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Positive Deviance Approach: A novel strategy for preventing healthcare-associated infections

Research Project

Project/Area Number 26293447
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Fundamental nursing
Research InstitutionKumamoto University

Principal Investigator

Maeda Hitomi  熊本大学, 大学院生命科学研究部(保), 教授 (90183607)

Co-Investigator(Kenkyū-buntansha) 矢野 久子  名古屋市立大学, 看護学部, 教授 (00230285)
河村 洋子  静岡文化芸術大学, 文化政策学部, 准教授 (00568719)
Research Collaborator KAWAGUCHI Tatsuya  
YAMAMOTO Keiichi  
FUKUSHIMA Rika  
NANKE Kimiyo  
Project Period (FY) 2014-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥16,640,000 (Direct Cost: ¥12,800,000、Indirect Cost: ¥3,840,000)
Fiscal Year 2017: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2016: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2014: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Keywords医療関連感染防止対策 / 耐性菌感染 / Positive Deviance / 地域連携 / 中規模病院 / 感染管理 / 耐性菌サーベイランス / 看護学 / 感染防止対策 / 医療連携感染防止対策 / Positive Devience / 国際情報交換(米国)
Outline of Final Research Achievements

The purpose of this study was molecular epidemiological analyses of isolated strains of antibiotic-resistant bacteria in a prefecture of Japan and finding a better strategy for making effective progress in improving infection control in hospitals with fewer than 400 beds. Analyses found persistent infections brought into the hospitals that were community-acquired, antibiotic-resistant bacteria that had community-specific genotypes and antibiotic-resistant genes that had the potential to propagate via bacterial plasmids. Improvements in effective infection control in the hospitals occurred formally, such as via infection control committees or informally from the ideas of staff members wanting to provide higher quality healthcare. The results suggested that an important strategy for improving infection control is to discover positive deviance which are effective staff member behaviors and formalize them.

Academic Significance and Societal Importance of the Research Achievements

本研究の耐性菌サーベイランスは1施設だけではなく1県全域を対象としていることから、地域全体の耐性菌の推移から考えられる耐性化機序を示すことができる。
また、中小規模病院では費用の面等から大規模病院で実施している感染防止対策をそのまま実施することは難しい。Positive Deviance(PD)は施設特有のものではあるが、資源のない中で実際に行われている行動であることから、他の施設においても利用可能性が高いものもある。そのため、PDを探し出すことは、医療全体の質の保障と安全並びに医療費削減にも寄与することが期待できる。

Report

(6 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • 2014 Annual Research Report

Research Products

(4 results)

All 2018 2017

All Journal Article Presentation

  • [Journal Article] 院内感染コントロール 小さな波から始まるポジデビ2017

    • Author(s)
      前田ひとみ,河村洋子,上野洋子,南家貴美代
    • Journal Title

      公衆衛生

      Volume: 81 Pages: 58-90

    • Related Report
      2016 Annual Research Report
  • [Presentation] 中小規模病院の感染管理を成功させる組織風土創りのこつ2018

    • Author(s)
      前田ひとみ、南家貴美代、矢野久子
    • Organizer
      第38回日本看護科学学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 熊本県感染管理ネットワークによる過去3年間のカルバペネム耐性腸内細菌科細菌の分離動向2018

    • Author(s)
      福嶋理香、前田ひとみ、山本景一、宮川寿一、岡本真一郎、中田浩智、野坂生郷、福吉葉子、松井啓隆、川口辰哉
    • Organizer
      第88回日本感染症学会西日本地方会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Development of Best Practice for Glove Use for Infection Control in the Neonatal Intensive Care Unit2017

    • Author(s)
      Yoko Ueno,Hitomi Maeda
    • Organizer
      TNMC & WANS International Nursing Research Conference 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research

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Published: 2014-04-04   Modified: 2020-03-30  

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