Het totstandkomen en functioneren van infectiepreventieprotocollen: een onderzoek naar communicatie gestuurd door wet- en regelgeving

Research output: ThesisPhD Thesis - Research UT, graduation UT

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This study examines the development and functioning of infection prevention protocols. Infection prevention protocols are examples of communication driven by health and safety legislation for hospitals (Labor Law 1984, 1999; Care Institutions Quality Act 1996; and national guidelines). The Labor Law and the Care Institutions Quality Act require organi-zations to be able to demonstrate that their operational processes are set up in such a way that staff can carry out their tasks efficiently, effectively and safely. Procedures, protocols and regulations are drawn up to inform staff of the rules governing safety (Labor Law) and of the professional standards for providing optimum care (Care Institutions Quality Act). The implementation of these two Acts usually entails the development of integrated quality systems, both in industry and in governmental organizations. Agreements about ways of working need to be documented in accordance with a certain system (e.g., ISO 9000 or NIAZ/PACE), and a policy needs to be established on how quality documents are to be laid out, approved, issued, amended and managed. These quality documents need to be available and accessible when required, and compliance with their contents needs to be monitored.
This study is a response to the difficulties of putting legislation-driven communication into practice. An earlier study of legislation-driven communication (Elling, 1991) and a preliminary study of how health and safety regulations are communicated (Van Gemert, 1999) indicate that organizations tend to make their safety regulations too complex and too obscure to be incorporated into everyday activities. Research into practice within care institutions shows that similar problems occur with respect to protocols: protocols are ignored because they bear little relation to everyday working practice (Grol, 1994; Berg 1991, 1996).
Original languageDutch
Awarding Institution
  • University of Twente
  • Schellens, P.J., Supervisor
Award date11 Jun 2003
Place of PublicationEnschede
Print ISBNs90-365-1893-8
Publication statusPublished - 11 Jun 2003

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