Compliance with universal precautions among pediatric residents.
There are few data on the rate of compliance with universal precautions among pediatricians.
We hypothesized that compliance in pediatrics would be poor because of the intrinsic difficulties in performing invasive procedures in small subjects.
Prospective, observational study.
Tertiary care children's hospital.
A convenience sample of pediatric house staff.
Main Outcome Measures
Pediatric house staff members were observed while performing invasive procedures.
Procedure type, number of attempts required, and patient's age and diagnosis were recorded.
Degree of compliance with universal precautions was judged by means of Centers for Disease Control and Prevention guidelines.
Comparisons between the compliant and noncompliant groups were analyzed by X2 and 2-tailed t test.
A total of 128 procedures performed by 43 house officers, 4 advanced medical students, and 3 chief residents or fellows were observed.
Sixty-nine (53.9%) of the 128 procedures were performed correctly according to universal precaution guidelines.
Rate of compliance did not appear to be influenced by small patient size, as judged by the lack of association with the age of the patient (mean±SD, 4.8±5.7 years among those in whom universal precautions were properly used vs4.9±5.4 years among patients in whom precaution guidelines were breached ; P=96).
Moreover, the number of attempts required in compliant procedures (1.31 ± 0. (...)
Mots-clés Pascal : Pédiatrie, Interne(étudiant), Prospective, Enseignement supérieur, Responsabilité professionnelle, Complaisance, Critère performance, Homme, Enseignement
Mots-clés Pascal anglais : Pediatrics, Resident(student), Prospective, Graduate level education, Occupational responsibility, Compliance, Performance requirement, Human, Teaching
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0310758
Code Inist : 002B30A03B. Création : 27/11/1998.