Abstract
Recent decades have seen the global emergence of meticillin-resistant Staphylococcus aureus (MRSA), causing substantial health and economic burdens on patients and health-care systems. This epidemic has occurred at the same time that policies promoting higher patient throughput in hospitals have led to many services operating at, or near, full capacity. A result has been limited ability to scale services according to fluctuations in patient admissions and available staff, and hospital overcrowding and understaffing. Overcrowding and understaffing lead to failure of MRSA control programmes via decreased health-care worker hand-hygiene compliance, increased movement of patients and staff between hospital wards, decreased levels of cohorting, and overburdening of screening and isolation facilities. In turn, a high MRSA incidence leads to increased inpatient length of stay and bed blocking, exacerbating overcrowding and leading to a vicious cycle characterised by further infection control failure. Future decision making should use epidemiological and economic evidence to evaluate the effect of systems changes on the incidence of MRSA infection and other adverse events.
| Original language | English |
|---|---|
| Pages (from-to) | 427-434 |
| Number of pages | 8 |
| Journal | The Lancet Infectious Diseases |
| Volume | 8 |
| Issue number | 7 |
| Early online date | 23 Jun 2008 |
| DOIs | |
| Publication status | Published - Jul 2008 |
| Externally published | Yes |
ASJC Scopus subject areas
- Infectious Diseases
Access to Document
10.1016/S1473-3099(08)70151-8Licence: Unspecified
Fingerprint
Dive into the research topics of 'Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission'. Together they form a unique fingerprint.
Cite this
- APA
- Author
- BIBTEX
- Harvard
- Standard
- RIS
- Vancouver
Clements, A., Halton, K., Graves, N., Pettitt, A., Morton, A., Looke, D., & Whitby, M. (2008). Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission. The Lancet Infectious Diseases, 8(7), 427-434. https://doi.org/10.1016/S1473-3099(08)70151-8
Clements, Archie ; Halton, Kate ; Graves, Nicholas et al. / Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission. In: The Lancet Infectious Diseases. 2008 ; Vol. 8, No. 7. pp. 427-434.
@article{697af1109deb49f383cef56dcd2a9ee0,
title = "Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission",
abstract = "Recent decades have seen the global emergence of meticillin-resistant Staphylococcus aureus (MRSA), causing substantial health and economic burdens on patients and health-care systems. This epidemic has occurred at the same time that policies promoting higher patient throughput in hospitals have led to many services operating at, or near, full capacity. A result has been limited ability to scale services according to fluctuations in patient admissions and available staff, and hospital overcrowding and understaffing. Overcrowding and understaffing lead to failure of MRSA control programmes via decreased health-care worker hand-hygiene compliance, increased movement of patients and staff between hospital wards, decreased levels of cohorting, and overburdening of screening and isolation facilities. In turn, a high MRSA incidence leads to increased inpatient length of stay and bed blocking, exacerbating overcrowding and leading to a vicious cycle characterised by further infection control failure. Future decision making should use epidemiological and economic evidence to evaluate the effect of systems changes on the incidence of MRSA infection and other adverse events.",
author = "Archie Clements and Kate Halton and Nicholas Graves and Anthony Pettitt and Anthony Morton and David Looke and Michael Whitby",
year = "2008",
month = jul,
doi = "10.1016/S1473-3099(08)70151-8",
language = "English",
volume = "8",
pages = "427--434",
journal = "The Lancet Infectious Diseases",
issn = "1473-3099",
publisher = "Lancet Publishing Group",
number = "7",
}
Clements, A, Halton, K, Graves, N, Pettitt, A, Morton, A, Looke, D & Whitby, M 2008, 'Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission', The Lancet Infectious Diseases, vol. 8, no. 7, pp. 427-434. https://doi.org/10.1016/S1473-3099(08)70151-8
Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission. / Clements, Archie; Halton, Kate; Graves, Nicholas et al.
In: The Lancet Infectious Diseases, Vol. 8, No. 7, 07.2008, p. 427-434.
Research output: Contribution to journal › Review article › peer-review
TY - JOUR
T1 - Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission
AU - Clements, Archie
AU - Halton, Kate
AU - Graves, Nicholas
AU - Pettitt, Anthony
AU - Morton, Anthony
AU - Looke, David
AU - Whitby, Michael
PY - 2008/7
Y1 - 2008/7
N2 - Recent decades have seen the global emergence of meticillin-resistant Staphylococcus aureus (MRSA), causing substantial health and economic burdens on patients and health-care systems. This epidemic has occurred at the same time that policies promoting higher patient throughput in hospitals have led to many services operating at, or near, full capacity. A result has been limited ability to scale services according to fluctuations in patient admissions and available staff, and hospital overcrowding and understaffing. Overcrowding and understaffing lead to failure of MRSA control programmes via decreased health-care worker hand-hygiene compliance, increased movement of patients and staff between hospital wards, decreased levels of cohorting, and overburdening of screening and isolation facilities. In turn, a high MRSA incidence leads to increased inpatient length of stay and bed blocking, exacerbating overcrowding and leading to a vicious cycle characterised by further infection control failure. Future decision making should use epidemiological and economic evidence to evaluate the effect of systems changes on the incidence of MRSA infection and other adverse events.
AB - Recent decades have seen the global emergence of meticillin-resistant Staphylococcus aureus (MRSA), causing substantial health and economic burdens on patients and health-care systems. This epidemic has occurred at the same time that policies promoting higher patient throughput in hospitals have led to many services operating at, or near, full capacity. A result has been limited ability to scale services according to fluctuations in patient admissions and available staff, and hospital overcrowding and understaffing. Overcrowding and understaffing lead to failure of MRSA control programmes via decreased health-care worker hand-hygiene compliance, increased movement of patients and staff between hospital wards, decreased levels of cohorting, and overburdening of screening and isolation facilities. In turn, a high MRSA incidence leads to increased inpatient length of stay and bed blocking, exacerbating overcrowding and leading to a vicious cycle characterised by further infection control failure. Future decision making should use epidemiological and economic evidence to evaluate the effect of systems changes on the incidence of MRSA infection and other adverse events.
U2 - 10.1016/S1473-3099(08)70151-8
DO - 10.1016/S1473-3099(08)70151-8
M3 - Review article
C2 - 18582835
AN - SCOPUS:45749091707
SN - 1473-3099
VL - 8
SP - 427
EP - 434
JO - The Lancet Infectious Diseases
JF - The Lancet Infectious Diseases
IS - 7
ER -
Clements A, Halton K, Graves N, Pettitt A, Morton A, Looke D et al. Overcrowding and understaffing in modern health-care systems: key determinants in meticillin-resistant Staphylococcus aureus transmission. The Lancet Infectious Diseases. 2008 Jul;8(7):427-434. Epub 2008 Jun 23. doi: 10.1016/S1473-3099(08)70151-8
