Necessary Infrastructure of Infection Prevention and Healthcare Epidemiology Programs: A Review

Bryant, Kristina; Harris, Anthony D.; Gould, Carolyn V.; Humphreys, Eve; Lundstrom, Tammy; Murphy, Denise; Olmsted, Russell N.; Oriola, Shannon; Zerr, Danielle M.

doi:10.1017/ice.2015.333

Cited by 45 publications

(27 citation statements)

References 47 publications

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“…9,10 For HOB surveillance to efficiently contribute to improved quality of care, any guidelines for interpreting and acting upon HOB data should minimize the need to perform in-depth chart review, as this could be burdensome to infection control programs at a time when many are already underresourced. 11 Ideally, EHR-based tools could be created to ascertain indicators of various HOB etiologies, therefore allowing infection control programs to direct resources toward prevention activities. Additionally, measurement of HOB is likely to be influenced by local blood culturing practices.…”

Section: Discussionmentioning

confidence: 99%

Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Dantes

Abbo

Anderson

et al. 2019

Infect. Control Hosp. Epidemiol.

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Objective:To ascertain opinions regarding etiology and preventability of hospital-onset bacteremia and fungemia (HOB) and perspectives on HOB as a potential outcome measure reflecting quality of infection prevention and hospital care.Design:Cross-sectional survey.Participants:Hospital epidemiologists and infection preventionist members of the Society for Healthcare Epidemiology of America (SHEA) Research Network.Methods:A web-based, multiple-choice survey was administered via the SHEA Research Network to 133 hospitals.Results:A total of 89 surveys were completed (67% response rate). Overall, 60% of respondents defined HOB as a positive blood culture on or after hospital day 3. Central line-associated bloodstream infections and intra-abdominal infections were perceived as the most frequent etiologies. Moreover, 61% thought that most HOB events are preventable, and 54% viewed HOB as a measure reflecting a hospital’s quality of care. Also, 29% of respondents’ hospitals already collect HOB data for internal purposes. Given a choice to publicly report central-line–associated bloodstream infections (CLABSIs) and/or HOB, 57% favored reporting either HOB alone (22%) or in addition to CLABSI (35%) and 34% favored CLABSI alone.Conclusions:Among the majority of SHEA Research Network respondents, HOB is perceived as preventable, reflective of quality of care, and potentially acceptable as a publicly reported quality metric. Further studies on HOB are needed, including validation as a quality measure, assessment of risk adjustment, and formation of evidence-based bundles and toolkits to facilitate measurement and improvement of HOB rates.

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Section: Discussionmentioning

confidence: 99%

Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Dantes

Abbo

Anderson

et al. 2019

Infect. Control Hosp. Epidemiol.

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“…2 The HE may not be covered under the facility's risk management structure or liability insurance, and he/she should ensure that coverage is provided by the facility for roles undertaken during outbreak response and incident management. 12,41 infectious diseases and infection prevention and control: preparedness, mitigation, response, and recovery (Table 3). 2.…”

Section: Leadership Role Of the He In Incident Managementmentioning

confidence: 99%

“…70 The knowledge and skills required to plan for and respond to a facility or emerging pathogen outbreak fall within the infection prevention and control areas of responsibility. 41,71 The infection preventionist (IP) applies surveillance definitions and methodologies and ensures timely communication with the HE. The core competencies of an IP include infection prevention and control activities and championing a safety culture within multidisciplinary incident management teams and clinical supportive staff.…”

Section: During All Phases Of Incident Management Infectionmentioning

confidence: 99%

Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals

Banach

Johnston

Al-Zubeidi

et al. 2017

Infect. Control Hosp. Epidemiol.

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This expert guidance document was developed as a resource to provide healthcare epidemiologists working in acute-care hospitals with a high-level overview of incident management for infectious diseases outbreaks and to prepare them to work within an emergency response framework. It addresses how the epidemiologist's skills and expertise apply to scenarios that require enhanced preparedness and response efforts, eg, when pathogens associated with outbreaks are poorly characterized or when outbreaks require additional interventions including, but not limited to, healthcare personnel education, enhanced infection prevention and control measures, added staffing, supplies, and resources, adjustments to clinical and support activities, and external communications. Its recommendations are not pathogen-specific and are meant to apply to a range of potential infectious diseases outbreaks. To provide high-level guidance and context for incident management, the authors specify recommendations for the healthcare epidemiologist, as well as involvement and responsibilities of the facility and other healthcare personnel (HCP). 2017, vol. 38, no. 12 The SHEA/CDC ORTP Expert Guidance Writing Panel (ie, the authors) were selected based on additional expertise in guidance and guideline-writing, and are the primary authors of this document. Advisory Panel members, the overseeing body for the entire ORTP, contributed to this guidance by conducting a needs assessment to determine knowledge gaps and identify effective strategies for outbreak response and incident management, and by reviewing, analyzing, and summarizing resources identified by the CDC for the Expert Guidance Panel to consider for inclusion in the expert guidance document, and by reviewing and providing comments on drafts and the final version of the expert guidance document (see the Methods section).background

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“…There are numerous Infection Prevention and Control (IPC) interventions that can be utilized in hospitals to prevent HAI and their spread [ 5 ]. IPC activities include programs such as surveillance, hospital investigations when there are outbreaks, measures to prevent spread of contagious organisms, education for healthcare employees, patients and family members, and reporting of HAI to national organizations [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Economic evaluations and their use in infection prevention and control: a narrative review

Rennert-May

Conly

Leal

et al. 2018

Antimicrob Resist Infect Control

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BackgroundThe objective of this review is to provide a comprehensive overview of the different types of economic evaluations that can be utilized by Infection Prevention and Control practitioners with a particular focus on the use of the quality adjusted life year, and its associated challenges. We also highlight existing economic evaluations published within Infection Prevention and Control, research gaps and future directions.DesignNarrative Review.ConclusionsTo date the majority of economic evaluations within Infection Prevention and Control are considered partial economic evaluations. Acknowledging the challenges, which include variable utilities within infection prevention and control, a lack of randomized controlled trials, and difficulty in modelling infectious diseases in general, future economic evaluation studies should strive to be consistent with published guidelines for economic evaluations. This includes the use of quality adjusted life years. Further research is required to estimate utility scores of relevance within Infection Prevention and Control.

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Necessary Infrastructure of Infection Prevention and Healthcare Epidemiology Programs: A Review

Cited by 45 publications

References 47 publications

Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric

Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals

Economic evaluations and their use in infection prevention and control: a narrative review

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