ORCID Profile
0000-0002-1579-1082
Current Organisation
Alfred Health
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Elsevier BV
Date: 03-2020
DOI: 10.1016/J.IDH.2019.12.003
Abstract: Positron emission tomography (PET) imaging necessitates the use of multidose vials for radiopharmaceutical delivery to patients. Conventional practices involve manual extraction of radiopharmaceuticals from a multidose vial prior to each PET procedure, which exposes the technologist to increasing levels of radiation and poses a potential infection risk to patients with frequent handling and access of the vial. New technologies for automated dosing and infusion delivery are available, however these incorporate both a multidose vial and a multi-patient infusion set. There is an absence of guidance for infection prevention (IP) units regarding the safety and acceptability of these devices. This paper describes the process of risk assessment and the mitigation measures for training, workflows, and documentation which led to the safe introduction of an automated PET infusion device in a large tertiary public healthcare facility.
Publisher: Wiley
Date: 13-01-2022
DOI: 10.1111/BJOP.12554
Abstract: Little is known about how different government communication strategies may systematically affect people’s attitudes to staying home or going out during the COVID‐19 pandemic, nor how people perceive and process the risk of viral transmission in different scenarios. In this study, we report results from two experiments that examine the degree to which people’s attitudes regarding the permissibility of leaving one’s home are (1) sensitive to different levels of risk of viral transmission in specific scenarios, (2) sensitive to communication framings that are either imperative or that emphasize personal responsibility, or (3) creating ‘loopholes’ for themselves, enabling a more permissive approach to their own compliance. We find that the level of risk influences attitudes to going out, and that participants report less permissive attitudes to going out when prompted with messages framed in imperative terms, rather than messages emphasizing personal responsibility for self‐loopholes, we find no evidence that participants’ attitudes towards going out in specific scenarios are more permissive for themselves than for others. However, participants report they are more rigorous in staying home than others, which may cause moral licensing. Additionally, we find that age is negatively associated with permissive attitudes, and that male participants are more permissive to going out. Thus, during phases where it is important to promote staying home for all scenarios, including those perceived to be low‐risk, imperative communication may be best suited to increase compliance.
Publisher: Elsevier BV
Date: 09-2021
Publisher: Elsevier BV
Date: 09-2016
DOI: 10.1016/J.JHIN.2016.05.020
Abstract: Healthcare-associated Staphylococcus aureus bacteraemia (HA-SAB) results in morbidity, mortality, and increased healthcare costs, and these infections are frequently regarded as preventable. To implement a multi-modal prevention programme for improved processes regarding peripheral intravenous cannula (PIVC) insertion and maintenance, in order to reduce PIVC-associated HA-SAB events in a large Australian health service. Baseline clinical practice was evaluated for a 12-month pre-intervention period. Measures to reduce HA-SAB risk were introduced between January and September 2013: staff education, improved documentation (including phlebitis scoring), and availability of standardized equipment. Post-intervention auditing was performed during the 27 months following intervention. Baseline and post-intervention HA-SAB and PIVC-associated infection rates were compared. Interrupted time-series and Bayesian change-point analyses were applied to determine the impact of interventions and timing of change. Significantly improved documentation regarding PIVC insertion and management was observed in the post-intervention period, with fewer PIVCs left in situ for ≥4 days (2.6 vs 6.9%, P<0.05). During the baseline period a total of 68 HA-SAB events occurred [1.01/10,000 occupied bed-days (OBDs)] and 24 were PIVC-associated (35% of total, rate 0.39 per 10,000 OBDs). In the post-intervention period, a total of 83 HA-SAB events occurred (0.99 per 10,000 OBDs) and 12 were PIVC-associated (14.4% of total, rate 0.14 per 10,000 OBDs). PIVC-associated SAB rates were 63% lower in the post-intervention period compared to baseline (P=0.018) with a change point observed following full bundle implementation in October 2013. A successful multi-modal hospital-wide c aign was introduced to reduce PIVC-associated SAB rates. Evaluation of cost-effectiveness and sustainability is required.
No related grants have been discovered for Daniela Karanfilovska.