Regelbegehungen von Krankenhäusern durch den Öffentlichen Gesundheitsdienst: Deutschlandweite repräsentative Datenerhebung zu Struktur, Organisation und Inhalten
摘要
In Germany, hospitals undergo routine inspections (RIs) by public health authorities in an occasion-independent manner for infection prevention and control (IPC). Structure and organization of RIs is at the discretion of respective public health authorities (PHAs) and can therefore differ between districts. This work aims to provide the first representative overview of structure, organization, and content of RIs by German PHAs.
MethodsAs part of the PRO-OEGD project, representative data collection among all German PHAs was conducted between December 2023 and May 2024. Statistical analysis was performed using the chi-square, Fisher’s, Mann-Whitney-, and Pearson-correlation tests.
ResultsThe response rate was 66% (248 of 377 PHAs). Results show many similarities despite different federal structures, for example, with regard to rating of content and hospital departments being particularly relevant for IPC. Medical professionals, hygiene inspectors, and hygiene specialists are usually involved in RIs. Maximum care providers, more often than non-maximum care providers, are inspected several times a year. Mostly (90%), hospitals are informed of the RI in advance. Two thirds of PHAs use standardized checklists. Few PHAs (3%) perform a systematic evaluation of the RI results and give feedback to the hospital.
DiscussionBased on the results, a nationwide standardization of RIs using jointly agreed checklists is being pursued. Practical examples show that the use of checklists helps ensure efficient use of personnel resources before and during RIs. Standardized checklists facilitate the implementation of future digitalization initiatives while also enabling comparability of RI results.