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Irene Jansen

Gardam, Gitterman and Reason. HAIs: new initiatives and continuing challenges. Healthca... - 0 views

  • need for local solutions, engagement and empowerment of those who are deeply connected to the problem
    • Irene Jansen
      hard to do when services are contracted-out (team is fragmented, workers have less job security and power, worse training, working conditions and oversight)
  • public reporting in Ontario has helped improvement processes by drawing much broader attention to the issues at hand and by enabling facilities at the higher end of the infection spectrum to realize that they might have a bigger problem than they thought.
  • caveats. Because public reporting data rarely control for known factors that influence infection rates, with the exception of hospital type and size, it is very difficult to meaningfully compare infection rates between facilities; yet the public and the media do exactly that.
  • ...10 more annotations...
  • process measures such as hand hygiene can be quite problematic as public accountability measures because current auditing processes can introduce substantial biases into rates, making it appear that hand hygiene compliance is excellent when it may not be (Muller and Detsky 2010).
    • Irene Jansen
      NS has started its public reporting with hand compliance. I wonder if their auditing processes have this flaw.
  • hand hygiene compliance measurement involving human auditors is both costly and subject to substantial bias
  • there are some examples of settings where these individuals are becoming more involved (Bittle and LaMarche 2009)
  • Despite considerable, robust evidence that healthcare design has a large role to play in preventing the spread of communicable agents, Canada has been slow to adopt single-patient room design standards that have been accepted in other countries such as the United States (American Institute of Architects 2006).
  • having roommates is a very potent risk factor for acquiring a communicable organism (Hamel et al. 2010)
  • single-patient rooms have been shown to have multiple other patient safety and comfort benefits that ultimately result in decreased lengths of stay and better outcomes (Ulrich et al. 2008)
  • the upfront capital costs are rapidly recouped over the lifetime of the facility (Ulrich et al. 2008)
  • the Canadian Standards Association has recently released new guidelines that support the use of single-patient rooms (Canadian Standards Association 2011)
  • Reason, P., L. Rykert, B. Zimmerman, L. Gitterman, J. Christian, N. Crowcroft et al. 2012. "Decreasing Healthcare-Associated Infections through Enabling the Front-Line." Manuscript in Preparation.
  • Marra, A., L. Guastelli, C. de Araujo, J. Santos, L. Lamblet, M. Silva et al. 2010. "Positive Deviance: A New Strategy for Improving Hand Hygiene Compliance." Infection Control and Hospital Epidemiology 31(1): 12–20.
Graham Perrin

[ToolBar] Will Digoo hire an information architect / ergonome ? - 11 views

Sorry for this provocative title but I am a little upset to see that Diigo has, in one hand : exactly what I want, and in the other hand : an interface with an awfull ergonomy. I'm speaking of...

design ergonomy toolbar suggestion

Graham Perrin

Diigolet pinstripe appearance is outdated - 12 views

I can't recall where I found that quote but I do agree, the pinstripes are outdated. Diigo 4.0 beta could be a good time to: * remove the pinstripes from the toolbar * give it a more polished ap...

Diigolet UI GUI pinstripe theme vogue dated design suggestion gpd4

Joel Liu

Tag limit is too limiting. - 187 views

Hi Chris, You can download 3.1.5 version FF toolbar now. The tag limit number in this version is 20.

bookmark design feature flaw interface request tag

Mah Saito

Bilston High Web Design Project Day 1 - 6th November 2007 » Wolverhampton Cit... - 0 views

  • Day 1 - 6th November - An Introduction to Web Design Here are the tasks for Day 1: Task 1 - Reviewing websites Using the tools from, you will review one website from the following list. Review the site based on the following criteria - usability, accessibility, use of images, quality of text / content and navigation. Highlight sections of the page that you wish to comment upon, and add sticky notes using the Diigo toolbar to record your opinions. The sites to choose from are: Wolverhampton City Learning Centre Wolverhampton Wanderers BVS Performance Systems Tally Ho Uniforms Oceanside High School Class of 1960 (added 06/11/07) Here is an image from Diigo showing student comments added to the Tally Ho Uniforms site:
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