讲座题目：Improving Hand Hygiene Process Compliance Through Process Monitoring in Healthcare
主持人： 慕银平 授课
Every year, millions of patients in the world suffer from health care-associated infections (HCAIs) caused by antibiotic-resistant bacteria (ARB). ARB are transmitted to patients in a ward by temporarily contaminated hands of health care workers (HCWs) in patient-care activities. Therefore, hand hygiene of HCWs is an important and effective way to prevent ARB transmission among patients and ensure patient safety. However, HCWs wash their hands with high compliance in some situations, but with low compliance in other situations. Namely, they wash their hands strategically. Strategic hand hygiene behavior has been observed to lead to a generally low compliance. This research studies HCWs’ strategic hand hygiene behavior and provides guidance to hospitals about intervention decision-making to improve compliance. In particular, a strategic behavior model is developed by using an evolutionary game to understand how HCWs adjust their hand washing behavior because of peer influence in intensive interactions. This model suggests three contingent behaviors that depend heavily on peers’ choices: bandwagoning, free-riding, and prosocial hand hygiene behavior. The conditions for how contingent behaviors appear are also identified. The results demonstrate that hand hygiene intervention may not effectively prevent disease transmission without understanding the microlevel behaviors of noncompliant HCWs. Our results provide an explanation as to why there is a significant variability in the effectiveness of management intervention as observed in practice.
陈文琳， 现为威尼斯平台官网工商管理系副研究员，2011年以国家公派留学生身份赴澳大利亚新南威尔士大学学习博士并被2016年取得管理学博士学位，博士论文获得The Professor M Weinstock Memorial Prize for the Most Innovative Completed PhD of Year 2016好博士论文奖。研究方向呢行为运作管理和医疗健康管理，目前已在 Manufacturing & Service Operations Management 相当国际主流期刊以第一作者身份发表学术论文，主办国家自然科学基金青年项目1起，连出席多件国家自然科学基金面上项目。