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Akoranga Take: Me pēhea te whakaiti i ngā mate urutā e te hōhipera mā te whakamahi i ngā ārai whakakorekore
I whakapai ake tētahi hōhipera matua i te haumaru o ngā tūroro mā te huri atu i ngā mahi tuku iho ārai hōhiperangā kōwhiringa ki Ārai whakakorekoreI kite ngā kaimahi i te iti ake o ngā mate urutā i muri i te panonitanga.Ārai rūma iti whakakorekore, he momo ārai hauora, i āwhina ki te whakatika i ngā mōrearea kei te haere tonu. Ngā ārai haumanu He otinga whai hua ēnei mō te whakahaere i ngā mate urutā.
Ngā Whakaaro Matua
- Tuku Iho ārai hōhipera he maha ngā wā kei roto i ēnei he huakita kino ka pā mai he mate, ā, ka uaua ai te horoi auau, ka kore hoki e whai hua.
- Ka whakaitihia te mate e ngā ārai whakakorekore ngā mōrearea mā te tuku i te whakakapinga tere, te penapena i te wā o ngā kaimahi me te whakaiti i ngā utu haere tonu me te kore e horoi.
- I kite te hōhipera i te iti ake o ngā mate urutā, ā, i pai ake te rere o ngā mahi i muri i tana huri ki ngā ārai whakakorekore, engari i aro atu hoki ki ngā wero para hou me ngā mahi tauwhiro.
Ārai Whakakore: Te Whakatika i ngā Wero o te Whakahaere Mate
Ngā Mōrearea Mate Pāwera me ngā Ārai Hōhipera Tuku Iho
He mea nui ngā ārai hōhipera tuku iho te wero whakahaere mate urutāE whakaatu ana ngā rangahau ka tere te poke o ēnei ārai i ngā mate urutā e pā ana ki te hauora. I roto i te wiki kotahi, 92% o ngā ārai hou kua hūia ka kitea he pai mō te iti rawa i te kotahi te mate urutā. E whakaatu ana te ripanga e whai ake nei i ngā mate urutā e kitea ana i runga i ngā ārai hōhipera:
| Patumate | Te Auautanga o ngā Ārai (%) | Ngā Tuhipoka mō te Parahanga me te Mau tonu |
|---|---|---|
| Staphylococcus aureus | 26.1% | I kitea i roto i te 47 o te 180 ahurea; he tere te poke i muri i te whakatakotoranga o te ārai |
| S. aureus ātete-methicillin (MRSA) | 21% | I kitea i runga i te 21% o ngā ārai; i whakaūtia te pumau me te poke anō e te momo PFGE |
| Ngā momo Enterococcus | Kāore i te tino inehia | Kei roto ko te enterococcus ātete-vancomycin (VRE) e kitea ana i runga i te 42% o ngā ārai |
| Te enterococcus ātete-vancomycin (VRE) | 42% | He maha ngā wā i pangia ai; i kitea te mau tonu me te pangia anō |
| Ngā tokotoko ā-pūngao-kore karamu | Kāore i te tino inehia | I kitea mā ngā tikanga moroiti paerewa |
| Ngā pua o te Clostridium difficile | Kāore i tauahia i roto i tēnei rangahau | E mōhiotia ana ka mau tonu ki runga i ngā ārai; ātete ki ētahi maimoatanga koiora |
E hono ana ngā rangahau i ngā ārai kua poke ki ngā pakarutanga o ngā mate i riro mai i te hōhipera. Hei tauira, i kitea i roto i tētahi rangahau e 87.5% o ngā ārai tūmataiti i roto i tētahi wāhanga wera i whakamātauhia he pai mō te MRSA i te rā 14, ahakoa kāore he tūroro i pangia e te MRSA. Ka taea e ngā kaimahi hauora te whakawhiti i ngā huakita mai i ngā ārai ki ō rātou ringaringa, ka piki ake te tūponotanga o te whakawhiti-paru. Ko ngā ārai tuku iho ka horoia kotahi i te marama, engari ko ngā wāhi tino mōrearea me horoi pinepine ake. Ahakoa ēnei mahi, he raruraru tonu te maha o ngā paru anō.
He aha i whiriwhiri ai te Hōhipera i ngā Ārai Whakakorekore
I whiriwhiria e te hōhipera ngā ārai whakakorekore hei aro atu ki ēnei tūponotanga pumau. He maha ngā āhuatanga i awe i tēnei whakatau:
- Ārai whakakorekore whakaitihia te mōrearea o te whakawhiti poke nā te mea ka whakakapia e ngā kaimahi i muri i ia whakamahinga.
- Mā te tere o te tāutanga ka penapena i te wā o ngā kaimahi, inā koa i ngā rohe e nui ana te mate urutā pērā i ngā whare tiaki hauora.
- He iti noa te tiaki e hiahiatia ana, ā, kāore e hiahiatia te horoi me te whakairi anō.
- Nā te iti o ngā utu tīmatanga me te kore utu horoi kakahu, he pai ake te utu mō ngā wāhi morearea.
- Ka waihangahia he taiao manaaki mō ngā tūroro e ngā āhuatanga paturopi me ngā hoahoa karakara.
Kia mōhio: He otinga whai hua ngā ārai whakakorekore mō te whakahaere mate, e tautoko ana i te whai huatanga o te mahi me te haumaru o te tūroro.
Te Whakatinanatanga me ngā Hua o ngā Ārai Whakakore
Ngā Hipanga mō te Whakauru i ngā Ārai Whakakore
I tīmata te huringa i te hōhipera mā te aromatawai i ngā arai o nāianei, me te whakahou i aua arai kia uru ki ngā arai whakakorekore. I hangaia e ngā kaiwhakahaere o ngā whare he kaupapa whakakapinga i whakaritea mō ia tari. Hei tauira, i whakakapihia e ngā kaimahi ngā arai i roto i ngā wāhanga tiaki nui i ia marama, i te mea i whai ngā rūma tūroro whānui i tētahi kaupapa here e ono marama te roa. I whakahoutia e te hōhipera ngā kaupapa here whakahaere kia rite ki ngā paerewa whakahaere mate me ngā whakaritenga ture.
Hei whakahaere i te tukanga, i whakamahia e te hōhipera ngā pūnaha whakawhiti tere me ngā tikanga aroturuki, pērā i ngā waehere QR me ngā tohu RFID. Nā ēnei hangarau i whakapai ake te whai huatanga, ā, i whakarite kia tutukihia ngā wātaka whakakapinga. Nā te whakakorenga o te horoi kakahu i whakaitihia te tono mahi me ngā rauemi, engari i aro atu anō te hōhipera ki ngā wero whakahaere para hou.
Tohutohu: Me arotake e ngā hōhipera e whakaaro ana ki tētahi whakawhiti ōrite te mahi roa, te hangarau paturopi, te whai huatanga o te whakawhiti, te pumau, te utu, me te whakatakotoranga o te ārai i mua i te whakatau.
Te Whakangungu Kaimahi me te Whakahaere Rautaki
I mōhio ngā kaiārahi o te hōhipera he mea nui te whakangungu tika mō ngā kaimahi hei pupuri i te akuaku me te haumaru. I whiwhi ngā kaimahi i te mātauranga mō te whakamahinga tika me te whakakorenga o ngā ārai whakakore. I arotahi te whakangungu ki ngā mahi whakakorenga tauwhiro me ngā paerewa taiao. I whakaurua hoki e te hōhipera te mātauranga mō ngā kaimahi hei wāhanga o ngā mahi ki te whakaiti i te para me te pupuri i te tutuki i ngā tikanga whakahaere mate.
- I whakaratohia e ngā hōhipera he whakangungu ōkawa mō te whakakorenga tauwhiro o ngā ārai whakakorekore.
- I ako ngā kaimahi i ngā tikanga hou mō te tāutanga, te tango, me te whakakorenga atu.
- I roto i ngā kaupapa whakangungu i whakaurua te aromatawai i ngā kaiwhakarato me te aroturuki i ngā whakahekenga o te parahanga me ngā utu.
- I aro te mātauranga ki ngā pānga ki te whakakorenga para me te taiao.
I roto i ngā mahi whakahaere, i whakahoutia e te hōhipera ngā kaupapa here kia whakaata i ngā tikanga hou. I tere te urutau o ngā kaimahi ki te tukanga mahi hou, nā te ngāwari o ngā pūnaha ārai tere-huri. I whakauruhia hoki e te hōhipera ngā anga whakapai tonu hei aromatawai me te whakarei ake i ngā mahi pumau.
Te Whakaiti i te Auautanga o te Mate me te Pānga Ka Taea te Ine
I muri i te whakatinanatanga o ngā ārai whakakorekore, i kite te hōhipera i te whakahekenga ine o ngā reiti mate i riro mai i te hōhipera. I heke te mōrearea o te whakawhiti poke nā te mea he maha ake ngā wā i whakakapia ai ngā ārai e ngā kaimahi, ā, i kore ai e hiahiatia te horoi. Nā tēnei huringa i hua ake ai he penapena utu ā-kore e pā ana ki te whakapai ake i te akuaku me te iti ake o ngā mate.
Mā te whakataurite i ngā āhuatanga utu ka kitea ngā painga:
| Tauwehenga | Ngā Ārai Tuku Iho | Ārai Whakakore |
|---|---|---|
| Te utu o mua | I raro | Teitei ake |
| Ngā Utu Tonu | Te horoi, te whakatikatika, te whakakapinga | He iti noa iho (kāore e horoia) |
| Te Mōrearea o te Mate | Teitei ake (nā te poke anō) | Iti iho (whakakapinga auau) |
| Te Whakahaere Para | He iti ake te uaua | He uaua ake |
| Pānga ki te Taiao | Iti iho (mēnā ka horoia i runga i te taiao tauwhiro) | Teitei ake (kirihou kotahi te whakamahinga) |
I kite anō te hōhipera nā te whakakorenga o te horoi kakahu i whakaitihia te tono mahi me ngā rauemi. Heoi, nā te pikinga ake o ngā para hauora i hiahiatia he rautaki hou mō te whakakorenga tika. I tūhuratia e te hōhipera ngā hangarau para-ki-te-pūngao, ā, i mahi tahi me ngā kaiwhakarato i whakatairanga i ngā rauemi pumau.
Ngā Tirohanga a ngā Kaimahi me ngā Tūroro
I kōrero ngā kaimahi nā ngā ārai whakakorekore i whakapai ake te rere o ngā mahi, ā, i whakaiti i te wā e pau ana ki te whakawhiti ārai. Nā ngā pūnaha whakawhiti tere i taea ai te whakakapinga whai hua, inā koa i ngā wāhi e nui ana te hurihanga. I mihi hoki ngā kaimahi ki te whakahekenga o mōrearea mate me te māramatanga o ngā tikanga hou.
I kite ngā tūroro i te āhua ma me te whakakapinga auau o ngā ārai. He tokomaha i marino ki te whakapau kaha o te hōhipera ki te whakahaere i ngā mate urutā. I whakapuaki ētahi o ngā kaimahi i ō rātou āwangawanga mō te pānga ki te taiao o te pikinga o ngā para, engari i aro tonu ngā kaupapa ako me te oranga tonutanga ki ēnei take.
Kia mōhio: E taunaki ana te hōhipera kia whakaarohia e ētahi atu whare hauora tētahi huarahi whakaranu, mā te whakamahi i ngā ārai horoi me ngā ārai whakakorekore i runga i ngā hiahia motuhake o ngā tari. Ka arotauhia e tēnei rautaki te mahi, te utu, me te whakahaere mate.
He mea nui te whakamahi i ngā ārai whakakorekore ki te whakaiti i ngā mate urutā i puta mai i te hōhipera.
- I kite ngā hōhipera te rere o te mahi kua whakapaitia me te haumaru o te tūroro.
- I kōrero ngā whare hauora he māmā ake te whakatutuki i ngā paerewa akuaku.
Ahakoa ka whakaitihia e ngā Ārai Tukurua te poke, ka tūtohu ngā tohunga kia whakamahia ngātahitia ēnei me te horoi auau me ngā rauemi patu huakita mō ngā hua pai rawa atu.
Ngā Pātai Auau
Kia pēhea te auau o te whakakapinga o ngā ārai whakakorekore e ngā hōhipera?
Ko te tikanga ka whakakapia e ngā hōhipera ārai whakakorekore ia whā ki te ono marama. Ko ngā wāhi mōrearea nui, pērā i ngā ICU, me whakarerekē pinepine ake kia mau tonu ai te whakahaere i te mate.
He ārai paturopi ā-pūmau rānei ngā ārai whakakorekore?
He tokomaha ārai whakakorekore he paninga ārai mate. Ka āwhina ēnei paninga ki te whakaiti i te tipu o ngā huakita me te tautoko i ngā mahi ārai mate i roto i ngā taiao haumanu.
He pai mō te taiao ngā ārai whakakorekore?
Ko te nuinga o ngā ārai ārai whakakorekore he kirihou kotahi te whakamahinga. Kei ētahi kaihanga inaianei ngā kōwhiringa hangarua, pirau rānei. Me arotake e ngā hōhipera ngā āhuatanga pumau i mua i te hoko.
