The subculture of care and care-related infections

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Tore J
Professor of Safety Management and Occupational Injury Prevention
Royal Institute of Technology
Tore J Larsson is Professor (Safety Management and Occupational Injury Prevention) at the School of Technology & Health, Royal Institute of Technology, Stockholm and the Director of the Centre for Health & Building. Tore is the father of the National Injury Information System for severe occupational injuries in Sweden implemented in 1988. His expertize areas are accident and injury analysis, models and systems for injury prevention, strategic and corporate systems for OHS, occupational risk assessment, and the implementation of worksite change. He is a member of the editorial board of "Safety Science" (Elsevier); he is the Editor of ‘IPSO Factum’ since 1985, and the "Safety Science Monitor" ( since 1996; he has authored more than 150 published articles and numerous video manuscripts for the Swedish National Board of Occupational Health and the Joint Industrial Safety Council.

The increasingly complicated and technologically developed medical care of today is, in spite of its putative production focus, still basically a pre-industrial system. Extreme socially biased recruitment, an absolute and all-encompassing medical competence hierarchy, a strong gender segregation between medical diagnostics, nursing and caring, an underdeveloped view on patient safety in medical treatment - these are all important traits in a system not primarily built for rational production, efficiency and customer service. In Sweden between 3 000 and 4 000 annual fatalities and 25 - 40 000 severe and permanently disabling injuries due to medical mistakes turn up as a modest 1200 annual reports to the National reporting system.

In a study of the risk of care-related infections in an institution of special accommodation for the aged, journal data and participant observation showed a low level of infection risk, but the risk levels varied significantly between wards and the understanding of hygiene routines varied between staff. It is suggested that hygiene routines be taught as a technical professional skill for physicians, nurses and nursing aides alike. 

Miércoles, 21 Mayo 2014 - 3:30pm
Sala 2008