Navigation Links
Evaluation of hospital infection prevention policies can identify opportunities for improvement
Date:10/29/2013

Washington, DC, October 29, 2013 Identifying gaps in infection prevention practices may yield opportunities for improved patient safety, according to a survey published in the November issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

Ascension Health, the nation's largest non-profit healthcare system with hospitals and related healthcare facilities in 23 states and the District of Columbia, conducted a 96-question survey of 71 of its member hospitals to evaluate infection control processes for catheter-associated urinary tract infections (CAUTI), central line-associated bloodstream infections (CLABSI), ventilator-associated pneumonia (VAP), and surgical-site infections (SSI). The survey questions addressed policies for placement and maintenance of devices, surgical procedures, evaluation of healthcare workers' competencies, and outcomes evaluation.

The effort was undertaken as part of Ascension Health's participation as a Hospital Engagement Network in the U.S. Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) Partnership for Patients program, a federally funded effort to help improve the quality, safety, and affordability of healthcare for all Americans with the goal to decrease preventable hospital acquired conditions by 40 percent and decrease hospital readmissions by 20 percent.

According to the survey results, the majority of hospitals had infection prevention policies in place for the use of devices, surgery, hand hygiene, and multidrug-resistant organisms. However, only 28 out of 71 (or 39.4 percent) reported having policies relating to antimicrobial stewardship, such as antimicrobial restrictions. Appropriate use of antibiotics is necessary to prevent antibiotic resistance.

Also, practices to reduce device risk varied between hospitals. For example, the use of bladder scanners to assess for urinary retention was more available in medium and large hospitals compared to smaller ones. In addition, while more than three-quarters of hospitals had a nurse-driven protocol for determining need for a urinary catheter, only a minority of nurses (26.8 percent) and patient care technicians (11.3 percent) received annual training on how to properly place and maintain urinary catheters.

To reduce the risk of CLABSI, 94.4 percent of hospitals reported using an insertion checklist. However, according to the survey, only 59.2 percent used the checklist more than 90 percent of the time and only 40.8 percent provided annual training for nurses on placing and maintaining venous catheters. Very few hospitals used electronic reminders to help nurses (8.5 percent) and physicians (1.4 percent) evaluate catheter need.

Hospitals evaluated outcomes for CAUTI, CLABSI, VAP, and SSI, with root cause analysis predominantly occurring for cases of CLABSI and VAP. Surgeon-specific SSI rates were calculated and discussed with the surgeons in only two-thirds of the hospitals, a tool that may be important in helping surgeons prioritize infection prevention efforts.

"We suggest that individual hospitals evaluate their policies, processes, and practices prior to implementing interventions to establish a baseline for comparative purposes, to reduce infection, and base their action on the gaps identified," state the authors. "We believe that identifying the gaps and addressing them as a system will help lead to marked improvements in safety for our patients."


'/>"/>

Contact: Liz Garman
egarman@apic.org
202-454-2604
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. The Florida Knee and Orthopedic Centers Offer X-ray and MRI Evaluations at No Cost
2. NIH expands nationwide network of Vaccine and Treatment Evaluation Units
3. The Aurora Clinic Now Providing Affordable Washington and Oregon Medical Marijuana Evaluations
4. Complimentary Hearing Evaluations in Kennett Square Pennsylvania Offered by Hearing Aid Associates
5. oBand Offering Complimentary Finance Evaluation for LAP-BAND Procedure for September
6. Boston Medical Marijuana Evaluations Now Available from Los Angeles Medical Marijuana Provider CannaMed
7. North American Seminars Receives PT Continuing Education Course Approval in NJ for a Master Level Differential Diagnosis, Evaluation and Treatment of the Foot and Ankle
8. Los Angeles Medical Marijuana Provider CannaMed Now Providing Boston Medical Marijuana Evaluations
9. DotHealth, LLC Passes ICANN’s Initial Evaluation for the .HEALTH New Top Level Domain
10. Narconon Releases Report on its Very First Narconon Program, the First of 23 Reviews or Evaluations of Results up to 2009
11. NC Eminent Domain Law Firm Offers Complimentary Case Evaluations to Greensboro Business Owners
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/7/2016)... Kenosha, Wisconsin (PRWEB) , ... December 07, 2016 , ... ... the extraordinary new MedMaster™ MPCNGX . The MPCNGX is a multi-function, sealed, LED ... the right amount of light where and when it’s needed. , A ...
(Date:12/7/2016)... (PRWEB) , ... December 07, 2016 , ... ... to treat wrinkles and deep lines by smoothing and tightening the skin of ... techniques out there to address facial aging with very little downtime, Silhouette Instalift ...
(Date:12/7/2016)... (PRWEB) , ... December 07, 2016 , ... ... a women growing up with a schizophrenic mother in a unique, personal perspective ... who specializes in treating trauma and addictive disorders at her private psychotherapy practice. ...
(Date:12/7/2016)... ... December 07, 2016 , ... In the early morning ... to an emergency medical call when he lost control of his patrol car. The ... from his vehicle, he was transported to Atlanta Medical Center, where he later succumbed ...
(Date:12/7/2016)... , ... December 07, 2016 , ... Castle Dermatology Institute ... several ways to restore a more youthful appearance to the face. Dr. Peyman Ghasri ... along with a variety of other treatments, to rejuvenate and renew the facial appearance. ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... Biosimilar Clinical Trial & Opportunity Insight" report by PNS Pharma gives comprehensive ... Currently 5 biosimilar version of Lantus are commercially available in ... , Czech Republic , Estonia , ... Slovakia , United Kingdom for the treatment ... in 2014. Lantus is the brand name for Insulin Glargine, a ...
(Date:12/7/2016)... Global Cervical Dysplasia Market: Scope and ... dysplasia market analyzes the current and future prospects ... executive summary, including a market snapshot that provides ... The research is a combination of primary and ... our research efforts along with information collected from ...
(Date:12/7/2016)... -- A new investigational drug originally developed for type 2 ... of the world,s first treatment to impede the progression of ... in the journal Science Translational Medicine . ... for millions of people living with Parkinson,s disease," says ... Research Institute,s Center for Neurodegenerative Science , chairman ...
Breaking Medicine Technology: