Reduction in Health Care Facility–Onset Clostridioides difficile Infection: A Quality Improvement Initiative

Zaver, Himesh; Moktan, Varun; Harper, Eugene P.; Bali, Aman S.; Nasir, Ayan; Foulks, Carla; Kuhlman, Justin; Green, Max; Algan, Gillian; Parth, Heather C.; Wu-Ballis, Melody; DiCicco, Sandra; Smith, Brenda T.; Owen, Ronald N.; Mai, Lorraine S.; Spiros, Sarah L.; Griffis, John L.; Walker, Daphne T. Ramsey; Hata, D. Jane; Oring, Justin; Powers, H. R.; Bosch, Wendelyn

doi:10.1016/j.mayocpiqo.2021.09.004

Cited by 5 publications

(2 citation statements)

References 17 publications

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Order By: Relevance

“…13 In 2 studies that utilized infection prevention approval of orders, decreases occurred in testing and C. difficile HAIs. 14,15 Yet our study did not show a significant decrease in C. difficile HAIs. This could have been due to the unique patient populations of hospitals A and B, specializing in transplant and oncology patients.…”

Section: Discussioncontrasting

confidence: 68%

Diagnostic stewardship for Clostridioides difficile testing in an acute care hospital: A quality improvement intervention

Berg

Ayres²,

Weber³

et al. 2023

ASHE

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Objective: To evaluate the impact of a diagnostic stewardship intervention on Clostridioides difficile healthcare-associated infections (HAI). Design: Quality improvement study. Setting: Two urban acute care hospitals. Interventions: All inpatient stool testing for C. difficile required review and approval prior to specimen processing in the laboratory. An infection preventionist reviewed all orders daily through chart review and conversations with nursing; orders meeting clinical criteria for testing were approved, orders not meeting clinical criteria were discussed with the ordering provider. The proportion of completed tests meeting clinical criteria for testing and the primary outcome of C. difficile HAI were compared before and after the intervention. Results: The frequency of completed C. difficile orders not meeting criteria was lower [146 (7.5%) of 1,958] in the intervention period (January 10, 2022–October 14, 2022) than in the sampled 3-month preintervention period [26 (21.0%) of 124; P < .001]. C. difficile HAI rates were 8.80 per 10,000 patient days prior to the intervention (March 1, 2021–January 9, 2022) and 7.69 per 10,000 patient days during the intervention period (incidence rate ratio, 0.87; 95% confidence interval, 0.73–1.05; P = .13). Conclusions: A stringent order-approval process reduced clinically nonindicated testing for C. difficile but did not significantly decrease HAIs.

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Section: Discussioncontrasting

confidence: 68%

Diagnostic stewardship for Clostridioides difficile testing in an acute care hospital: A quality improvement intervention

Berg

Ayres²,

Weber³

et al. 2023

ASHE

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“…High-quality care can be felt by the community at the Community Health Center or Puskesmas at a cost that is not too high (Huguet et al, 2022;Toathong et al, 2018;Liang et al, 2022& Kumar et.al, 2022. Complete and good health service facilities can also have an impact on the health of patients or customers at the Puskesmas (Zaver et al, 2021;Zimer et al, 2021& Falisse et al, 2020. To its vision and mission, Puskesmas need to provide good services for the community to improve the health of the community in their environment.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Service Quality in Community Health Center Using Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA)

2022

Nusantara Science and Technology Proceedings

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The spread of the virus makes the presence of health facilities very important. The public health center must provide health services to improve the health status of the community. Its operation, there are several complaints about the existing facilities at the Kedamean Gresik Health Center, so it is necessary to research the quality of service in that place. The purpose of this study is to analyze the value of service satisfaction and determine the attributes that need to be evaluated to improve services at the public health center. Data was collected by distributing questionnaires to 100 respondents who were patients at the public health center. The data obtained were processed using the Customer Satisfaction Index (CSI) and Importance-Performance Analysis (IPA) methods. The results showed a customer satisfaction index of 70.8% which means that customers at the Kedamean Gresik Health Center are satisfied with the services provided, but it is necessary to make improvements in certain attributes. Based on the results of the analysis of attributes that need to be improved, they consist of A3, B2, B3, C2, C3, and E1 in quadrant B, and service attributes consisting of A2, A4, C1, and D1 in quadrant A.

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Role of diagnostic stewardship in reducing healthcare-facility–onset Clostridioides difficile infections

Shallal

Cherabuddi

Podsiad

et al. 2023

ASHE

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Reduction in Health Care Facility–Onset Clostridioides difficile Infection: A Quality Improvement Initiative

Cited by 5 publications

References 17 publications

Diagnostic stewardship for Clostridioides difficile testing in an acute care hospital: A quality improvement intervention

Diagnostic stewardship for Clostridioides difficile testing in an acute care hospital: A quality improvement intervention

Assessment of Service Quality in Community Health Center Using Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA)

Role of diagnostic stewardship in reducing healthcare-facility–onset Clostridioides difficile infections

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