feasibility constraints and satisfying patient-care requirements. Through a Susceptible-Colonized-Susceptible transmission model, we found that schedules reorganization reduced HAI risk by 27% (95% confidence interval [24, 29]%) while preserving timeliness, number, and duration of contacts. More than 30% nurse-nurse contacts should be avoided to achieve an equivalent reduction through simple contact removal. Nurse scheduling can be reorganized to break potential chains of transmission and substantially limit HAI risk, while ensuring the timeliness and quality of healthcare services. This calls for including optimization of nurse scheduling practices in programs for infection control in hospitals.Eugenio ValdanoChiara PolettoPierre-Yves BoëlleVittoria ColizzaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eugenio Valdano Chiara Poletto Pierre-Yves Boëlle Vittoria Colizza Reorganization of nurse scheduling reduces the risk of healthcare associated infections
description	Abstract Efficient prevention and control of healthcare associated infections (HAIs) is still an open problem. Using contact data from wearable sensors at a short-stay geriatric ward, we propose a proof-of-concept modeling study that reorganizes nurse schedules for efficient infection control. This strategy switches and reassigns nurses’ tasks through the optimization of shift timelines, while respecting feasibility constraints and satisfying patient-care requirements. Through a Susceptible-Colonized-Susceptible transmission model, we found that schedules reorganization reduced HAI risk by 27% (95% confidence interval [24, 29]%) while preserving timeliness, number, and duration of contacts. More than 30% nurse-nurse contacts should be avoided to achieve an equivalent reduction through simple contact removal. Nurse scheduling can be reorganized to break potential chains of transmission and substantially limit HAI risk, while ensuring the timeliness and quality of healthcare services. This calls for including optimization of nurse scheduling practices in programs for infection control in hospitals.
format	article
author	Eugenio Valdano Chiara Poletto Pierre-Yves Boëlle Vittoria Colizza
author_facet	Eugenio Valdano Chiara Poletto Pierre-Yves Boëlle Vittoria Colizza
author_sort	Eugenio Valdano
title	Reorganization of nurse scheduling reduces the risk of healthcare associated infections
title_short	Reorganization of nurse scheduling reduces the risk of healthcare associated infections
title_full	Reorganization of nurse scheduling reduces the risk of healthcare associated infections
title_fullStr	Reorganization of nurse scheduling reduces the risk of healthcare associated infections
title_full_unstemmed	Reorganization of nurse scheduling reduces the risk of healthcare associated infections
title_sort	reorganization of nurse scheduling reduces the risk of healthcare associated infections
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/822e9a8939f04cf3ad2a4d26d2fbf362
work_keys_str_mv	AT eugeniovaldano reorganizationofnurseschedulingreducestheriskofhealthcareassociatedinfections AT chiarapoletto reorganizationofnurseschedulingreducestheriskofhealthcareassociatedinfections AT pierreyvesboelle reorganizationofnurseschedulingreducestheriskofhealthcareassociatedinfections AT vittoriacolizza reorganizationofnurseschedulingreducestheriskofhealthcareassociatedinfections
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Reorganization of nurse scheduling reduces the risk of healthcare associated infections

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