Overconfidence in infection control proficiency.

Abstract:

BACKGROUND:Infection control partially depends on hygiene and communication skills. Unfortunately, motivation for continuous training is lower than desired. Many health care providers (HCPs) do not recognize the need for training but express this need for others. This is attributable to heuristic errors, such as the overconfidence effect. The aim of this study was to quantify the flawed self-assessment in infection-control. METHODS:In this cross-sectional multicenter study, 255 HCPs of different specialties participated in the 29-item, 5-point Likert scale questionnaire, assessing perceived proficiency in hand hygiene and communication skills for both themselves and others (colleagues, trainees, and supervisors of their own specialty and HCPs of others). RESULTS:222 of 255 surveys could be analyzed. Respondents rated themselves to be better trained in handhygiene (P < .001) than trainees, colleagues, and supervisors; the same was seen for feedback skills (P < .001). HCPs of other specialties were consistently rated worse in all aspects (P < .001). CONCLUSION:Results show an overplacement effect in infection prevention skills. The belief of being well educated creates a subjective conviction that no further education in hand hygiene is needed. Thus, HCPs may face motivation barriers that require specialized programs to overcome these beliefs.

journal_name

Am J Infect Control

authors

Bushuven S,Juenger J,Moeltner A,Dettenkofer M

doi

10.1016/j.ajic.2018.10.022

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

545-550

issue

5

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(18)31067-8

journal_volume

47

pub_type

杂志文章
  • An automated hand hygiene training system improves hand hygiene technique but not compliance.

    abstract:INTRODUCTION:The hand hygiene technique that the World Health Organization recommends for cleansing hands with soap and water or alcohol-based handrub consists of 7 poses. We used an automated training system to improve clinicians' hand hygiene technique and test whether this affected hospitalwide hand hygiene complian...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2015.04.201

    authors: Kwok YL,Callard M,McLaws ML

    更新日期:2015-08-01 00:00:00

  • Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015: A national survey of sharps injuries and mucocutaneous blood exposures among health care workers in US hospitals.

    abstract:BACKGROUND:National blood exposure (BE) surveys are valuable to health care facilities striving to reduce percutaneous sharps injuries (SIs) or mucocutaneous (MC) exposures among their health care workers (HCWs). In the Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015 we surveyed hospital BE inci...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.05.023

    authors: Grimmond T,Good L

    更新日期:2017-11-01 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

  • Disinfectant sprays versus wipes: Applications in behavioral health.

    abstract::We evaluated the utility and usability of a spray and a wipe-based cleaner/disinfectant in a behavioral health setting where health care providers institute cleaning and disinfection procedures. The spray-based version resulted in significantly lower adenosine triphosphate readings after use compared with the wipe ver...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.05.028

    authors: Wiemken TL,Powell W,Carrico RM,Mattingly WA,Kelley RR,Furmanek SP,Johnson D,Ramirez JA

    更新日期:2016-12-01 00:00:00

  • APIC MegaSurvey: Methodology and overview.

    abstract:BACKGROUND:Infection preventionists (IPs) play key roles in preventing health care-associated infections and ensuring quality of care. To develop strategies to support comprehensive infection prevention practice, it is critical to understand key aspects of their practice. METHODS:A task force of expert IPs, staff repr...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.12.012

    authors: Landers T,Davis J,Crist K,Malik C

    更新日期:2017-06-01 00:00:00

  • Catheter-associated bloodstream infections: looking outside of the ICU.

    abstract:BACKGROUND:Current recommendations for the prevention of central venous catheter-associated bloodstream infections (CA-BSIs) are mostly based on data from intensive care units (ICUs). The rates of CA-BSIs appear to be higher in non-ICU wards. Until this year, no published data were available on non-ICU CA-BSIs in the U...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.10.005

    authors: Marschall J

    更新日期:2008-12-01 00:00:00

  • Low rates of influenza vaccination uptake among healthcare workers: Distinguishing barriers between occupational groups.

    abstract:BACKGROUND:To gain further insights into health care workers (HCWs) attitudes toward influenza vaccination to guide future interventions to increase vaccination rates. METHODS:A standardized anonymous questionnaire was sent to all employees of the University Hospital Basel, Switzerland following the influenza season 2...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.02.004

    authors: Durovic A,Widmer AF,Dangel M,Ulrich A,Battegay M,Tschudin-Sutter S

    更新日期:2020-10-01 00:00:00

  • Dramatic decrease in tuberculin skin test conversion rate among employees at a hospital in New York City.

    abstract:BACKGROUND:The Centers for Disease Control and Prevention recently issued updated guidelines for preventing the transmission of tuberculosis in health care facilities. Many recommendations, including the use of high-efficiency particulate air filter respirators, are expensive to implement and of unproven efficacy. We t...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(95)90265-1

    authors: Fella P,Rivera P,Hale M,Squires K,Sepkowitz K

    更新日期:1995-12-01 00:00:00

  • A comparison of the incidence of midline catheter-associated bloodstream infections to that of central line-associated bloodstream infections in 5 acute care hospitals.

    abstract::In a retrospective study conducted over 12 months in a multi-hospital system, the incidence of bloodstream infections associated with midline catheters was not significantly lower than that associated with central venous catheters (0.88 vs 1.10 infections per 1,000 catheter-days). Additional research is needed to furt...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.11.004

    authors: Hogle NJ,Balzer KM,Ross BG,Wuerz L,Greendyke WG,Furuya EY,Simon MS,Calfee DP

    更新日期:2020-09-01 00:00:00

  • Diagnostic testing methods for Clostridium difficile infection: A statewide survey of Ohio acute care hospitals.

    abstract::We surveyed Ohio acute care hospitals on laboratory testing used for diagnosis of Clostridium difficile infection (CDI). Of 146 hospitals surveyed, 109 (84%) used nucleic acid amplification tests (NAATs) as stand-alone diagnostic assays. Only 53 (42.4%) hospitals using NAATs had a mechanism in place to prevent repeat ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.09.007

    authors: Wong KK,Choi B,Fraser TG,Donskey CJ,Deshpande A

    更新日期:2017-03-01 00:00:00

  • Health care-associated infections surveillance in an intensive care unit of a university hospital in China, 2010-2014: Findings of International Nosocomial Infection Control Consortium.

    abstract::Using a standardized methodology by the National Nosocomial Infection Surveillance System, a continuous health care-associated infections (HAIs) surveillance was conducted in our mixed intensive care unit at a Chinese teaching hospital. During the study period (2010-2014), 4,013 patients were hospitalized for 32,924 b...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2015.07.023

    authors: Peng H,Tao XB,Li Y,Hu Q,Qian LH,Wu Q,Ruan JJ,Cai DZ

    更新日期:2015-12-01 00:00:00

  • Breakthrough bacteremia in the neonatal intensive care unit: incidence, risk factors, and attributable mortality.

    abstract:BACKGROUND:An episode of breakthrough bacteremia, which was defined as positive blood cultures despite appropriate antibiotic therapy, imposes a treatment challenge in the neonatal intensive care unit (NICU). METHODS:All episodes of breakthrough bacteremia from a tertiary level NICU in Taiwan between 2004 and 2011 wer...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.09.022

    authors: Tsai MH,Chu SM,Hsu JF,Lien R,Huang HR,Chiang MC,Fu RH,Lee CW,Huang YC

    更新日期:2015-01-01 00:00:00

  • Oral rifampin for eradication of Staphylococcus aureus carriage from healthy and sick populations: a systematic review of the evidence from comparative trials.

    abstract:BACKGROUND:Rifampin has been used for the eradication of Staphylococcus aureus (S. aureus) colonization in various populations of healthy and sick people. METHODS:We performed a systematic review of the evidence from randomized and nonrandomized controlled trials that compared the effectiveness and safety of a rifampi...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2006.09.005

    authors: Falagas ME,Bliziotis IA,Fragoulis KN

    更新日期:2007-03-01 00:00:00

  • Nosocomial infection control: scope and implications for health care--a historical view.

    abstract::Knowing where we have come from helps to decide where we should be going. Many principles and practices of modern infection control were developed in the nineteenth and early twentieth century. The story is one of halting, yet relentless, progress. The history of these discoveries and their application to infection co...

    journal_title:American journal of infection control

    pub_type: 历史文章,杂志文章

    doi:10.1016/s0196-6553(81)80064-8

    authors: White FM

    更新日期:1981-08-01 00:00:00

  • Presenteeism among health care workers with laboratory-confirmed influenza infection: A retrospective cohort study in Queensland, Australia.

    abstract:BACKGROUND:A high prevalence of working while ill (presenteeism) has been documented among health care workers (HCWs). However, previous evidence is primarily based on nonspecific causes of sickness and self-reported data. Our study examined presenteeism among HCWs with laboratory-confirmed influenza. METHODS:The data...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.07.024

    authors: Imai C,Hall L,Lambert SB,Merollini KMD

    更新日期:2020-04-01 00:00:00

  • The impact of multidrug resistance on outcomes in ventilator-associated pneumonia.

    abstract::Multidrug-resistant (MDR) organisms in ventilator-associated pneumonia were found in 49 of 107 patients and were associated with home antibiotics, pre-ventilator-associated pneumonia hospital stay, and health care exposure. Overall, MDR organisms were associated with increased mortality (P = .006). On multivariate ana...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.12.009

    authors: Tedja R,Nowacki A,Fraser T,Fatica C,Griffiths L,Gordon S,Isada C,van Duin D

    更新日期:2014-05-01 00:00:00

  • Fluoroquinolone resistance in pediatric bloodstream infections because of Escherichia coli and Klebsiella species.

    abstract::In pediatric bloodstream infections with fluoroquinolone (FQ)-resistant Escherichia coli and Klebsielia species, we noted an association between FQ resistance and extended-spectrum beta-lactamase (ESBL) production (OR, 12; 95% CI: 2.28-83.8). A case control study revealed no significant risk factors (including prior a...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.01.012

    authors: Kim JY,Lautenbach E,Chu J,Goyal M,Nachamkin I,McGowan K,Coffin S,Zaoutis T

    更新日期:2008-02-01 00:00:00

  • The intersection of hand hygiene, infusion pump contamination, and high alarm volume in the health care environment.

    abstract:BACKGROUND:Researchers have found that lack of hand hygiene and environmental contamination are sources of infection transmission in the health care environment. One factor that may lead to lack of hand hygiene is alarm fatigue, the sensory overload that results when clinicians are exposed to an excessive number of ala...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.04.006

    authors: Nas MY,Ibiebele J,Dolgin G,Malczynski M,Qi C,Bolon M,Zembower T

    更新日期:2020-11-01 00:00:00

  • Case-control study investigating parameters affecting ventilator-associated events in mechanically ventilated patients.

    abstract::We analyzed a set of clinical parameters using Cox proportional hazard regressions to yield significant factors associated with the development of ventilator-associated events. In our study, intubation site, certain comorbidities, morphine, prednisone, and nutrition emerged as factors. Additionally, we presented poten...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.09.024

    authors: Kubbara A,Barnett WR,Safi F,Khuder S,Macko J,Assaly R

    更新日期:2019-04-01 00:00:00

  • Use of a patient empowerment tool for hand hygiene.

    abstract:BACKGROUND:Patient empowerment is recognized as an important component of a multimodal strategy to improve hand hygiene adherence. We examined the attitudes of adult patients and parents of pediatric patients toward a new patient empowerment tool (PET) at our hospital. We also surveyed physicians to determine their per...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.02.010

    authors: Lastinger A,Gomez K,Manegold E,Khakoo R

    更新日期:2017-08-01 00:00:00

  • Is it worth screening for vancomycin-resistant Enterococcus faecium colonization?: Financial burden of screening in a developing country.

    abstract:BACKGROUND:The screening of critically ill patients at high risk of vancomycin resistant enterococci (VRE) colonization, to detect and isolate colonized patients, is recommended to prevent and control the transmission of VRE. Screening asymptomatic carriers brings financial burden for institutions. In this study, we pe...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2015.11.008

    authors: Ulu-Kilic A,Özhan E,Altun D,Perçin D,Güneş T,Alp E

    更新日期:2016-04-01 00:00:00

  • Predictors of methicillin-resistant Staphylococcus aureus colonization at hospital admission.

    abstract:BACKGROUND:The best strategy for active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) remains unclear. We attempted to identify a risk factor score to predict MRSA colonization at hospital admission. METHODS:Data on 9 variables reported as risk factors for MRSA colonization were analyzed, and a r...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.02.013

    authors: Torres K,Sampathkumar P

    更新日期:2013-11-01 00:00:00

  • Incidence and modifiable risk factors of surveillance of surgical site infections in Egypt: a prospective study.

    abstract:BACKGROUND:Surgical site infections (SSIs) contribute significantly to patient morbidity and mortality and exhaust health care system resources. The main objectives of the study were to describe the incidence rates of SSIs among patients undergoing urologic or cardiothoracic surgeries, the associated risk factors, and ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.07.001

    authors: Hafez S,Saied T,Hasan E,Elnawasany M,Ahmad E,Lloyd L,El-Shobary W,House B,Talaat M

    更新日期:2012-06-01 00:00:00

  • Assessment of injection practice in primary health care facilities of Shiraz, Iran.

    abstract:BACKGROUND:Occupational risk for several bloodborne viruses is attributable to unsafe injection practices. To understand injection frequency and safety, we surveyed injection rates and factors influencing injection prescription in primary health care facilities and associated health clinics in Shiraz, Iran. METHODS:We...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.09.006

    authors: Mclaws ML,Ghahramani S,Palenik CJ,Keshtkar V,Askarian M

    更新日期:2014-03-01 00:00:00

  • When continuous surgical site infection surveillance is interrupted: the Royal Hobart Hospital experience.

    abstract:BACKGROUND:The prevalence of surgical site infections (SSI) is second only to urinary tract infections in hospitalized patients. They continue to threaten the health of hospitalized patients and impact negatively on the financial solvency of hospitals through prolonged hospitalization, increased rates of rehospitalizat...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.04.244

    authors: Sykes PK,Brodribb RK,McLaws ML,McGregor A

    更新日期:2005-09-01 00:00:00

  • Errors committed by nursing technicians and assistants in administering antibiotics.

    abstract:BACKGROUND:Success in any antibiotic treatment depends on many factors, including the associated preparation procedures and the nursing care management. OBJECTIVE:The aim of this research was to analyze errors in nursing procedures in the use of cefepime. METHODS:A survey was performed in the adult patients' wing of ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.08.011

    authors: Hoefel HH,Lautert L

    更新日期:2006-09-01 00:00:00

  • Use of hands-free technique among operating room nurses in the Republic of Korea.

    abstract:BACKGROUND:The recently introduced concept of hands-free technique (HFT) currently has no recommendations or formal educational program for use in the Republic of Korea. This study evaluated the level of HFT use and investigated factors related to HFT use among Korean operating room nurses. METHOD:Data were obtained t...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.01.013

    authors: Jeong IS,Park S

    更新日期:2009-03-01 00:00:00

  • Nasal colonization by methicillin-resistant coagulase-negative staphylococcus in community skilled nursing facility patients.

    abstract:BACKGROUND:Methicillin-resistant coagulase-negative staphylococci (MRCNS) are increasing nosocomial pathogens in acute care hospital patients. However, there is little information on the epidemiology of MRCNS in skilled nursing facilities (SNFs). We report a pilot survey of the prevalence of MRCNS colonization in SNF p...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2000.103243

    authors: Lee YL,Cesario T,Tran C,Stone G,Thrupp L

    更新日期:2000-06-01 00:00:00

  • Laboratory-based surveillance of hospital-acquired respiratory virus infection in a tertiary care hospital.

    abstract::Of 7,772 laboratory-confirmed cases of respiratory viral infection among hospitalized patients, 22.8% were categorized as having hospital-acquired infection. The overall incidence of hospital-acquired respiratory viral infection was 3.9 (95% confidence interval, 3.7-4.1) cases per 1,000 admitted patients. Rhinovirus w...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.01.009

    authors: Choi HS,Kim MN,Sung H,Lee JY,Park HY,Kwak SH,Lim YJ,Hong MJ,Kim SK,Park SY,Kim HJ,Kim KR,Choi HR,Jeong JS,Choi SH

    更新日期:2017-05-01 00:00:00

  • Device-associated nosocomial infection rates in intensive care units at Cairo University hospitals: first step toward initiating surveillance programs in a resource-limited country.

    abstract:BACKGROUND:Device associated infections (DAIs) have major impact on patient morbidity and mortality. METHODS:This study involved active prospective surveillance to measure the incidence of DAIs, evaluate microbiological profiles, and investigate excessive mortality in intensive care units (ICUs) in 3 hospitals of Cair...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.12.010

    authors: El-Kholy A,Saied T,Gaber M,Younan MA,Haleim MM,El-Sayed H,El-Karaksy H,Bazara'a H,Talaat M

    更新日期:2012-08-01 00:00:00