Page 1 of 22 Next Page

Advances in the Prevention and Control of HAIs

This report presents methodological insights from projects in AHRQ’s Healthcare-Associated Infections (HAI) Program. The individual papers presented here were prepared by AHRQ-funded HAI project leaders. The 19 papers included in the report are divided into two sections: Development and Implementation of HAI Prevention Practices (11 papers) and HAI Risk Identification for Quality Improvement (eight papers).


Prepared for: Agency for Healthcare Research and Quality, Rockville, MD, under Contract HHSA290200710071T.

Prepared by:
IMPAQ International, LLC, Columbia, MD
RAND Corporation, Santa Monica, CA

Editors:
James B. Battles, PhD
James I. Cleeman, MD
Katherine L. Kahn, MD
Daniel A. Weinberg, PhD, MBA

Contents

Introduction

Preface

Advances in the Prevention and Control of HAIs: Setting the Stage
James B. Battles, James I. Cleeman, Katherine L. Kahn, Daniel A. Weinberg

Development and Implementation of HAI Prevention Practices

Advancing the Science of Patient Safety and Quality Improvement to the Next Level
Peter J. Pronovost, Jill A. Marsteller, Albert W. Wu, et al.

Strengthening National Efforts to Reduce Healthcare-Associated Infections
Stephen C. Hines

Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures
Barbara I. Braun, Loreen Herwaldt, Marin Schweizer, et al.

Assessing ICU Staff-Perceived Barriers to Implementation of an Enhanced Carbapenem-Resistant Enterbacteriaceae Control Intervention
Victoria Parker, Caroline Logan, and Brian Currie

Screening for Surgical Site Infections by Applying Classification Trees to Electronic Data
Michael A. Rubin, Makoto Jones, Jefrey L. Huntington, et al.

Flexible Interventions to Decrease Antibiotic Overuse in Primary Care Practice: A Report from SNOCAP-USA
Amy Irwin, Susan L. Moore, Connie S. Price, et al.

Identifying and Aligning Work-System Factors to Mitigate HAIs in Ambulatory Dialysis
Vicki R. Lewis, Lindsey Clark, and Raj Ratwani

Strategies to Reduce Potentially Inappropriate Antibiotic Prescribing in Assisted Living and Nursing Homes
Sheryl Zimmerman, C. Madeline Mitchell, Anna Song Beeber, et al.

Methodological Challenges Associated With Developing and Implementing Antibiograms in Nursing Homes
Jon Mark Hirshon, Angela C. Comer, Joseph H. Rosenberg, et al.

Developing the Capacity to Implement Antimicrobial Stewardship: Opportunities for the Future
Carol VanDeusen Lukas, Elisa Koppelman, Belinda Ostrowsky, et al.

Studying HAI Prevention Efforts to Learn From Experience: Methodological Opportunities and Challenges
Ann Scheck McAlearney and Julie Robbins

HAI Risk Identification for Quality Improvement

Building Capacity in HAI Prevention Research: NICHE and the STOP CAUTI Workgroup
Heidi Wald, Angela Richard, Brian Bandle, et al.

Using Claims Data to Perform Surveillance for Surgical Site Infection: The Devil Is in the Details
Katelin B. Nickel, Anna E. Wallace, David K. Warren, et al.

Turning Unstructured Microbiology Culture Data Into Usable Information: Methods for Alerting Infection Preventionists in a Health Information Exchange About Multidrug-Resistant Gram-Negative Bacterial Infections
Marc B. Rosenman, Kinga A. Szucs, S. Maria E. Finnell, et al.

Detection of Methicillin-Resistant Staphylococcus aureus (MRSA) From Multiple Body Sites of Residents at Long-Term Care Facilities
Donna M. Schora, Susan Boehm, Sanchita Das, et al.

An Electronic Card Study of Treatment Strategies for Community-Acquired Methicillin-Resistant Staphylococcus aureus (CA-MRSA)
Elias Brandt, Douglas H. Fernald, Bennett Parnes, et al.

A Participatory Research Approach to Reducing Surgical Site Infections (SSIs): Development of an Automated SSI Surveillance Tool
Lucy A. Savitz, Susan L. Moore, Walter Biffl, et al.

Issues Regarding Identification of Urinary Catheter Use From Medical Records
Jennifer Meddings, Heidi Reichert, Eric Dueweke, and John Rhyner

Using Socio-Technical Probabilistic Risk Assessment to Assess Risk and Improve Patient Safety and Reliability in Health Care Systems
Anthony D. Slonim, Ebru Bish, and Laura Steighner


This publication was prepared for the Agency for Healthcare Research and Quality (AHRQ) by IMPAQ International, LLC, Columbia, MD, and RAND Corporation, Santa Monica, CA, under contract no. HHSA290200710071T. The opinions presented herein are those of the authors and do not necessarily reflect the position of AHRQ or the U.S. Department of Health and Human Services.

This document is in the public domain and may be used and reprinted without permission. Citation as to source is appreciated.

Page last reviewed June 2014
Internet Citation: Advances in the Prevention and Control of HAIs. June 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-hai/index.html