Will modifying transmission-based precautions increase visits for patients in contact precautions: a research proposal

Mr Paul Simpson1

1Barwon Health, Geelong, Australia

It has been well documented that contact isolation can negatively impact several dimensions of patient care. These negative impacts potentially include patients; mental well-being, satisfaction, safety and also a reduction in time spent by healthcare workers in direct care. We propose a study to measure the number of visits a patient receives whilst in both standard and contact precautions on a control ward. On a study ward we again will measure the number of visits patient receives whilst in both standard and contact precautions. However, the study ward will have implemented a new patient-centered transmission-based precaution regime.

This new regime will utilize concepts around ‘choice architecture’ with the aim of modifying staff behaviours to encourage greater risk assessment based on intended patient care activities and the choice of personal protective equipment. We hypothesis that the new patient centered transmission-based precautions will increase the number of visits to patients in contact precautions. We intend to assess and compare the numbers of visits between the control and the study wards. The number of visits for designated rooms will be measured using an innovative LED light sensor monitor that records individuals as they enter and leave the room.