Training in infection prevention and control: survey on the volume and on the learning demands of healthcare-associated infections control figures in the Emilia-Romagna Region (Northern Italy).

Background: In the context of Infections Prevention and Control activities, the training of healthcare-associated infection control figures is crucial; the COVID-19 pandemic further emphasized the necessity of ensuring a widespread and stable level of skills over time for such professionals. The present work aims to identify the number and training needs of the personnel working in the Emilia-Romagna Region's healthcare facilities as "healthcare-associated infection control figures".

Methods: Data were collected through a survey created by experts from the Regional Group "Training in the prevention and control of antibiotic resistance".

A stepped-wedge randomised controlled trial to assess efficacy and cost-effectiveness of a care-bundle to prevent falls in older hospitalised patients.

Background: Patient accidental falls in a hospital environment are a serious problem for patient safety, and for the additional costs due to associated medical interventions.

Objective: The endpoints of this study were the assessment of the fall incidence in the hospital before and after the implementation of a multidisciplinary care-bundle, along with a cost-effectiveness evaluation.

Design: A stepped-wedge trial was conducted between April 2015 and December 2016 in Bologna University Hospital.

Automatic environmental disinfection with hydrogen peroxide and silver ions versus manual environmental disinfection with sodium hypochlorite: a multicentre randomized before-and-after trial.

Background: New technologies for automated disinfection have been developed, including the use of hydrogen peroxide atomized by specific equipment, with associated silver compounds.

Aims: To compare the effectiveness of an automated disinfection system with hydrogen peroxide <8% and silver ion versus a manual method with 0.5% sodium hypochlorite solution when evaluating the reduction of microbial mesophilic contamination and Clostridium difficile presence; and to evaluate the time required for both of these processes.

Impact of a hospital-wide multifaceted programme for reducing carbapenem-resistant Enterobacteriaceae infections in a large teaching hospital in northern Italy.

We performed a quasi-experimental study of a multifaceted infection control programme for reducing carbapenem-resistant Enterobacteriaceae (CRE) transmission and bloodstream infections (BSIs) in a 1420-bed university-affiliated teaching hospital during 2010-2014, with 30 months of follow-up. The programme consisted of the following: (a) rectal swab cultures were performed in all patients admitted to high-risk units (intensive-care units, transplantation, and haematology) to screen for CRE carriage, or for any room-mates of CRE-positive patients in other units; (b) cohorting of carriers, managed with strict contact precautions; (c) intensification of education, cleaning and hand-washing programmes; and (d) promotion of an antibiotic stewardship programme carbapenem-sparing regimen. The 30-month incidence rates of CRE-positive rectal cultures and BSIs were analysed with Poisson regression.

[Where and how to retreive clinical practice guidelines].

Indications on how to retrieve clinical practice guidelines are offered, presenting the main agencies that produce guidelines and the trip database. A google search with the key word nursing guidelines, after a selection of agencies with multiprofessional groups, with an explicit process of bibliographic search and a grading of recommendations produced the selection of 4 agencies.

[Cohort study of peripheral catheter related complications and identification of predictive factors in a population of orthopedic patients].

Introduction: Peripheral venous catheters (PVC) may cause complications, specifically local. Their management varies across health care workers and wards, and guidelines recommendations are often weak and based on experts' opinion.

Aim: To measure the incidence of PVCs phlebitis, occlusions, accidental removal and infiltrations and their predictive factors in an orthopedic population.

[How nurses update their knowledge: a survey in three north Italian hospitals].

Introduction: Evidence based nursing (EBN) implies the application of the best knowledge to clinical practice but nurses may rely on different sources of knowledge.

Aims: To gain knowledge on methods and sources nurses use to update their knowledge.

Methods: A self completed closed question questionnaire was administered to the nursing personnel of three north Italian hospitals.

[The assessment of nurses satisfaction for an organization that values posts and professional responsibilities].

Unlabelled: To assess the effectiveness of a new organizational model for professional development, that assigns and financially rewards 12 positions that encompass specific responsibilities (such as responsible of Evidence based Nursing; expert in pressure ulcers, responsible of the newly employed nurses), nurses' satisfaction was measured.

Method: From November to December 2003 the MC Closey Muller Satisfaction Questionnaire was administered to all the nurses in service in the wards. Levels of satisfaction of nurses with and without specific responsibilities were compared.

[Evidence based nursing and distance learning in the Italian hospital S. Orsola-Malpighi].

An experience of distance learning on Evidence Based Nursing is being implemented at the Policlinico Sant'Orsola Malpighi of Bologna. Commented evidence based abstracts on nursing techniques or problems are produced by a resource group of 80 nurses who attended specific courses. An abridged version of the recommendations is distributed to the 2300 health care professionals of the hospital with information on the distance learning session that consists in reading an extended review of the literature on one of the topics chosen and in an evaluation session.

[Evaluation of 2 tools for measuring the risk of falls among patients].

To select a risk assessment tool to predict which elderly inpatients will fall, two widely used risk assessment scales (Conley and Stratify) were compared to evaluate their sensibility and specificity. A sample of 2651 patients were included in the survey (1620 evaluated with the Conley; 1181 with the Stratify and 173 with both scales). One hundred and 33 patients fell during the hospital stay (5% of the sample but 1% of all the hospital admissions).