Evaluation of the knowledge-sharing social network of hospital-based infection preventionists in Kentucky.

Abstract:

BACKGROUND:The role of the infection preventionist (IP) has become increasingly complex, underscoring the need for rapid mechanisms of knowledge acquisition. One mechanism for knowledge acquisition is knowledge-sharing through social networks. In a state such as Kentucky with predominantly rural health care facilities, an optimal knowledge-sharing network is critical; however, descriptions of these networks are absent from the literature. The objective of this study was to evaluate the knowledge-sharing networks of hospital-based IPs in Kentucky. METHODS:A survey was sent to all hospital-based IPs in Kentucky in November 2010. Density and component analyses were used to evaluate network cohesion, and centrality statistics and key player algorithms were used to identify IPs important to the network. RESULTS:A total of 75 (58%) IPs completed the survey. The network density was 1.8%. Three components were identified. The median (range) centrality measures were as follows: in-degree, 2 (0-11); out-degree, 0.5 (0-5); betweenness, 0 (0-567); and eigenvector 0.02 (0-0.45). Three key players were identified. CONCLUSIONS:Low network statistics indicate that the knowledge-sharing network of hospital-based IPs might not be adequate for efficient knowledge-sharing. Interventions to increase the density of the network and reduce the number of components are needed.

journal_name

Am J Infect Control

authors

Wiemken TL,Ramirez JA,Polgreen P,Peyrani P,Carrico RM

doi

10.1016/j.ajic.2011.05.018

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

440-5

issue

5

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(11)00840-6

journal_volume

40

pub_type

杂志文章
  • Acute care nurses' responses and recommendations for improvement of hand hygiene compliance: A cross-sectional factorial survey research study.

    abstract:BACKGROUND:Hand hygiene is promoted as an effective practice to counter health care-acquired infections; however, compliance is less than optimal. Nurses have many patient contact opportunities and therefore are frequent participants in intervention research. The optimal combination of efficient and effective intervent...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.12.024

    authors: Chatfield SL,Nolan R,Crawford H,Hallam JS

    更新日期:2017-06-01 00:00:00

  • Effect of single- versus double-gloving on virus transfer to health care workers' skin and clothing during removal of personal protective equipment.

    abstract:BACKGROUND:The removal of personal protective equipment (PPE) after patient care may result in transfer of virus to hands and clothing of health care workers (HCWs). The risk of transfer can be modeled using harmless viruses to obtain quantitative data. To determine whether double-gloving reduces virus transfer to HCWs...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.04.324

    authors: Casanova LM,Rutala WA,Weber DJ,Sobsey MD

    更新日期:2012-05-01 00:00:00

  • Administrative coding data, compared with CDC/NHSN criteria, are poor indicators of health care-associated infections.

    abstract:BACKGROUND:ICD-9-CM coding alone has been proposed as a method of surveillance for health care-associated infections (HAIs). The accuracy of this method, however, relative to accepted infection control criteria is not known. METHODS:Retrospective analysis of patients at an academic medical center in 2005 who underwent...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.01.004

    authors: Stevenson KB,Khan Y,Dickman J,Gillenwater T,Kulich P,Myers C,Taylor D,Santangelo J,Lundy J,Jarjoura D,Li X,Shook J,Mangino JE

    更新日期:2008-04-01 00:00:00

  • Varicella vaccine safety, incidence of breakthrough, and factors associated with breakthrough in Taiwan.

    abstract:BACKGROUND:Varicella vaccine was first available in Taiwan in 1997. The aims of this study were to investigate varicella vaccine safety and occurrence of breakthrough in Taiwan during the first 3 years. The adverse events, incidence of breakthrough, and factors associated with breakthrough were analyzed. METHODS:A per...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.58

    authors: Tseng HF,Tan HF,Chang CK

    更新日期:2003-05-01 00:00:00

  • Colonization and bacteremia related to duration of triple-lumen intravascular catheter placement.

    abstract::The increased use of triple-lumen catheters has brought with it an increase in sepsis. We undertook a study to determine whether this increase was related to the length of time a catheter was in place. Culture of the fluid in each of the three lumens of all triple-lumen catheters in the medical intensive care units wa...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(90)90185-u

    authors: Ullman RF,Gurevich I,Schoch PE,Cunha BA

    更新日期:1990-06-01 00:00:00

  • Controlling Legionella pneumophila in water systems at reduced hot water temperatures with copper and silver ionization.

    abstract:BACKGROUND:Hospital-acquired Legionnaires' disease is associated with the presence of Legionella pneumophila in hospital water systems. In the United Kingdom, the Department of Health recommends maintaining hot water temperatures >55°C and cold water temperatures <20°C at the point of delivery to prevent proliferation ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.12.005

    authors: Cloutman-Green E,Barbosa VL,Jimenez D,Wong D,Dunn H,Needham B,Ciric L,Hartley JC

    更新日期:2019-07-01 00:00:00

  • A cluster of nosocomial Klebsiella pneumoniae bloodstream infections in a neonatal intensive care department: Identification of transmission and intervention.

    abstract:OBJECTIVE:We sought to determine the cause and mode of transmission of a cluster of bloodstream infections as a result of Klebsiella pneumoniae. DESIGN AND SETTING:We conducted a prospective cohort study in a neonatal intensive care department from May 1999 to December 2000. METHODS:We performed surveillance of nosoc...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.70

    authors: Gastmeier P,Groneberg K,Weist K,Rüden H

    更新日期:2003-11-01 00:00:00

  • Assessment of the appropriateness of hand surface coverage for health care workers according to World Health Organization hand hygiene guidelines.

    abstract::We monitored hand surface coverage technique in health care workers in a tertiary care hospital using a 5-item hand hygiene assessment tool based on World Health Organization guidelines. Overall hand hygiene compliance was 86.7% (4,300/4,960). Appropriate hand surface coverage was observed in only 7.9% (182/2,297) of ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.12.014

    authors: Park HY,Kim SK,Lim YJ,Kwak SH,Hong MJ,Mun HM,Park SY,Kim HJ,Choi HR,Jeong JS,Kim MN,Choi SH

    更新日期:2014-05-01 00:00:00

  • Surveillance of catheter-associated urinary tract infection in 4 intensive care units at Alexandria university hospitals in Egypt.

    abstract:BACKGROUND:We sought to measure the incidence rate of catheter-associated urinary tract infections (CAUTIs), identify risk factors associated with acquiring the infections; and identify the etiologic and antibiotic resistant patterns associated with CAUTIs in the intensive care units (ICUs) of a large University Hospit...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2009.06.011

    authors: Talaat M,Hafez S,Saied T,Elfeky R,El-Shoubary W,Pimentel G

    更新日期:2010-04-01 00:00:00

  • Comparison of the antibacterial efficacy of 4% chlorhexidine gluconate and 1% triclosan handwash products in an acute clinical ward.

    abstract::The antibacterial efficacy of 4% chlorhexidine gluconate (CHG) and 1% triclosan as handwash antiseptics is well established. Few published studies have identified hand bacteria found in glove juice samples, and most studies have used nonclinical study subjects. We report a longitudinal comparative study to determine t...

    journal_title:American journal of infection control

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0196-6553(99)70051-9

    authors: Faoagali JL,George N,Fong J,Davy J,Dowser M

    更新日期:1999-08-01 00:00:00

  • The results of a 6-year epidemiologic surveillance for ventilator-associated pneumonia at a tertiary care intensive care unit in Saudi Arabia.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) prevention is an important patient safety initiative. We describe the impact of a multidisciplinary surveillance program on VAP rates in a tertiary medical-surgical-trauma intensive care unit (ICU). METHODS:An epidemiologic surveillance program was established in 2003 a...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.10.004

    authors: Al-Dorzi HM,El-Saed A,Rishu AH,Balkhy HH,Memish ZA,Arabi YM

    更新日期:2012-11-01 00:00:00

  • Who let the dogs out? Infection control did: utility of dogs in health care settings and infection control aspects.

    abstract::Research has substantiated that animals improve human health, both psychologically and physiologically. Therefore, healthcare facilities have begun to implement programs, such as the "Furry Friends Foundation," that bring animals into the facility to improve the quality of life of patients. When implementing these pro...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.06.005

    authors: DiSalvo H,Haiduven D,Johnson N,Reyes VV,Hench CP,Shaw R,Stevens DA

    更新日期:2006-06-01 00:00:00

  • Microbial contamination of enteral feeding solution and its prevention.

    abstract::In an investigation of microbial contamination of enteral feeding solutions, all 22 residual solutions obtained immediately after administration were contaminated at concentrations of 10(3) to 10(6) viable counts/ml. Major contaminants were glucose-nonfermenting gram-negative bacilli such as Pseudomonas aeruginosa and...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(93)90205-i

    authors: Oie S,Kamiya A,Hironaga K,Koshiro A

    更新日期:1993-02-01 00:00:00

  • Revisiting the Association for Professionals in Infection Control and Epidemiology Competency Model for the Infection Preventionist: An evolving conceptual framework.

    abstract::This article reviews 2 models of skill acquisition, 1 from nursing and the other from aviation, and compares them to the Association for Professionals in Infection Control and Epidemiology Competency Model for the Infection Preventionist (IP). The authors explore the mental activity associated with competence and prov...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.04.210

    authors: Davis J,Billings C,Malik C

    更新日期:2018-08-01 00:00:00

  • Prevention of respiratory infections in tracheostomized patients of a pediatric long-term rehabilitation setting.

    abstract::Clinical practice protocols for the control and prevention of respiratory infections in rehabilitation settings, especially regarding pediatric tracheostomized patients, are currently lacking. To tackle this issue, we conducted a systematization of our clinical management protocols, aiming at defining a decisional alg...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.12.015

    authors: Pozzi M,Galbiati S,Locatelli F,Granziera M,Santi M,Colombo D,Pellegrino P,Radice S,Clementi E,Strazzer S

    更新日期:2015-04-01 00:00:00

  • Rationale for accuracy and consistency in applying standardized definitions for surveillance of health care-associated infections.

    abstract::As legislative mandates for disclosure of data on health care-associated infections (HAIs) to the public escalate, with both economic and reputational implications for hospitals, the development of a valid national surveillance system has become imperative. Recent studies have identified interinstitutional variability...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2012.03.009

    authors: Hebden JN

    更新日期:2012-06-01 00:00:00

  • Efficacy of laundering and tumble-drying in reducing microbial contamination of wastewater treatment plant worker coveralls.

    abstract:BACKGROUND:Evidence implicates textiles in health care as potential reservoirs of pathogens. No similar data exist for the wastewater treatment plant (WWTP) industry. We investigated if coveralls worn by WWTP workers could present occupational infection risk. METHODS:We enumerated heterotrophic plate counts (HPCs), to...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.11.007

    authors: Maal-Bared R

    更新日期:2019-05-01 00:00:00

  • Modifying the risk: once-a-day bathing "at risk" patients in the intensive care unit with chlorhexidine gluconate.

    abstract::Chlorhexidine gluconate (CHG) decreases hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) that can cause colonization and infection. A standard approach is the bathing of all patients with CHG to prevent MRSA transmission. To decrease CHG utilization, this study assessed selective daily administrati...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.12.026

    authors: Armellino D,Woltmann J,Parmentier D,Musa N,Eichorn A,Silverman R,Hirschwerk D,Farber B

    更新日期:2014-05-01 00:00:00

  • Clinical practice guidelines for creating an acute care hospital-based antimicrobial stewardship program: A systematic review.

    abstract:BACKGROUND:Antimicrobial stewardship programs (ASPs) are dedicated to improving antimicrobial use. Although clinical practice guidelines (CPGs) are available for the development of ASPs, it is unclear what the quality of these guidelines are. We therefore systematically reviewed published CPGs for the development of ac...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.02.010

    authors: Rennert-May E,Chew DS,Conly J,Guirguis M,Slobodan J,Fryters S,Bresee L

    更新日期:2019-08-01 00:00:00

  • Virtual Zika transmission after the first U.S. case: who said what and how it spread on Twitter.

    abstract:BACKGROUND:This paper goes beyond detecting specific themes within Zika-related chatter on Twitter, to identify the key actors who influence the diffusive process through which some themes become more amplified than others. METHODS:We collected all Zika-related tweets during the 3 months immediately after the first U....

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.10.015

    authors: Vijaykumar S,Nowak G,Himelboim I,Jin Y

    更新日期:2018-05-01 00:00:00

  • Infection prevention and enhanced recovery after surgery: A partnership for implementation of an evidence-based bundle to reduce colorectal surgical site infections.

    abstract::To reduce surgical site infections (SSIs) in colorectal surgeries we introduced a bundle of care elements in partnership with the Enhanced Recovery after Surgery (ERAS) multidisciplinary team. We measured the incidence of National Healthcare Safety Network-defined SSIs, along with adherence to bundle care elements. De...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.11.004

    authors: Albert H,Bataller W,Masroor N,Doll M,Cooper K,Spencer P,Winborne D,Zierden EM,Stevens MP,Scott M,Bearman G

    更新日期:2019-06-01 00:00:00

  • Needlestick injuries among medical students.

    abstract:BACKGROUND:Concern about occupational exposure to bloodborne pathogens exists, and medical students, who lack in experience in patient care and surgical technique, may be at an increased exposure risk. METHODS:This prospective cohort study evaluated needlestick injuries and practices regarding the use of protective st...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.44

    authors: Patterson JM,Novak CB,Mackinnon SE,Ellis RA

    更新日期:2003-06-01 00:00:00

  • Bacteriuria and urinary tract infection after female urodynamic studies: risk factors and microbiological analysis.

    abstract:BACKGROUND:This study was conducted to determine risk factors for infectious complications after urodynamic study (UDS) in women, which can assist clinicians in identifying high-risk subjects who would benefit from antibiotic prophylaxis before UDS. METHODS:In this prospective cohort study, we studied 232 women who un...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2015.05.031

    authors: Nóbrega MM,Auge AP,de Toledo LG,da Silva Carramão S,Frade AB,Salles MJ

    更新日期:2015-10-01 00:00:00

  • Implementing clinical guidelines to prevent catheter-associated urinary tract infections and improve catheter care in nursing homes: Systematic review.

    abstract:BACKGROUND:Catheter-associated urinary tract infection is the most common health care-associated infection, is considered avoidable, and has cost implications for health services. Prevalence is high in nursing homes, but little research has been undertaken to establish whether implementing clinical guidelines can reduc...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2016.09.015

    authors: Gould D,Gaze S,Drey N,Cooper T

    更新日期:2017-05-01 00:00:00

  • Contact precautions in the intensive care unit setting: 12 years of surveillance.

    abstract::The utilization of isolation precautions has increased in tertiary care hospitals due to the increase in colonization with multidrug-resistant organisms over time. We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospita...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2012.03.031

    authors: de Toledo Piza FM,Marra AR,Silva M Jr,Sampaio Camargo TZ,de Oliveira Figueiredo RA,Edmond MB

    更新日期:2013-04-01 00:00:00

  • Mobile air-decontamination unit and filamentous fungal load in the hematology ward: how efficient at the low-activity mode?

    abstract::Air treatment with a mobile Plasmair air-decontamination unit significantly reduces the fungal spore load in hematology wards. We report that this system used at a low aspiration flow does not perform total biodecontamination against filamentous fungi. Moreover, the filamentous fungus load remaining in rooms equipped ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.12.006

    authors: Brenier-Pinchart MP,Coussa-Rivière L,Lebeau B,Mallaret MR,Bulabois CE,Ducki S,Cahn JY,Grillot R,Pelloux H

    更新日期:2009-10-01 00:00:00

  • Contamination of intravenous fluids: a continuing cause of hospital bacteremia.

    abstract:BACKGROUND:Nosocomial bacteremia caused by the contamination of intravenous (IV) infusates is considered rare. Unfortunately, this problem has been underestimated because its identification requires culturing infusates, a procedure not performed routinely. METHODS:This study was conducted in a referral hospital where ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2009.08.015

    authors: Macias AE,Huertas M,de Leon SP,Munoz JM,Chavez AR,Sifuentes-Osornio J,Romero C,Bobadilla M

    更新日期:2010-04-01 00:00:00

  • The short-term and long-term effectiveness of a multidisciplinary hand hygiene improvement program.

    abstract:BACKGROUND:Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today. METHODS:This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.09.009

    authors: Tromp M,Huis A,de Guchteneire I,van der Meer J,van Achterberg T,Hulscher M,Bleeker-Rovers C

    更新日期:2012-10-01 00:00:00

  • Attitudes, beliefs, and infection control practices of Iranian dentists associated with HIV-positive patients.

    abstract::Of the 309 private dental practitioners in Fars, Iran, surveyed most, 77.7% believed they had a professional duty to treat HIV-positive patients, with 61.4% expressing some level of discomfort about treating these patients, and 75.1% believed they should be treated at a specialist practice. Gloves and masks were not a...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2006.03.006

    authors: Askarian M,Mirzaei K,McLaws ML

    更新日期:2006-10-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus from dental school clinic surfaces and students.

    abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) isolated from frequently touched dental school clinic surfaces were compared with MRSA isolated nasal cultures of dental students. METHOD:Sixty-one dental students and 95 environmental surfaces from 7 clinics were sampled using SANICULT (Starplex Scientific...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2010.11.007

    authors: Roberts MC,Soge OO,Horst JA,Ly KA,Milgrom P

    更新日期:2011-10-01 00:00:00