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Gaughan AA, MacEwan SR, Gregory ME, Eramo JL, Rush LJ, Hebert CL, McAlearney AS. When Infections Are Found: A Qualitative Study Characterizing Best Management Practices for Central Line-Associated Bloodstream Infection and Catheter-Associated Urinary Tract Infection Performance Monitoring and Feedback. NURSING REPORTS 2024; 14:1058-1066. [PMID: 38804413 PMCID: PMC11130820 DOI: 10.3390/nursrep14020080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 04/12/2024] [Accepted: 04/22/2024] [Indexed: 05/29/2024] Open
Abstract
Healthcare-associated infections (HAIs) remain a significant patient safety problem that can lead to illness and death, despite the implementation of clinical bundles to prevent HAIs. Management practices can support HAI prevention, but their role in HAI performance monitoring and feedback is not well understood. To address this knowledge gap, we previously conducted semi-structured interviews with staff at 18 hospitals to examine the role of management practices around the prevention of central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs). Interview transcripts were analyzed to identify themes related to HAI performance monitoring and feedback. The current analysis focuses on 10 higher-performing hospitals that were successful in preventing CLABSIs and CAUTIs. These institutions had robust practices including timely event analysis, leadership engagement, and multidisciplinary participation in HAI reviews. Across these sites, we found common goals including investigating HAIs without blame and identifying opportunities for improvement. Management practices such as timely analysis of HAIs, collaboration between facility leadership and multidisciplinary team members, and a focus on identifying the failure of a procedure or protocol, rather than the failure of staff members, are all approaches that can support infection prevention efforts. These management practices may be especially important as hospitals attempt to address increases in CLABSI and CAUTI rates that may have occurred during the coronavirus pandemic.
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Affiliation(s)
- Alice A. Gaughan
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
| | - Sarah R. MacEwan
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
- Division of General Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH 43202, USA
| | - Megan E. Gregory
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
- Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH 43210, USA
- Department of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL 32608, USA
| | - Jennifer L. Eramo
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
| | - Laura J. Rush
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
| | - Courtney L. Hebert
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
- Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Ann Scheck McAlearney
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA; (A.A.G.); (S.R.M.); (M.E.G.); (J.L.E.); (L.J.R.); (C.L.H.)
- Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, OH 43210, USA
- Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH 43201, USA
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Borodova A, Diallo AA, Wood R, Tounkara O, Rocha C, Bayo M, Landsmann L, Cherif MS, Borchert M, Meinus C, Nabé I, Doumbouya S, Diallo KM, Diallo M, Arvand M, Müller SA. PASQUALE - A long-term partnership to improve hand hygiene and capacity building in infection prevention and control in the Faranah region of Guinea. Int J Med Microbiol 2024; 314:151612. [PMID: 38394878 DOI: 10.1016/j.ijmm.2024.151612] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 01/12/2024] [Accepted: 01/29/2024] [Indexed: 02/25/2024] Open
Abstract
Across the globe, hand hygiene (HH) is promoted to fight the spread of healthcare associated infections. Despite multiple ongoing HH campaigns and projects, the healthcare associated infection rates remain high especially in low- and middle-income countries. In the narrative overview presented here, we aim to share objectives, framework, successes and challenges of our long-term partnership in Guinea to offer guidance for other projects aiming to sustainably improve HH.
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Affiliation(s)
- Anna Borodova
- Centre for International Health Protection, Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany.
| | | | - Rebekah Wood
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
| | | | - Carlos Rocha
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
| | - Mouctar Bayo
- German Agency for International Cooperation (GIZ), Conakry, Guinea
| | - Lena Landsmann
- Unit for Hospital Hygiene, Infection Prevention and Control, Robert Koch Institute, Berlin, Germany
| | | | - Matthias Borchert
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
| | - Carolin Meinus
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
| | | | | | | | | | - Mardjan Arvand
- Unit for Hospital Hygiene, Infection Prevention and Control, Robert Koch Institute, Berlin, Germany
| | - Sophie A Müller
- Centre for International Health Protection, Robert Koch Institute, Berlin, Germany
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