Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals

Halpin, Helen Ann; McMenamin, Sara B.; Simon, Lisa; Jacobsen, Diane; Vanneman, Megan E.; Shortell, Stephen M.; Milstein, Arnold

doi:10.1016/j.ajic.2012.04.322

Cited by 8 publications

(7 citation statements)

References 7 publications

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“…This intervention in the form of combination of financial and technical support are able to demonstrate greater improvements in adoption and implementation of written evidence-based practices (EBP) for overall patient safety and prevention of HAIs and also in increasing HCWs compliance with SP practices. However, in term of HAIs rate, there were no significant differences in the changes between CHAIPI and non-CHAIPI hospitals over the time period from 2008 to 2010 (Halpin et al, 2013).…”

Section: California Healthcare-associated Infection Prevention Initiamentioning

confidence: 79%

“…Other intervention strategies were selfinstructed computer module with clinical case simulation and another study use a checklist and coloured cues as intervention (Kappes Ramirez, 2018;Ong et al, 2013). There is also a study evaluating the effect of California Healthcare-Associated Infection Prevention Initiative (CHAIPI) which provides intervention in the form of comprehensive technology services model that can identify and track infection outbreaks earlier, track antibiotic resistance, and mine data related to HAIs (Halpin et al, 2013).…”

Section: Ijphcsmentioning

confidence: 99%

“…Another five studies assessed only the knowledge related to infection control in reducing HAIs (Chauhan & Kumari, 2016;Edet et al, 2010;Kappes Ramirez, 2018;Rajini & Kalyani, 2016;Rose, 2015). Meanwhile three studies measured the score of practice of SP alone (Baldwin et al, 2010;Halpin et al, 2013;Ong et al, 2013).…”

Section: Ijphcsmentioning

confidence: 99%

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The Interventions to Improve Standard Precautions (Sp) Knowledge and Practice Among Healthcare Workers (Hcws): A Systematic Review

Waramlah

Huda

2019

IJPHCS

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Background: Standard Precautions (SP) is the basic requirement in infection control measures to reduce healthcare-associated infections (HAIs) as well occupational infection in healthcare settings. Many interventions have been done to increase the knowledge and practice of SP among healthcare workers (HCWs). Objectives:To assess the effectiveness of interventions to improve knowledge and practice on Standard Precautions among HCWs. Materials and Methods:Articles were searched through Pubmed, Medline, Scopus and Google Scholar search engines using keywords "Standard Precautions OR infection control AND interventional study OR experimental study". Types of studies included are randomised control trials of individuals, cluster-randomised trials, non-randomised trials, controlled before-after studies, and cross sectional study. Only articles written in English published from 2010 to 2018 and accessible as free full texts were included in this review. The articles must evaluate the multiple components of Standard Precautions simultaneously.Result: There are 14 articles included in this study. Most of the studies implemented educational and training intervention with or without infection control support. Other intervention strategies were theory-based module, self-instructed computer module with clinical case simulation, checklist and coloured cues for communication enhancement as well as Healthcare-Associated Infection Prevention Initiative (CHAIPI). However, different studies used different measures to assess the knowledge and practice of Standard Precautions among HCWs. Conclusion:Because of this heterogeneity, it is difficult to draw a clear conclusion about the effectiveness of different interventions. However, it was shown that interventions do promote Standard Precautions knowledge and practice, but further research is warranted to determine which interventions are the most effective.

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Section: California Healthcare-associated Infection Prevention Initiamentioning

confidence: 79%

Section: Ijphcsmentioning

confidence: 99%

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The Interventions to Improve Standard Precautions (Sp) Knowledge and Practice Among Healthcare Workers (Hcws): A Systematic Review

Waramlah

Huda

2019

IJPHCS

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“…Therefore, we selected 57 non-ICU wards that implemented the same strengthened measures and had a compliance rate similar to that of the ICU as parallel control, and used the DID model to estimate the net effect of CHG. The DID model is an econometric method which widely used in the elds of economics and sociology and has been used in the eld of infection prevention and control before [18] . This study applied this model to the semi-experimental research of prevention and control of MDROs, which effectively evaluated the control effect of 2% CHG daily bath on MDROs.…”

Section: Discussionmentioning

confidence: 99%

Effect of Daily Chlorhexidine Bathing on Reducing Infections Caused by Multidrug-Resistant Organisms in Intensive Care Unit Patients: A Semi-Experimental Study with Parallel Controls

Huang¹,

Qiao²,

Chen³

et al. 2020

Preprint

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Background: A number of studies have shown that daily bathing by chlorhexidine (CHG) wipes in ICU can reduce healthcare-associated infections (HAIs) caused by methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE). However, the impact of CHG bathing on carbapenem-resistant Acinetobacter baumannii (CRAB), carbapenem-resistant Pseudomonas aeruginosa (CRPA), and carbapenem-resistant Enterobacteriaceae (CRE) is not clear and remains controversial. Methods: A semi-experimental study which employs both pre-controls and a parallel control was conducted. In the intervention period (from July 1 to December 31, 2016), strengthened infection control measures and daily bathing with 2% CHG-impregnated wipes once daily was performed in the ICU. Fifty-seven non-ICU wards with the occurrence of multidrug-resistant organisms (MDRO) infections during the same time period were selected as parallel control group (only CHG bathing was not performed). The net effect of the 2% CHG daily bathing was evaluated by the difference in difference (DID) model.Results: The incidence of HAIs caused by CRPA in ICU was significantly decreased between the intervention and pre-intervention period (2.5, 95% confidence interval (CI) 1.6–3.8 vs. 4.6, 95% CI 3.3–6.3 cases /1,000 patient days, P = 0.02). Similarly, the incidence of HAIs caused by CRAB in intervention group was 19.75% lower than that in pre-intervention group (6.0, 95% CI 4.4–7.6 vs. 7.5, 95% CI 5.7–9.3 cases / 1,000 patient days, P = 0.24). The DID model analysis showed that CHG bathing reduced the incidence of CRAB- and CRPA-caused infections in ICU by 1.56 and 2.15 cases/1,000 patient days, respectively, P <0.01, and bathing of every 38 patients (95% CI, 21–268) and 39 patients (95% CI, 24–110) were able to prevent one case of HAIs of CRAB and CRPA, respectively. However, CHG bathing showed no effect on MRSA, VRE and CRE (P>0.05).Conclusion: Daily bathing with 2% CHG-impregnated wipes can reduce HAIs caused by CRAB and CRPA, while it is not effective for the prevalence of infections caused by MRSA, VRE, and CRE.

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“…Other studies demonstrate the impact of collaboratives in a range of health care topics and settings (IHI, July 2011;Pronovost, Berenholtz, & Needham, 2008;Koll et al, 2008;Gould et al, 2007;Halpin et al, 2012).…”

Section: Review Of the Literature On Collaborativesmentioning

confidence: 99%

Improving Care and Service Coordination for Vulnerable Populations Through Collaboratives: One Funder’s Approach, Impact, and Implications for the Field

Simon¹,

Slichta²,

Monroe

2014

The Foundation Review

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Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals

Cited by 8 publications

References 7 publications

The Interventions to Improve Standard Precautions (Sp) Knowledge and Practice Among Healthcare Workers (Hcws): A Systematic Review

The Interventions to Improve Standard Precautions (Sp) Knowledge and Practice Among Healthcare Workers (Hcws): A Systematic Review

Effect of Daily Chlorhexidine Bathing on Reducing Infections Caused by Multidrug-Resistant Organisms in Intensive Care Unit Patients: A Semi-Experimental Study with Parallel Controls

Improving Care and Service Coordination for Vulnerable Populations Through Collaboratives: One Funder’s Approach, Impact, and Implications for the Field

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