Abstract：
BACKGROUND:Infection control practice compliance is commonly monitored by measuring hand hygiene compliance. The limitations of this approach were recognized in 1 acute health care organization that led to the development of an Infection Control Continuous Quality Improvement tool. METHODS:The Pronovost cycle, Barriers and Mitigation tool, and Hexagon framework were used to review the existing monitoring system and develop a quality improvement data collection tool that considered the context of care delivery. RESULTS:Barriers and opportunities for improvement including ambiguity, consistency and feasibility of expectations, the environment, knowledge, and education were combined in a monitoring tool that was piloted and modified in response to feedback. Local adaptations enabled staff to prioritize and monitor issues important in their own workplace. The tool replaced the previous system and was positively evaluated by auditors. Challenges included ensuring staff had time to train in use of the tool, time to collect the audit, and the reporting of low scores that conflicted with a target-based performance system. CONCLUSIONS:Hand hygiene compliance monitoring alone misses other important aspects of infection control compliance. A continuous quality improvement tool was developed reflecting specific organizational needs that could be transferred or adapted to other organizations.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Jeanes A,Coen PG,Drey NS,Gould DJdoi
10.1016/j.ajic.2019.06.014subject
Has Abstractpub_date
2020-01-01 00:00:00pages
68-76issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(19)30645-5journal_volume
48pub_type
杂志文章abstract：:Using an innovative, covert, in-room observer method to evaluate infection control practices for patients with Clostridioides difficile infection, we found no difference between physician and nursing hand hygiene compliance and contact precaution usage. There was also no diurnal variation in hand hygiene practices, bu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.03.031
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:To report a quality control circle (QCC) activity on the theme of reducing the incidence of catheter-associated urinary tract infection (CAUTI), and used an interrupted time series analysis to evaluate the impact of the QCC. METHODS:In a general tertiary hospital in Shenzhen, China, we carried out a QCC act...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.01.006
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Tuberculosis (TB) has re-emerged as a major infectious disease in several areas in the world. Airborne tubercle bacilli produced by individuals with pulmonary TB and droplet nuclei remain suspended in the air for a long time. This study attempts to use a sensitive polymerase chain reaction (PCR) analytic met...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(03)00090-7
更新日期：2004-02-01 00:00:00
abstract：BACKGROUND:We were alerted to increased rates of Clostridium difficile-positive tests at all 3 hospitals in our health care system by MedMined Data Mining Surveillance Service, CareFusion (San Diego, CA). In response, an intervention of terminal room cleaning with dilute bleach was instituted to decrease the amount of ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.11.003
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.02.001
更新日期：2005-05-01 00:00:00
abstract：:Nurses satisfied with their jobs report less job stress, more effective nurse-physician collaboration, and higher patient satisfaction scores. It is unknown if job satisfaction influences adherence to best practices or patient outcomes. This secondary data analysis investigated the relationship between job satisfactio...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2017.10.023
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Composition and diversity of intestinal microbial communities (microbiota) are generally accepted as a risk factor for poor outcomes; however, we cannot yet use this information to prevent adverse outcomes. METHODS:Stool was collected from 8 long-term acute care hospital patients experiencing diarrhea and 2...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.01.003
更新日期：2016-07-01 00:00:00
abstract：:This study describes the role of a novel vascular access service in the reduction and prevention of central line-associated bloodstream infections (CLABSIs). We conducted a retrospective analysis of data obtained over a span of 24 months after implementation of our vascular access service. We identified a progressive ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.08.019
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Public reports of successful quality improvement efforts are useful, but seldom available. We present 5 successful efforts to prevent surgical site infections (SSIs) with the use of prospectively collected surveillance data. METHODS:Before-and-after intervention studies were conducted in 5 acute care public...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.07.001
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVE:Surgical site infections (SSIs) are a serious and costly post-op complication. Generating SSI rates often requires labor-intensive methods, but increasing numbers of publications reported SSI rates using administrative data. METHODS:Index laminectomy and spinal fusion procedures were identified using Canadia...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.10.010
更新日期：2020-10-20 00:00:00
abstract：BACKGROUND:Information on the rates and factors associated with influenza vaccinations, although limited, is important because it can inform the development of effective vaccination campaigns in a university medical center setting. METHODS:A study was conducted in 2011 to identify individual and organizational level b...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.11.020
更新日期：2013-09-01 00:00:00
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
更新日期：1981-08-01 00:00:00
abstract：BACKGROUND:Scabies is a dermatologic infestation caused by Sarcoptes scabiei. In industrialized countries, hospitals and other health structures can sometimes be hit. The optimal management of scabies outbreaks still has to be established, mass prophylaxis being one possible option. METHODS:To identify the optimal app...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.10.006
更新日期：2014-03-01 00:00:00
abstract：:Healthcare systems are expanding, no longer bound by county, state or country, thus necessitating the importance of consistent and standardized guidelines for the management and control of communicable diseases, including influenza. As a healthcare system consisting of diverse facilities with a focus not only on safe ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.05.006
更新日期：2020-11-01 00:00:00
abstract：:In a simultaneous assessment of 250 environmental surfaces after terminal cleaning using aerobic cultures as a gold standard, both fluorescent marker and an adenosine triphosphate bioluminescence assay system demonstrated better diagnosticity compared with subjective visual inspection. These results support the use of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.019
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Philadelphia's rate of malpractice filings per population is just over double the national median. Plaintiffs prevail in 44% of verdicts in Philadelphia compared with 20% for all US jury verdicts, with 24% of awarded verdicts in excess of $1 million. OBJECTIVE:To determine patient and procedure demographic ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.03.005
更新日期：2005-06-01 00:00:00
abstract：BACKGROUND:The prevalence of healthcare associated infection (HAI) is generally higher in countries with limited resources than developed countries. To address the high prevalence of HAI, Turkish Ministry of Health introduced a national infection control program in 2005. METHODS:Device associated (DA)-HAIs routinely s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2020.12.013
更新日期：2020-12-25 00:00:00
abstract：:The antibacterial efficacy of three alcohol-based products (liquid and gel) were tested on the hands with blood and contaminated with Serratia marcescens (ATCC 14756), using EN 1500 procedures in 14 healthy volunteers. The alcohol-based products tested, either gel or liquid-based, reached bacterial reduction levels hi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.12.018
更新日期：2011-11-01 00:00:00
abstract：:Several authors have proposed the use of statistical process control charting methods for the surveillance of endemic rates of nosocomial infections. The principal goal of such a charting program is to recognize any increase of the endemic rate to an epidemic rate as soon as possible after the change occurs. However, ...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1067/mic.2000.106277
更新日期：2000-08-01 00:00:00
abstract：:Human factors design interventions have been suggested to mitigate infection risk in health care. Among such solutions, many are easily identified and theoretically simple and quick to realize. These are called low-hanging fruit. We present a case of infection risk associated with syringe manipulation that could easil...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.03.002
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:Multiple nosocomial outbreaks have been linked to contaminated water sources within the hospital. We report in this article a cluster of patients in a surgical intensive care unit who were colonized or infected with Stenotrophomonas maltophilia. METHODS:This study was conducted at an acute care academic hos...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(99)70077-5
更新日期：1999-02-01 00:00:00
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
更新日期：2019-05-01 00:00:00
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
更新日期：2019-04-01 00:00:00
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
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infections (CAUTIs) are the most common healthcare-acquired condition. The attributable cost of CAUTIs is frequently cited to be approximately $1,000. However, there is a paucity of recent literature that confirms this estimate. The purpose of this study was to perform a sys...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.01.015
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is a pathogenic S aureus strain characteristic associated with increased patient morbidity and mortality. The health care system needs to understand MRSA transmissibility in all settings to improve basic preventive measures to generate sustained reductions i...
journal_title：American journal of infection control
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ajic.2017.11.002
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Health care workers (HCWs) use their mobile phones during working hours or medical care. There is evidence that the instruments are colonized with pathogenic microorganisms. Here, we describe levels of Enterobacteriaceae contamination (EC) in cell phones and the risk factors associated with EC in Peruvian in...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.02.020
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Although familial involvement during inpatient care is not uncommon in western countries, the types of caring activities that family members in Asian countries provide are significantly different. These activities may place the family member at risk from a health care-associated infection. This study aimed t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.10.001
更新日期：2020-06-01 00:00:00
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
更新日期：2014-05-01 00:00:00
abstract：:Accurate and rapid antimicrobial susceptibility testing with pathogen identification in bloodstream infections is critical to life results for early sepsis intervention. Advancements in rapid diagnostics have shortened the time to results from days to hours and have had positive effects on clinical outcomes and on eff...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.02.022
更新日期：2018-09-01 00:00:00
