Development and implementation of a centralized surveillance infection prevention program in a multi-facility health system: A quality improvement project.
Antimicrob Steward Healthc Epidemiol
; 3(1): e56, 2023.
Article
em En
| MEDLINE
| ID: mdl-36970425
ABSTRACT
Objective:
To develop, implement, and evaluate the effectiveness of a unique centralized surveillance infection prevention (CSIP) program.Design:
Observational quality improvement project.Setting:
An integrated academic healthcare system. Intervention The CSIP program comprises senior infection preventionists who are responsible for healthcare-associated infection (HAI) surveillance and reporting, allowing local infection preventionists (LIPs) a greater portion of their time to non-surveillance patient safety activities. Four CSIP team members accrued HAI responsibilities at 8 facilities.Methods:
We evaluated the effectiveness of the CSIP program using 4measures:
recovery of LIP time, efficiency of surveillance activities by LIPs and CSIP staff, surveys characterizing LIP perception of their effectiveness in HAI reduction, and nursing leaders' perception of LIP effectiveness.Results:
The amount of time spent by LIP teams on HAI surveillance was highly variable, while CSIP time commitment and efficiency was steady. Post-CSIP implementation, 76.9% of LIPs agreed that they spend adequate time on inpatient units, compared to 15.4% pre-CSIP; LIPs also reported more time to allot to non-surveillance activities. Nursing leaders reported greater satisfaction with LIP involvement with HAI reduction practices.Conclusion:
CSIP programs are a little-reported strategy to ease burden on LIPs with reallocation of HAI surveillance. The analyses presented here will aid health systems in anticipating the benefit of CSIP programs.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Screening_studies
/
Sysrev_observational_studies
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article