Globally, infections acquired during childbirth contribute to one tenth of the maternal deaths annually [1] [2]. Factors predisposing to high risks of puerperal infections include non-compliance with Standard Precauti...Globally, infections acquired during childbirth contribute to one tenth of the maternal deaths annually [1] [2]. Factors predisposing to high risks of puerperal infections include non-compliance with Standard Precautions of Infection Control (SPIC), unhygienic births by unskilled birth attendants, multiple vaginal examinations, prolonged labour and premature rapture of membranes [1]. The main purpose of this study was to determine factors associated with compliance to standard precautions of infection control the management of labour by healthcare workers in Mulago Hospital to generate information, which may be used in infection control and prevention practices. A cross-sectional study utilizing a quantitative approach was conducted among 115 healthcare workers. Consecutive sampling was done to include respondents in the study. Data were collected by direct observation and researcher administered questionnaires. Data were coded and entered into the computer using SPSS version 20 with programmed quality control checks. Descriptive data analyses, frequencies, cross tabulations and logistic regression analysis were the major statistical methods used. 103 healthcare workers were involved in the study, where 74% were females. Overall compliance was at 52%, although it varied across domains. The majority of the healthcare workers (95.1%) did not comply with hand hygiene. Being a male was associated with low compliance scores a cross most domains. One of the hospital factors which was significantly associated with compliance to hand hygiene was having had an in-service training with p = 0.008 and p = 0.012 at multivariate analysis. Overall compliance to standard precautions of infection control was low compared to the Centre for Disease Control (CDC) recommendation. The findings in this study provide insight into individual and hospital related factors associated with compliance with standard precautions of infection control in the management of labour. There is an urgent need to put up interventions to improve on compliance with SPIC in management of labour among all healthcare workers.展开更多
针对在统计过程控制(Statistical Process Control,SPC)中人力资源分配的问题,研究了采用均值-极差(-R)控制图监控过程时,人力资源分配对-R控制图经济设计的影响。首先,构建带有人力资源分配的X-R控制图经济费用函数模型;其次,采用...针对在统计过程控制(Statistical Process Control,SPC)中人力资源分配的问题,研究了采用均值-极差(-R)控制图监控过程时,人力资源分配对-R控制图经济设计的影响。首先,构建带有人力资源分配的X-R控制图经济费用函数模型;其次,采用模式搜索算法对模型进行寻优,获得控制图设计参数的综合最优解、最小费用以及最优的人力资源分配;最后,进行了算例说明和参数的灵敏度分析,结果表明在-R控制图的监控活动中,合理的人力资源分配可以明显的减小过程处于失控状态的时间以及监控过程的费用。展开更多
文摘Globally, infections acquired during childbirth contribute to one tenth of the maternal deaths annually [1] [2]. Factors predisposing to high risks of puerperal infections include non-compliance with Standard Precautions of Infection Control (SPIC), unhygienic births by unskilled birth attendants, multiple vaginal examinations, prolonged labour and premature rapture of membranes [1]. The main purpose of this study was to determine factors associated with compliance to standard precautions of infection control the management of labour by healthcare workers in Mulago Hospital to generate information, which may be used in infection control and prevention practices. A cross-sectional study utilizing a quantitative approach was conducted among 115 healthcare workers. Consecutive sampling was done to include respondents in the study. Data were collected by direct observation and researcher administered questionnaires. Data were coded and entered into the computer using SPSS version 20 with programmed quality control checks. Descriptive data analyses, frequencies, cross tabulations and logistic regression analysis were the major statistical methods used. 103 healthcare workers were involved in the study, where 74% were females. Overall compliance was at 52%, although it varied across domains. The majority of the healthcare workers (95.1%) did not comply with hand hygiene. Being a male was associated with low compliance scores a cross most domains. One of the hospital factors which was significantly associated with compliance to hand hygiene was having had an in-service training with p = 0.008 and p = 0.012 at multivariate analysis. Overall compliance to standard precautions of infection control was low compared to the Centre for Disease Control (CDC) recommendation. The findings in this study provide insight into individual and hospital related factors associated with compliance with standard precautions of infection control in the management of labour. There is an urgent need to put up interventions to improve on compliance with SPIC in management of labour among all healthcare workers.
文摘针对在统计过程控制(Statistical Process Control,SPC)中人力资源分配的问题,研究了采用均值-极差(-R)控制图监控过程时,人力资源分配对-R控制图经济设计的影响。首先,构建带有人力资源分配的X-R控制图经济费用函数模型;其次,采用模式搜索算法对模型进行寻优,获得控制图设计参数的综合最优解、最小费用以及最优的人力资源分配;最后,进行了算例说明和参数的灵敏度分析,结果表明在-R控制图的监控活动中,合理的人力资源分配可以明显的减小过程处于失控状态的时间以及监控过程的费用。
