But most security precautions pale when compared to the 7 East International Unit, located at Sibley Memorial Hospital, overlooking the Potomac River in northwest Washington, D.C. Designed in consultation with the U.S. State Department, 7 East has a two-tier security system, with two separate camera-ready surveillance rooms, able to ac- commodate government security forces and private bodyguards.
Although, the knowledge scales are not same, qualitatively health care workers in our study are less knowledgeable and their compliance to universal precautions is also poorer compared to the health care workers in rural areas in India.
This may be similar to the effect noted by Stelfox et al [ 23] where contact between healthcare staff and patients on isolation precautions is greatly reduced compared to the level of contact for patients who are not on isolation precautions.
However, compared to self-reported precautions, the second method has allowed collecting more complete data.
From the initial data it appeared that patients who were on isolation precautions were getting less optimal cleaning compared to the rooms of patients not on isolation.
In a prospective cohort study among 139 medical inpatients infected or colonized with VRE at two medical centers, attending physicians were about one-half as likely to examine patients under contact precautions compared with those not under precautions, and only examined one-third of patients in the isolation group during morning rounds [ 33].
In developed countries, universal precautions use rate even in community hospitals is considerably higher as compared to our setting.
It means that you know that your risk of these diseases is elevated compared to others so, you have to take some extra precautions to reduce your own risk of getting these diseases.
In fact, compared to physicians, nurses have higher levels of compliance with universal precautions (16) and hand-washing (17, 18) in their respective countries.
Consequently, additional precautions are required and therefore, in practical implementations the APD algorithm is more favorable compared to the WSRMax algorithm.
