A multifactorial action plan improves hand hygiene adherence and significantly reduces central line–associated bloodstream infections

Johnson, Linda; Grueber, Sarah; Schlotzhauer, Cathy L.; Phillips, Eileen; Bullock, Paula; Basnett, Jaime; Hahn-Cover, Kristin

doi:10.1016/j.ajic.2014.07.003

Cited by 37 publications

(32 citation statements)

References 25 publications

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“…Recently, Johnson et al observed that CLABSI rates decreased from 4.08 per 1000 central line days to 0.42 per 1000 central line days after education and implementation of proper hand hygiene practices [33]. However, improvement is easier said than done, usually requiring a multimodal approach to be successful, including education of healthcare workers, provision of proper infrastructure and materials, and appropriate feedback of performance and accountability [28,29].…”

Section: Appropriate Hand Hygienementioning

confidence: 97%

Eliminating Infections in the ICU: CLABSI

Latif

Halim

Pronovost

2015

Curr Infect Dis Rep

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Central line-associated bloodstream infections (CLABSI) are one of the leading causes of death in the USA and around the world. As a preventable healthcare-associated infection, they are associated with significant morbidity and excess costs to the healthcare system. Effective and long-term CLABSI prevention requires a multifaceted approach, involving evidence-based best practices coupled with effective implementation strategies. Currently recommended practices are supported by evidence and are simple, such as appropriate hand hygiene, use of full barrier precautions, avoidance of femoral lines, skin antisepsis, and removal of unnecessary lines. The most successful and sustained improvements in CLABSI rates further utilize an adaptive component to align provider behaviors with consistent and reliable use of evidence-based practices. Great success has been achieved in reducing CLABSI rates in the USA and elsewhere over the past decade, but more is needed. This article aims to review the initiatives undertaken to reduce CLABSI and summarizes the sentinel and recent literature regarding CLABSI and its prevention.

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Section: Appropriate Hand Hygienementioning

confidence: 97%

Eliminating Infections in the ICU: CLABSI

Latif

Halim

Pronovost

2015

Curr Infect Dis Rep

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“…The delay between the development of innovations and their adoption in routine practice has been the subject of commentary in the scientific literature in recent years [6,31,32]. Widespread adherence to simple practices such as health-care worker hand hygiene is difficult to achieve [33], in spite of compelling evidence for its importance in reducing health-care-related infections. It is therefore not surprising that the multitude of challenges associated with the implementation of evidence-based psychosocial treatments have been difficult to address.…”

Section: The Broader Context Of Effective Implementationmentioning

confidence: 99%

After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?

et al. 2015

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“…Evaluation of the evidence from 15 studies (five interrupted case series [25][26][27][28][29], five qualitative [24,[30][31][32][33], two controlled before-after [34,35], two non-controlled before-after [36,37], and one mixed methods [38]) showed that IPC education that involves frontline health care workers in a practical, hands-on approach and incorporates individual experiences is associated with decreased HAI and increased hand hygiene compliance. Twelve studies were from high-income countries [24-28, 31-34, 36-38], two from one upper-middleincome country [29,35], and one from a LMIC [30].…”

Section: (Strong Recommendation Moderate Quality Of Evidence)mentioning

confidence: 99%

Core components for effective infection prevention and control programmes: new WHO evidence-based recommendations

Storr

Twyman

Zingg

et al. 2017

Antimicrob Resist Infect Control

380

306

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Health care-associated infections (HAI) are a major public health problem with a significant impact on morbidity, mortality and quality of life. They represent also an important economic burden to health systems worldwide. However, a large proportion of HAI are preventable through effective infection prevention and control (IPC) measures. Improvements in IPC at the national and facility level are critical for the successful containment of antimicrobial resistance and the prevention of HAI, including outbreaks of highly transmissible diseases through high quality care within the context of universal health coverage. Given the limited availability of IPC evidence-based guidance and standards, the World Health Organization (WHO) decided to prioritize the development of global recommendations on the core components of effective IPC programmes both at the national and acute health care facility level, based on systematic literature reviews and expert consensus. The aim of the guideline development process was to identify the evidence and evaluate its quality, consider patient values and preferences, resource implications, and the feasibility and acceptability of the recommendations. As a result, 11 recommendations and three good practice statements are presented here, including a summary of the supporting evidence, and form the substance of a new WHO IPC guideline.Electronic supplementary materialThe online version of this article (doi:10.1186/s13756-016-0149-9) contains supplementary material, which is available to authorized users.

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A multifactorial action plan improves hand hygiene adherence and significantly reduces central line–associated bloodstream infections

Cited by 37 publications

References 25 publications

Eliminating Infections in the ICU: CLABSI

Eliminating Infections in the ICU: CLABSI

After 30 years of dissemination, have we achieved sustained practice change in motivational interviewing?

Core components for effective infection prevention and control programmes: new WHO evidence-based recommendations

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