National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Drug Events (ADE) (1)
- Adverse Events (7)
- Ambulatory Care and Surgery (2)
- Antibiotics (2)
- Antimicrobial Stewardship (3)
- Arthritis (1)
- Blood Clots (1)
- Catheter-Associated Urinary Tract Infection (CAUTI) (7)
- Central Line-Associated Bloodstream Infections (CLABSI) (6)
- Children/Adolescents (7)
- Clostridium difficile Infections (4)
- Colonoscopy (1)
- Communication (1)
- Comparative Effectiveness (1)
- Comprehensive Unit-based Safety Program (CUSP) (2)
- Data (1)
- Decision Making (1)
- Diagnostic Safety and Quality (1)
- Dialysis (1)
- Education: Continuing Medical Education (1)
- Education: Patient and Caregiver (2)
- Elderly (1)
- Emergency Department (1)
- Evidence-Based Practice (3)
- Guidelines (2)
- (-) Healthcare-Associated Infections (HAIs) (51)
- Healthcare Cost and Utilization Project (HCUP) (1)
- Healthcare Costs (1)
- Health Information Technology (HIT) (1)
- Health Literacy (1)
- Hospital Discharge (1)
- Hospitalization (2)
- Hospital Readmissions (1)
- Hospitals (8)
- Infectious Diseases (1)
- Injuries and Wounds (6)
- Intensive Care Unit (ICU) (4)
- Kidney Disease and Health (1)
- Labor and Delivery (1)
- Long-Term Care (5)
- Maternal Care (1)
- Medicare (2)
- Medication (2)
- Medication: Safety (1)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (6)
- Neonatal Intensive Care Unit (NICU) (1)
- Newborns/Infants (3)
- Nursing (1)
- Organizational Change (1)
- Outcomes (3)
- Patient-Centered Outcomes Research (1)
- Patient Experience (1)
- Patient Safety (18)
- Payment (2)
- Pneumonia (1)
- Practice Patterns (1)
- Pressure Ulcers (3)
- Prevention (22)
- Provider (2)
- Provider: Health Personnel (2)
- Provider: Nurse (1)
- Provider Performance (1)
- Public Health (1)
- Quality Improvement (4)
- Quality Indicators (QIs) (1)
- Quality Measures (3)
- Quality of Care (4)
- Registries (1)
- Respiratory Conditions (1)
- Risk (7)
- Sepsis (1)
- Surgery (5)
- Surveys on Patient Safety Culture (1)
- Telehealth (1)
- Tobacco Use (1)
- Urinary Tract Infection (UTI) (5)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 25 of 51 Research Studies DisplayedMetersky ML, Wang Y, Klompas M
Trend in ventilator-associated pneumonia rates between 2005 and 2013.
This study found that, from 2005 through 2013, Medicare Patient Safety Monitoring System (MPSMS) ventilator-associated pneumonia (VAP) rates remained stable and substantial, affecting approximately 10 percent of ventilated patients. Persistently high VAP rates bolster concerns that most interventions purported to reduce VAP are supported by limited evidence.
AHRQ-authored; AHRQ-funded; 290201200003C.
Citation: Metersky ML, Wang Y, Klompas M .
Trend in ventilator-associated pneumonia rates between 2005 and 2013.
JAMA 2016 Dec 13;316(22):2427-29. doi: 10.1001/jama.2016.16226.
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Keywords: Healthcare-Associated Infections (HAIs), Patient Safety, Evidence-Based Practice
Nuckols TK, Keeler E, Morton SC
Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review.
The authors systematically reviewed economic evaluations of QI interventions designed to prevent central-line-associated bloodstream infections (CLABSI) and catheter-related bloodstream infections (CRBSI) in acute care hospitals. They concluded that interventions related to central venous catheters were, on average, associated with 57% fewer bloodstream infections and substantial savings to hospitals. Larger initial investments may be associated with greater savings.
AHRQ-funded.
Citation: Nuckols TK, Keeler E, Morton SC .
Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review.
JAMA Intern Med 2016 Dec;176(12):1843-54. doi: 10.1001/jamainternmed.2016.6610.
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Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Healthcare-Associated Infections (HAIs), Healthcare Costs, Quality Improvement
Cohen B, Murray M, Jia H
Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?
The authors studied the possibility of a correlation between hand hygiene and viral outbreak reduction in pediatric long-term care facilities. Contrary to findings in adult long-term care facilities, they found no association between hand hygiene frequency and subsequent outbreak onset in pediatric long-term care facilities.
AHRQ-funded; HS021470.
Citation: Cohen B, Murray M, Jia H .
Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?
Am J Infect Control 2016 Dec;44(12):1492-94. doi: 10.1016/j.ajic.2016.06.022.
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Keywords: Prevention, Children/Adolescents, Long-Term Care, Healthcare-Associated Infections (HAIs), Patient Safety, Children/Adolescents
Peterson LR, Boehm S, Beaumont JL
Reduction of methicillin-resistant Staphylococcus aureus infection in long-term care is possible while maintaining patient socialization: a prospective randomized clinical trial.
The researchers sought to demonstrate that a novel, minimally invasive program not interfering with activities of daily living or socialization could lower methicillin-resistant Staphylococcus aureus (MRSA) disease in long-term care facilities (LTCFs). They found that the MRSA infection rate decreased 65% between baseline and year 2, with a significant reduction observed at each of the three participating LTCFs. They concluded that on-site MRSA surveillance with targeted decolonization resulted in a significant decrease in clinical MRSA infection among LTCF residents.
AHRQ-funded; HS019968.
Citation: Peterson LR, Boehm S, Beaumont JL .
Reduction of methicillin-resistant Staphylococcus aureus infection in long-term care is possible while maintaining patient socialization: a prospective randomized clinical trial.
Am J Infect Control 2016 Dec;44(12):1622-27. doi: 10.1016/j.ajic.2016.04.251.
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Keywords: Healthcare-Associated Infections (HAIs), Long-Term Care, Methicillin-Resistant Staphylococcus aureus (MRSA), Patient Safety, Prevention
Warnock DG, Powell TC, Siew ED
Serum creatinine trajectories for community- versus hospital-acquired acute kidney injury.
The researchers hypothesized that the timing and values of minimum and maximum serum creatinine (sCr) could be used to distinguish between transient hospital-associated AKI (THA-AKI) and hospital-acquired AKI (HA-AKI). They found that peak creatinine followed the minimum creatinine for HA-AKI, while the peak creatinine preceded the minimum creatinine for THA-AKI.
AHRQ-funded; HS013852.
Citation: Warnock DG, Powell TC, Siew ED .
Serum creatinine trajectories for community- versus hospital-acquired acute kidney injury.
Nephron 2016;134(3):177-82. doi: 10.1159/000447757.
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Keywords: Healthcare-Associated Infections (HAIs), Healthcare-Associated Infections (HAIs)
Musuuza JS, Hundt AS, Zimbric M
Standardizing direct observation for assessing compliance to a daily chlorhexidine bathing protocol among hospitalized patients.
This paper describes the authors' experience training observers to conduct chlorhexidine gluconate bathing observations, and they present findings from pilot observations.
AHRQ-funded; HS024039.
Citation: Musuuza JS, Hundt AS, Zimbric M .
Standardizing direct observation for assessing compliance to a daily chlorhexidine bathing protocol among hospitalized patients.
Infect Control Hosp Epidemiol 2016 Dec;37(12):1516-18. doi: 10.1017/ice.2016.214.
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Keywords: Guidelines, Quality of Care, Healthcare-Associated Infections (HAIs), Patient Safety, Prevention
Mimoz O, Chopra V, Widmer A
What's new in skin antisepsis for short-term intravascular catheters: new data to address old problems?
Catheter-related infections remain a leading cause of healthcare-associated infections (HAI) in ICUs and the most preventable HAI. The authors discussed skin antiseptic solutions and included a table of practical recommendations for skin antisepsis before insertion of a short-term vascular catheter.
AHRQ-funded; HS022835.
Citation: Mimoz O, Chopra V, Widmer A .
What's new in skin antisepsis for short-term intravascular catheters: new data to address old problems?
Intensive Care Med 2016 Dec;42(12):2043-45. doi: 10.1007/s00134-016-4490-5.
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Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Healthcare-Associated Infections (HAIs), Patient Safety, Prevention
Ruis AR, Shaffer DW, Shirley DK
Teaching health care workers to adopt a systems perspective for improved control and prevention of health care-associated infections.
The authors argue that procedural approaches alone, even with high levels of adherence, are often insufficient to solve the growing problem of health care-associated infections (HAIs); it is equally important that interventions address the more complex cognitive aspects of HAI control and prevention. Health care workers (HCWs) face many patient care situations for which standard procedures have not been and cannot be developed.
AHRQ-funded; HS023791.
Citation: Ruis AR, Shaffer DW, Shirley DK .
Teaching health care workers to adopt a systems perspective for improved control and prevention of health care-associated infections.
Am J Infect Control 2016 Nov;44(11):1360-64. doi: 10.1016/j.ajic.2016.04.211.
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Keywords: Clostridium difficile Infections, Education: Continuing Medical Education, Healthcare-Associated Infections (HAIs), Prevention, Provider
Krishnan S, Karg PE, Boninger ML
Early detection of pressure ulcer development following traumatic spinal cord injury using inflammatory mediators.
The authors aimed to identify changes in concentrations of inflammatory mediators in plasma and urine after traumatic spinal cord injury and before the occurrence of a first pressure ulcer. They found that an increase in concentration of the chemokine interferon-γ-induced protein in plasma and a decrease in concentration of the cytokine interferon-α in urine were observed before occurrence of a first pressure ulcer compared with matched controls. They concluded that inflammatory mediators should be explored as possible biomarkers for identifying individuals at risk for pressure ulcer formation.
AHRQ-funded; HS022134.
Citation: Krishnan S, Karg PE, Boninger ML .
Early detection of pressure ulcer development following traumatic spinal cord injury using inflammatory mediators.
Arch Phys Med Rehabil 2016 Oct;97(10):1656-62. doi: 10.1016/j.apmr.2016.01.003.
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Keywords: Pressure Ulcers, Healthcare-Associated Infections (HAIs), Injuries and Wounds
Diehl A, Yang T, Speck K
AHRQ Author: Battles J
Evaluating the accuracy of sampling strategies for estimation of compliance rate for ventilator-associated pneumonia process measures.
The researchers evaluated the accuracy of sampling strategies to estimate monthly compliance rates with ventilator-associated pneumonia prevention measures. They concluded that sampling process measures intermittently rather than continually can yield accurate estimates of process measure performance rates.
AHRQ-authored; AHRQ-funded; 290201000027I; 29032002T.
Citation: Diehl A, Yang T, Speck K .
Evaluating the accuracy of sampling strategies for estimation of compliance rate for ventilator-associated pneumonia process measures.
Infect Control Hosp Epidemiol 2016 Sep;37(9):1037-43. doi: 10.1017/ice.2016.136.
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Keywords: Comprehensive Unit-based Safety Program (CUSP), Healthcare-Associated Infections (HAIs), Pneumonia, Quality Improvement, Quality Measures
Lau BD, Haut ER, Hobson DB
ICD-9 code-based venous thromboembolism performance targets fail to measure up.
Suboptimal prevention practices have prompted payers to consider hospital-associated Venous thromboembolism (VTE) as a potentially preventable condition for which financial incentives or penalties exist to drive practice improvement. The authors reviewed a subset of hospital-associated VTE that were identified by ICD-9 codes used by a state-run pay-for-performance quality improvement program and discuss their findings.
AHRQ-funded; HS017952.
Citation: Lau BD, Haut ER, Hobson DB .
ICD-9 code-based venous thromboembolism performance targets fail to measure up.
Am J Med Qual 2016 Sep;31(5):448-53. doi: 10.1177/1062860615583547.
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Keywords: Healthcare-Associated Infections (HAIs), Quality Indicators (QIs), Prevention, Hospitals, Quality Improvement, Blood Clots, Payment, Provider Performance
Pogorzelska-Maziarz M, Nembhard IM, Schnall R
Psychometric evaluation of an instrument for measuring organizational climate for quality: evidence from a national sample of infection preventionists.
This study tested the psychometric properties of the Leading a Culture of Quality for Infection Prevention (LCQ-IP) instrument measuring the infection prevention climate in a sample of 972 infection preventionists from acute care hospitals. An exploratory principal component analysis showed that the instrument had structural validity and captured 4 factors related to the climate for infection prevention: Psychological Safety, Prioritization of Quality, Supportive Work Environment, and Improvement Orientation.
AHRQ-funded; HS018987.
Citation: Pogorzelska-Maziarz M, Nembhard IM, Schnall R .
Psychometric evaluation of an instrument for measuring organizational climate for quality: evidence from a national sample of infection preventionists.
Am J Med Qual 2016 Sep;31(5):441-7. doi: 10.1177/1062860615587322.
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Keywords: Quality of Care, Healthcare-Associated Infections (HAIs), Patient Safety, Prevention
McLeod L, Flynn J, Erickson M
Variation in 60-day readmission for surgical-site infections (SSIs) and reoperation following spinal fusion operations for neuromuscular scoliosis.
The purpose of this study was to examine variation in hospital performance based on risk-standardized 60-day readmission rates for surgical-site infection (SSIs) and reoperation across 39 US Children's Hospitals. It found that reoperations were associated with an SSI in 70 percent of cases. Across hospitals, SSI and reoperation rates ranged from 1 percent to 11 percent and 1 percent to 12 percent, respectively.
AHRQ-funded; HS022198.
Citation: McLeod L, Flynn J, Erickson M .
Variation in 60-day readmission for surgical-site infections (SSIs) and reoperation following spinal fusion operations for neuromuscular scoliosis.
J Pediatr Orthop 2016 Sep;36(6):634-9. doi: 10.1097/bpo.0000000000000495.
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Keywords: Children/Adolescents, Surgery, Healthcare-Associated Infections (HAIs), Injuries and Wounds, Adverse Events, Hospital Readmissions, Hospitals, Risk
Garcia-Albeniz X, Hsu J, Lipsitch M
Colonoscopy and risk of infective endocarditis in the elderly.
The authors estimated the risk of infective endocarditis (IE) after colonoscopy in individuals aged 70 to 79 without a history of colorectal cancer (CRC), endocarditis, or colectomy from a random 20% sample of Medicare beneficiaries. Their findings suggest that individuals without risk factors for IE and those without gastrointestinal symptoms did not have an elevated IE risk after colonoscopy. However, they found a modestly increased risk among individuals with risk factors for IE who undergo a polypectomy or a biopsy during a colonoscopy following recent symptoms.
AHRQ-funded; HS023128.
Citation: Garcia-Albeniz X, Hsu J, Lipsitch M .
Colonoscopy and risk of infective endocarditis in the elderly.
J Am Coll Cardiol 2016 Aug 2;68(5):570-71. doi: 10.1016/j.jacc.2016.05.041.
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Keywords: Adverse Events, Colonoscopy, Elderly, Healthcare-Associated Infections (HAIs), Risk
Minami CA, Dahlke AR, Barnard C
Association between hospital characteristics and performance on the new hospital-acquired condition reduction program's surgical site infection measures.
This research letter evaluated the association between hospital characteristics and surgical site infection (SSI) measures. The authors found that hospitals with higher hospital quality summary scores were more frequently poor performers for SSI and had higher standardized infection ratios. Hospitals were more likely to be poor performers for colon SSI and hysterectomy SSI if they were a teaching hospital, safety-net hospital, or level I trauma center. Teaching hospitals were more likely to be poor performers for colorectal SSI, but the association was not as consistent for hysterectomy.
AHRQ-funded; HS021857.
Citation: Minami CA, Dahlke AR, Barnard C .
Association between hospital characteristics and performance on the new hospital-acquired condition reduction program's surgical site infection measures.
JAMA Surg 2016 Aug;151(8):777-9. doi: 10.1001/jamasurg.2016.0408.
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Keywords: Healthcare-Associated Infections (HAIs), Surgery, Injuries and Wounds, Adverse Events, Quality Measures, Hospitals, Quality of Care
McAlearney AS, Hefner JL
Getting to zero: goal commitment to reduce blood stream infections.
The researchers examined goal-setting as a factor contributing to program outcomes in eight hospitals focused on preventing central line-associated bloodstream infections (CLABSIs). They conducted qualitative case studies to compare higher- and lower-performing hospitals, and explored differences in contextual factors that might contribute to performance variation. Finally, they present a goal commitment framework that characterizes factors associated with successful CLABSI program outcomes.
AHRQ-funded; 290200600022.
Citation: McAlearney AS, Hefner JL .
Getting to zero: goal commitment to reduce blood stream infections.
Med Care Res Rev 2016 Aug;73(4):458-77. doi: 10.1177/1077558715616028.
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Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Healthcare-Associated Infections (HAIs), Hospitals, Outcomes, Patient Safety, Prevention
Rinke ML, Jan D, Nassim J
Surgical site infections following pediatric ambulatory surgery: an epidemiologic analysis.
The authors identified surgical site infection (SSI) rates following pediatric ambulatory surgery, SSI outcomes and risk factors, and sensitivity and specificity of SSI administrative billing codes. They concluded that SSI following pediatric ambulatory surgery occurs at an appreciable rate and conveys morbidity on children.
AHRQ-funded; HS021282.
Citation: Rinke ML, Jan D, Nassim J .
Surgical site infections following pediatric ambulatory surgery: an epidemiologic analysis.
Infect Control Hosp Epidemiol 2016 Aug;37(8):931-8. doi: 10.1017/ice.2016.98.
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Keywords: Children/Adolescents, Ambulatory Care and Surgery, Surgery, Healthcare-Associated Infections (HAIs), Injuries and Wounds, Adverse Events, Risk
Dicks KV, Lofgren E, Lewis SS
A multicenter pragmatic interrupted time series analysis of chlorhexidine gluconate bathing in community hospital intensive care units.
This study sought to determine whether daily chlorhexidine gluconate (CHG) bathing of intensive care unit (ICU) patients leads to a decrease in hospital-acquired infections (HAIs), particularly infections caused by methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). It concluded that hospitals that implemented CHG bathing attained a decrease in ICU central-line-associated bloodstream infections (CLABSIs), ICU primary BSIs, and VRE central-line-associated bloodstream infections.
AHRQ-funded; HS023866.
Citation: Dicks KV, Lofgren E, Lewis SS .
A multicenter pragmatic interrupted time series analysis of chlorhexidine gluconate bathing in community hospital intensive care units.
Infect Control Hosp Epidemiol 2016 Jul;37(7):791-7. doi: 10.1017/ice.2016.23.
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Keywords: Catheter-Associated Urinary Tract Infection (CAUTI), Central Line-Associated Bloodstream Infections (CLABSI), Intensive Care Unit (ICU), Methicillin-Resistant Staphylococcus aureus (MRSA), Prevention, Patient Safety, Healthcare-Associated Infections (HAIs)
Reich PJ, Boyle MG, Hogan PG
Emergence of community-associated methicillin-resistant Staphylococcus aureus strains in the neonatal intensive care unit: an infection prevention and patient safety challenge.
Methicillin-resistant Staphylococcus aureus (MRSA) infections cause significant morbidity and mortality in neonatal intensive care units (NICUs). The researchers characterized the clinical and molecular epidemiology of MRSA strains colonizing NICU patients. They found that community-acquired MRSA strains are prominent in the NICU and associated with distinct risk factors.
AHRQ-funded; HS021736; HS024269.
Citation: Reich PJ, Boyle MG, Hogan PG .
Emergence of community-associated methicillin-resistant Staphylococcus aureus strains in the neonatal intensive care unit: an infection prevention and patient safety challenge.
Clin Microbiol Infect 2016 Jul;22(7):645.e1-8. doi: 10.1016/j.cmi.2016.04.013.
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Keywords: Methicillin-Resistant Staphylococcus aureus (MRSA), Neonatal Intensive Care Unit (NICU), Patient Safety, Prevention, Antimicrobial Stewardship, Newborns/Infants, Healthcare-Associated Infections (HAIs)
Muray MT, Jackson O, Cohen B
Impact of infection prevention and control initiatives on acute respiratory infections in a pediatric long-term care facility.
Researchers evaluated the collective impact of several infection prevention and control initiatives aimed at reducing acute respiratory infections (ARIs) in a pediatric long-term care facility. ARIs did not decrease overall, though the proportion of infections associated with outbreaks and average number of cases per outbreak decreased. Influenza rates decreased significantly.
AHRQ-funded; HS021470.
Citation: Muray MT, Jackson O, Cohen B .
Impact of infection prevention and control initiatives on acute respiratory infections in a pediatric long-term care facility.
Infect Control Hosp Epidemiol 2016 Jul;37(7):859-62. doi: 10.1017/ice.2016.73.
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Keywords: Healthcare-Associated Infections (HAIs), Children/Adolescents, Long-Term Care, Prevention, Respiratory Conditions
Wiseman JT, Fernandes-Taylor S, Gunter R
Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery.
The authors evaluated whether smartphone digital images can supplant in-person evaluation of postoperative vascular surgery wounds. They concluded that using smartphone digital images is a valid method for evaluating postoperative vascular surgery wounds and is comparable to in-person evaluation with regard to most wound characteristics. The inter-rater reliability for determining treatment recommendations was universally high.
AHRQ-funded; HS023395.
Citation: Wiseman JT, Fernandes-Taylor S, Gunter R .
Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery.
J Vasc Surg Venous Lymphat Disord 2016 Jul;4(3):320-28.e2. doi: 10.1016/j.jvsv.2016.02.001.
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Keywords: Healthcare-Associated Infections (HAIs), Injuries and Wounds, Telehealth, Surgery, Health Information Technology (HIT), Diagnostic Safety and Quality
Saint S, Greene MT, Krein SL
AHRQ Author: Battles J
A program to prevent catheter-associated urinary tract infection in acute care.
The national Comprehensive Unit-based Safety Program, funded by AHRQ, aimed to reduce catheter-associated UTI in intensive care units (ICUs) and non-ICUs. The main program features were dissemination of information to sponsor organizations and hospitals, data collection, and guidance on key technical and socioadaptive factors in the prevention of catheter-associated UTI. Among the findings: in an adjusted analysis, catheter-associated UTI rates decreased from 2.40 to 2.05 infections per 1000 catheter-days.
AHRQ-authored; AHRQ-funded; 290201000025I; 29032001T.
Citation: Saint S, Greene MT, Krein SL .
A program to prevent catheter-associated urinary tract infection in acute care.
N Engl J Med 2016 Jun 2;374(22):2111-9. doi: 10.1056/NEJMoa1504906.
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Keywords: Comprehensive Unit-based Safety Program (CUSP), Healthcare-Associated Infections (HAIs), Intensive Care Unit (ICU), Prevention, Urinary Tract Infection (UTI)
Wares JR, Lawson B, Shemin D
Evaluating infection prevention strategies in out-patient dialysis units using agent-based modeling.
The researchers hypothesized that targeting patients receiving antimicrobial treatment would more effectively reduce transmission and acquisition of multidrug-resistant organisms (MDRO) and further that environmental contamination plays a role in the dissemination of MDRO in the dialysis unit. They found that reducing antimicrobial treatment markedly reduces overall colonization rates and also the levels of environmental contamination in the dialysis unit. They suggested that improving the environmental decontamination efficacy between patient dialysis treatments as an effective method for reducing colonization and contamination rates.
AHRQ-funded; HS021666.
Citation: Wares JR, Lawson B, Shemin D .
Evaluating infection prevention strategies in out-patient dialysis units using agent-based modeling.
PLoS One 2016 May 19;11(5):e0153820. doi: 10.1371/journal.pone.0153820.
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Keywords: Antimicrobial Stewardship, Antibiotics, Medication, Healthcare-Associated Infections (HAIs), Prevention, Ambulatory Care and Surgery, Infectious Diseases
Padula WV, Gibbons RD, Valuck RJ
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
The objective of this study was to evaluate the longitudinal impact of CMS policy and quality improvement adoption on hospital-acquired pressure ulcers (HAPU) rates. It concluded that HAPU rates were significantly lower after changes in CMS reimbursement. Reductions are associated with hospital-wide implementation of evidence-based practices for HAPU prevention.
AHRQ-funded; HS023710.
Citation: Padula WV, Gibbons RD, Valuck RJ .
Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?
Med Care 2016 May;54(5):512-8. doi: 10.1097/mlr.0000000000000516..
Keywords: Evidence-Based Practice, Healthcare-Associated Infections (HAIs), Pressure Ulcers, Quality Improvement
Musuuza JS, Barker A, Ngam C
Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review.
The researchers examined fidelity reporting in interventions to improve hand hygiene compliance and assessed 5 measures of intervention fidelity. They found that participant responsiveness and adherence to the intervention were the most frequently unreported fidelity measures, while quality of the delivery was the most frequently reported measure. To facilitate replication and effective implementation, the authors recommended that reporting fidelity should be standard practice when describing results of complex behavioral interventions such as hand hygiene.
AHRQ-funded; HS024039.
Citation: Musuuza JS, Barker A, Ngam C .
Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review.
Infect Control Hosp Epidemiol 2016 May;37(5):567-75. doi: 10.1017/ice.2015.341.
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Keywords: Healthcare-Associated Infections (HAIs), Provider: Health Personnel, Patient Safety, Prevention