Gaming in infection control: a qualitative study exploring the perceptions and experiences of health professionals in Mongolia.

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dc.contributor.author Ider, BE
dc.contributor.author Adams, J
dc.contributor.author Morton, A
dc.contributor.author Whitby, M
dc.contributor.author Clements, A
dc.date.accessioned 2012-10-12T03:34:23Z
dc.date.issued 2011-09
dc.identifier.citation American journal of infection control, 2011, 39 (7), pp. 587 - 594
dc.identifier.issn 0196-6553
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/18579
dc.description.abstract BACKGROUND: This study aimed to gain insight into the extent to which gaming is responsible for the underreporting of hospital-acquired infections (HAIs) in Mongolian hospitals, to identify gaming strategies used by health professionals, and to determine how gaming might be prevented. METHODS: Eighty-seven health professionals, including policy- and hospital-level managers, doctors, nurses, and infection control practitioners, were recruited for 55 interviews and 4 group discussions in Mongolia in 2008. RESULTS: All study participants were aware of gaming, which could occur via the following mechanisms: (1) doctors or nurses concealing HAI by overprescribing antibiotics or discharging patients early; (2) infection control practitioners failing to report HAI cases to hospital directors; and (3) hospital directors preventing reporting of HAI cases to the Ministry of Health. Gaming was consistently perceived to be a response to punitive performance evaluation by the Ministry of Health and penalization of hospitals and staff by the State Inspection Agency when HAIs were detected. Participants held divergent views regarding the best approach to reduce gaming, including excluding the current single indicator (ie, HAI rate) from the performance indicator list, developing multiple specific infection control indicators, improving the awareness of health managers regarding the causes of HAI, and increasing funding for infection control activities. CONCLUSION: Inclusion of the overall HAI rate in the targeted performance indicator set and the strict control and penalization of hospitals with reported HAI cases are factors that have contributed to gaming, which has resulted in deliberate, extreme underreporting of HAIs in Mongolian hospitals.
dc.format Print-Electronic
dc.language eng
dc.relation.isbasedon 10.1016/j.ajic.2010.10.033
dc.title Gaming in infection control: a qualitative study exploring the perceptions and experiences of health professionals in Mongolia.
dc.type Journal Article
dc.parent American journal of infection control
dc.journal.volume 7
dc.journal.volume 39
dc.journal.number 7 en_US
dc.publocation New York en_US
dc.publocation Los Amalitos, USA
dc.identifier.startpage 587 en_US
dc.identifier.endpage 594 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.conference 4th IEEE International Workshop on Advanced Issues of E-Commerce and Web-based Information Systems
dc.for 111711 Health Information Systems (Incl. Surveillance)
dc.personcode 112076
dc.percentage 100 en_US
dc.classification.name Health Information Systems (incl. Surveillance) en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.date.activity 2002-06-26
dc.location.activity en_US
dc.location.activity Newport Beach, USA
dc.description.keywords Humans
dc.description.keywords Data Collection
dc.description.keywords Infection Control
dc.description.keywords Hospitals
dc.description.keywords Nurses
dc.description.keywords Physicians
dc.description.keywords Interviews as Topic
dc.description.keywords Guidelines as Topic
dc.description.keywords Infection Control Practitioners
dc.description.keywords Mongolia
dc.description.keywords Cross Infection
dc.description.keywords Qualitative Research
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Closed (ID: 3)


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