Improving implementation of infection control guidelines to reduce nosocomial infection rates: pioneering the report card

Yinnon, Amos M.; Wiener-Well, Yonit; Jerassy, Ziona; Dor, Michael; Freund, R.; Mazouz, Benjamin; Lupyan, T.; Shapira, Shmuel C.; Attias, Denise; Assous, Marc V.; Kopuit, P.; Block, Colin; Raveh, David; Freier‐Dror, Yossi; Moses, Allon E.; Benenson, Shmuel

doi:10.1016/j.jhin.2012.04.011

Cited by 19 publications

(18 citation statements)

References 26 publications

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“…15,17,18,21 Although results have been robust and several professional societies have made strong recommendations based on these results, 24 the level of evidence has been evaluated as moderate. Several strategies have been suggested to improve physician adherence to CPGs, from checklists and monthly reports 40 to automated tools 41 including best practice advisers (BPA) to improve adherence to guidelines or standard care. 42e44 This study had several limitations.…”

Section: Discussionmentioning

confidence: 99%

Guideline adherence in management of stable chronic obstructive pulmonary disease

Sharif

Cuevas

Wang

et al. 2013

Respiratory Medicine

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Section: Discussionmentioning

confidence: 99%

Guideline adherence in management of stable chronic obstructive pulmonary disease

Sharif

Cuevas

Wang

et al. 2013

Respiratory Medicine

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“…Evaluation of the evidence from six studies (one randomized controlled trial [99], two controlled before-after [100,101], one interrupted time series [50], and two noncontrolled before-after [102,103]) showed that the regular monitoring/auditing of IPC practices paired with regular feedback (individually and/or team/unit) is effective to increase adherence to care practices and to decrease overall HAI. Five studies were from high-income countries [50,99,[101][102][103] and one from an upper-middle-income country [100]. Due to varied methodologies and different outcomes measured, no meta-analysis was performed.…”

Section: (Strong Recommendation Low 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

379

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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“…Compliance with entry/exit rules during the surgery was only 25% and was lowest among anesthetists. 40 Two studies by the same team assessed the impact on the SSI rate of a bundle of preventive measures including restricted door openings. In a study of vascular surgery, compliance with door-opening rules improved from 30% to 80% and the SSI rate decreased concomitantly by 51%.…”

Section: Checklist Bundles and Compliance With Control Measuresmentioning

confidence: 99%

“…35,[40][41][42][43]49 However, the bundles, which included audits and feedback about compliance, were associated with a decrease in the SSI rate, and improvement of traffic control raised the greatest challenges.…”

Section: Experimental Studiesmentioning

confidence: 99%

Influence of Staff Behavior on Infectious Risk in Operating Rooms: What Is the Evidence?

Birgand

Saliou²,

Lucet

2015

Infect. Control Hosp. Epidemiol.

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SUMMARY A systematic literature review was performed to assess the impact of surgical-staff behaviors on the risk of surgical site infections. Published data are limited, heterogeneous, and weakened by several methodological flaws, underlying the need for more studies with accurate tools. OBJECTIVE To assess the current literature regarding the impact of surgical-staff behaviors on the risk of surgical-site infection (SSI). DESIGN Systematic literature review. METHODS We searched the Medline, EMBASE, Ovid, Web of Science, and Cochrane databases for original articles about the impact of intraoperative behaviors on the risk of SSI published in English before September 2013. RESULTS We retrieved 27 original articles reporting data on number of people in the operating room (n=14), door openings (n=14; number [n=6], frequency [n=7], reasons [n=4], or duration [n=3]), surgical-team discipline (evidence of distraction; n=4), compliance with traffic measures (n=6), or simulated behaviors (n=3). Most (59%) articles were published in 2009-2013. End points were the 30-day SSI rate (n=8), air-particle count (n=2), or microbiological air counts (n=6); 11 studies were only descriptive. Number of people in the operating room and SSI rate or airborne contaminants (particle/bacteria) were correlated in 2 studies. Door openings and airborne bacteria counts were correlated in 2 observational studies and 1 experimental study. Two cohort studies showed a significant association between surgeon interruptions/distraction or noise and SSI rate. The level of evidence was low in all studies. CONCLUSIONS Published data about the impact of operating-room behaviors on the risk of infection are limited and heterogeneous. All studies exhibit major methodological flaws. More studies with accurate tools should be performed to address the influence of operating room behaviors on the infectious risk.

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Improving implementation of infection control guidelines to reduce nosocomial infection rates: pioneering the report card

Cited by 19 publications

References 26 publications

Guideline adherence in management of stable chronic obstructive pulmonary disease

Guideline adherence in management of stable chronic obstructive pulmonary disease

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

Influence of Staff Behavior on Infectious Risk in Operating Rooms: What Is the Evidence?

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