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Health IT, systems and process innovations
Original article
An innovative approach to strengthening health professionals’ infection control and limiting hospital-acquired infection: video-reflexive ethnography
  1. Rick Iedema1,2,
  2. Su-Yin Hor2,
  3. Mary Wyer2,
  4. Gwendolyn L Gilbert3,4,6,
  5. Christine Jorm5,
  6. Claire Hooker3,
  7. Matthew Vincent Neil O'Sullivan4,6
  1. 1Agency for Clinical Innovation (NSW Ministry of Health), Chatswood, New South Wales, Australia
  2. 2School of Health Sciences, University of Tasmania (Sydney Campus), Education Centre, Darlinghurst, New South Wales, Australia
  3. 3Faculty of Medicine, University of Sydney, Centre for Values, Ethics and the Law in Medicine, Camperdown, New South Wales, Australia
  4. 4Westmead Hospital, Centre for Infectious Diseases and Microbiology, Westmead, New South Wales, Australia
  5. 5The University of Sydney, Sydney Medical School, Camperdown, New South Wales, Australia
  6. 6University of Sydney, Marie Bashir Institute for Infectious Diseases and Biosecurity, Sydney, New South Wales, Australia
  1. Correspondence to Mary Wyer, School of Health Sciences, University of Tasmania (Sydney Campus), Education Centre, 1 Leichhardt St, Darlinghurst, NSW 2010, Australia; mary.wyer{at}utas.edu.au

Abstract

Objective To strengthen clinicians’ infection control awareness and risk realisation by engaging them in scrutinising footage of their own infection control practices and enabling them to articulate challenges and design improvements.

Design and participants Clinicians and patients from selected wards of 2 hospitals in western Sydney.

Main outcome measures Evidence of risk realisation and new insights into infection control as articulated during video-reflexive feedback meetings.

Results Frontline clinicians identified previously unrecognised infection risks in their own practices and in their team's practices. They also formulated safer ways of dealing with, for example, charts and patient transfers.

Conclusions Video-reflexive ethnography enables frontline clinicians to identify infection risks and to design locally tailored solutions for existing risks and emerging ones.

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https://doi.org/10.1136/bmjinnov-2014-000032

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