Abstract：
:The Joint Commission on Healthcare Organizations (JCAHO) has received few reports of sentinel events involving health care-associated infection (HAI). The paucity of reporting may lead some to believe that deaths caused by HAI have been overestimated or that health care organizations do not recognize the events. Although the directive from the JCAHO seems clear, the process of identifying patients who died due to HAI versus those who died with an HAI is complex and requires a consistent evaluative methodology. This article proposes an algorithmic approach to identifying patients whose unanticipated death was related to an HAI, a data collection and report form, and a process for evaluating adherence to existing practices that are associated with best practices. The goals are to (1) stimulate dialogue among colleagues and improve the process so these events are reported to the JCAHO, (2) develop a process that blends with the existing root cause analysis matrix used in most health care organizations, and (3) develop interventions to prevent or correct practices that may contribute to sentinel events due to HAI.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Carrico R,Ramírez Jdoi
10.1016/j.ajic.2006.12.008subject
Has Abstractpub_date
2007-10-01 00:00:00pages
501-7issue
8eissn
0196-6553issn
1527-3296pii
S0196-6553(07)00099-5journal_volume
35pub_type
杂志文章abstract：BACKGROUND:Burkholderia cepacia complex (Bcc) is well-known for intrinsic resistance to certain antiseptics. We experienced a sudden rise in Bcc bloodstream infections in a 786-bed hospital. An investigation was conducted to identify the source and to intervene in the ongoing infections. METHODS:The cases were defined...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2015-03-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2014-10-01 00:00:00
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更新日期：2001-08-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2018-12-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章,评审
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更新日期：2013-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2018-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2000-12-01 00:00:00
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journal_title：American journal of infection control
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更新日期：1997-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2018-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2015-07-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2015-10-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.05.012
更新日期：2006-02-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.12.011
更新日期：2008-12-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90021-7
更新日期：1989-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.039
更新日期：2016-10-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.07.037
更新日期：2015-11-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.04.208
更新日期：2015-09-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(95)90265-1
更新日期：1995-12-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2019-03-01 00:00:00
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更新日期：2016-11-01 00:00:00
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更新日期：2019-04-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2019-06-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2015-10-01 00:00:00
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更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infections (CAUTIs) are common nosocomial infections. In 2015, the Centers for Medicare and Medicaid Services began imposing financial penalties for institutions where CAUTI rates are higher than predicted. However, the surveillance definition for CAUTI is not a clinical dia...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Gloves are a necessary contact precaution to prevent transmission of infectious pathogens that spread by direct or indirect contact with an infected person or a contaminated environment. This article reports a study investigating hand and environmental contamination levels when health care workers (HCWs) fol...
journal_title：American journal of infection control
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更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Studies taken from different hospitalized patient populations, environments, and geographic regions reveal differences in the numbers and species of organisms colonizing the skin. Our aim was to determine the types and amounts of skin flora, and examine the factors associated with variations in microbial ski...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2003-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.02.001
更新日期：2012-04-01 00:00:00
abstract：:In-hospital surveillance of surgical site infections (SSI) was conducted on 599 patients in a German university hospital. On a subgroup of 342 patients, SSI was assessed after discharge from hospital based on data of a questionnaire and telephone interviews. Postdischarge surveillance revealed substantially higher inf...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.10.025
更新日期：2009-06-01 00:00:00
