19 results on '"Disease Notification standards"'
Search Results
2. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections.
- Author
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Folgori L, Bielicki J, and Sharland M
- Subjects
- Blood-Borne Pathogens isolation & purification, Cross Infection prevention & control, Disease Notification methods, Disease Notification standards, Humans, Infant, Newborn, Infection Control standards, Reproducibility of Results, Bacteremia epidemiology, Cross Infection blood, Infection Control methods, Intensive Care Units, Neonatal standards
- Abstract
Objective: To examine the reporting of hospital-acquired bloodstream infection (HABSI) and central line-associated BSI (CLABSI) rates in neonatal intensive care units (NICUs)., Design: Systematic review of evidence published after 2000 reporting HABSI cumulative incidence, crude HABSI and/or CLABSI rate and total patient-days and/or central line-days for single NICU., Setting: Inpatient., Patients: Neonates admitted to NICU., Main Outcome Measures: To consider the reporting of and relationship between cumulative incidence of BSI and HABSI and/or CLABSI rates., Results: 18 studies fulfilled inclusion criteria. There was a wide variability in reporting of HABSI indicators and risk-adjustment strategies with reported crude HABSI and/or CLABSI rates showing an approximately sevenfold variation between centres. Information about NICU size and level of care was not always available. Many studies provided insufficient information about case mix, such as surgical care provision and prematurity. The proportion of total patient-days that were central venous catheters (CVC)-days ranged from 11.7% to 85.4%. Only six studies reported HABSI and CLABSI incidence. Comparing HABSI and CLABSI ranking, we found a relationship between rates., Conclusions: We found significant variability in HABSI rate reporting. Although there appears to be an association between CLABSI and HABSI rates, non-CVC-related BSIs are likely to be highly relevant in some NICUs. If confirmed, and given CLABSI rates are more challenging to collect, it may be more appropriate to use HABSI rates for monitoring NICU healthcare-associated infection (HAI) in some settings. A European network of NICUs using a standardised methodology is required to determine the feasibility and reliability of different risk-adjusted measured of HAI rates.
- Published
- 2013
- Full Text
- View/download PDF
3. Casablanca redux: we are shocked that public reporting of rates of central line-associated bloodstream infections are inaccurate.
- Author
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Sexton DJ, Chen LF, Moehring R, Thacker PA, and Anderson DJ
- Subjects
- Access to Information, Catheter-Related Infections prevention & control, Cross Infection prevention & control, Data Collection methods, Data Collection standards, Humans, United States epidemiology, Catheter-Related Infections epidemiology, Catheterization, Central Venous adverse effects, Cross Infection epidemiology, Disease Notification methods, Disease Notification standards, Health Communication, Infection Control methods, Infection Control standards, Quality Assurance, Health Care methods, Quality Assurance, Health Care standards
- Published
- 2012
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- View/download PDF
4. Implementing strategic bundles for infection prevention and management.
- Author
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Kaier K, Wilson C, Hulscher M, Wollersheim H, Huis A, Borg M, Scicluna E, Lambert ML, Palomar M, Tacconelli E, De Angelis G, Schumacher M, Wolkewitz M, Kleissle EM, and Frank U
- Subjects
- Anti-Bacterial Agents pharmacology, Disease Notification standards, Drug Resistance, Microbial, Europe, Humans, Patient Safety, Practice Guidelines as Topic, Quality Assurance, Health Care standards, Risk Factors, Surveys and Questionnaires, Cross Infection prevention & control, Hospitals standards, Infection Control methods
- Abstract
Healthcare-associated infections (HAI) are considered to be the most frequent adverse event in healthcare delivery. Active efforts to curb HAI have increased across Europe thanks to the growing emphasis on patient safety and quality of care. Recently, there has been dramatic success in improving the quality of patient care by focusing on the implementation of a group or "bundle" of evidenced-based preventive practices to achieve a better outcome than when implemented individually. The project entitled IMPLEMENT is designed to spread and test knowledge on how to implement strategic bundles for infection prevention and management in a diverse sample of European hospitals. The general goal of this project is to provide evidence on how to decrease the incidence of HAI and to improve antibiotic use under routine conditions.
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- 2012
- Full Text
- View/download PDF
5. Metrics and management: Two unresolved problems on the pathway to health care-associated infection elimination.
- Author
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Streed SA
- Subjects
- Centers for Disease Control and Prevention, U.S., Cross Infection diagnosis, Cross Infection epidemiology, Humans, Incidence, Mandatory Reporting, Outcome and Process Assessment, Health Care, Population Surveillance, Risk Factors, United States epidemiology, Cross Infection prevention & control, Disease Management, Disease Notification standards, Infection Control standards
- Abstract
Surveillance and management of health care-associated infections (HAIs) has traditionally relied on analyses of outcome data to elucidate trends in HAI incidence, discover host or treatment risk factors, and facilitate comparisons of HAI rates within and among licensed providers or facilities. This paper explores residual gaps and shortcomings associated with outcome reporting and possible sources of bias that may invalidate intra- and interfacility comparisons. As an alternative to outcome surveillance and reporting, real-time process monitoring and control is proposed. To address the need for uncompromising conformity with preventive measures, the concepts of social entropy, authority, responsibility, and accountability are explored and linked to process control at the bedside., (Copyright © 2011 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
6. Validity of self-declared teaching status in mandatory public reporting.
- Author
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Zarate R and Birnbaum D
- Subjects
- Education, Medical methods, Education, Medical standards, Humans, Quality Assurance, Health Care standards, Disease Notification standards, Hospitals, Teaching classification, Infection Control, Mandatory Reporting
- Published
- 2010
- Full Text
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7. Health care-associated infection reporting: the need for ongoing reliability and validity assessment.
- Author
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Perla RJ, Peden CJ, Goldmann D, and Lloyd R
- Subjects
- Humans, Reproducibility of Results, United States, Cross Infection diagnosis, Cross Infection epidemiology, Disease Notification standards, Infection Control standards, Quality Assurance, Health Care standards
- Abstract
Government-mandated reporting of health care-associated infections (HAIs) and new reimbursement regulations place a premium on accurate and reliable detection of HAIs. This commentary addresses the challenges and opportunities of having consistent, well-defined, and continuous methods in place to ensure the reliability and validity of HAI detection and reporting. In addition, such procedures could support the development and expertise of infection preventionists. A Web-based clinical vignette model is suggested for improving HAI reporting for hospitals participating in the Centers for Disease Control and Prevention's National Healthcare Safety Network.
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- 2009
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8. Infection control resources in Iowa.
- Author
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Herwaldt LA, Appelgate D, Kuntz J, Chen Y, and Pottinger JM
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- Data Collection, Disease Notification standards, Health Resources, Hospitals statistics & numerical data, Hospitals trends, Humans, Infection Control standards, Iowa, Cross Infection, Infection Control statistics & numerical data, Infection Control Practitioners statistics & numerical data
- Abstract
Background: The duties of infection control professionals (ICPs) have increased over time, but resources have not increased substantially. Numerous states have passed or have considered mandatory reporting laws for health care-associated infections. Such laws would increase ICPs' work further., Methods: We conducted two surveys of ICPs in Iowa to determine their current responsibilities and resources and to estimate the resources they would need if they were required to report all nosocomial infections to the state., Results: Most hospitals had less than 1 full time equivalent performing infection control (mean = 0.64). Many respondents had several roles within the hospital. Surveillance methods and scope varied by hospital size. Most ICPs did not use catheter days as the denominator for rates of bloodstream infections. Over 50% of Iowa's hospitals are critical access hospitals, most of which did not have intensive care units, and most had very few patients with central venous catheters., Conclusions: Hospitals in Iowa have limited resources for infection control. "One size fits all" public reporting systems are not appropriate for states like Iowa that have a few large hospitals and many small hospitals.
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- 2007
- Full Text
- View/download PDF
9. Managing a tissue recall in a large academic hospital.
- Author
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Steelman VM and Schlueter AJ
- Subjects
- Centers for Disease Control and Prevention, U.S., Disease Notification methods, Disease Notification standards, Guidelines as Topic standards, Humans, Infection Control standards, Patient Care Planning organization & administration, Patient Care Team organization & administration, Quality Assurance, Health Care methods, Quality Assurance, Health Care standards, Tissue Donors, Tissue Transplantation statistics & numerical data, United States, United States Food and Drug Administration, Hospitals, University, Infection Control methods, Tissue Transplantation standards
- Abstract
Background: In October 2005, a recall of human tissue for implantation was initiated because one recovery center obtained tissues from donors who were not screened properly for infectious diseases. The Food and Drug Administration (FDA) and Centers for Disease Control (CDC) recommended notifying affected patients and offering access to infectious disease testing., Study Design and Methods: A multidisciplinary team was established to provide a framework for responding to the recall. The plan was designed to meet six goals. Steps included patient identification, surgeon and patient notification, patient education and testing, communication of test results, and information for the public., Results: The institution received 55 recalled tissues, of which 48 had been implanted into 30 patients undergoing neurosurgical, orthopedic, and general surgical procedures. Patients were identified and sent notification letters within 2 weeks of the FDA and CDC recommendations. Twenty-seven patients underwent testing, which was performed at the convenience of the patients at no cost to them. One patient had evidence of previous (but not current) hepatitis B infection. Overall, patients were appreciative of the processes used. Media coverage was positive., Conclusion: The response plan was generally successful in achieving the established goals. Potential improvements were identified in several areas, including initial patient notification and coordination of test result communication. It is critical to allow flexibility to meet each patient's needs. The plan may serve as a template for use in future tissue recalls by other hospital-based tissue banks.
- Published
- 2007
- Full Text
- View/download PDF
10. The ORION statement: guidelines for transparent reporting of outbreak reports and intervention studies of nosocomial infection.
- Author
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Stone SP, Cooper BS, Kibbler CC, Cookson BD, Roberts JA, Medley GF, Duckworth G, Lai R, Ebrahim S, Brown EM, Wiffen PJ, and Davey PG
- Subjects
- Disease Notification statistics & numerical data, Humans, Infection Control statistics & numerical data, Cross Infection prevention & control, Disease Notification standards, Disease Outbreaks prevention & control, Guidelines as Topic, Infection Control standards
- Abstract
The quality of research in hospital epidemiology (infection control) must be improved to be robust enough to influence policy and practice. In order to raise the standards of research and publication, a CONSORT equivalent for these largely quasi-experimental studies has been prepared by the authors of two relevant systematic reviews, following consultation with learned societies, editors of journals and researchers. It consists of a 22 item checklist, and a summary table. The emphasis is on transparency to improve the quality of reporting and on the use of appropriate statistical techniques. The statement has been endorsed by a number of professional special interest groups and societies. Like CONSORT, ORION should be considered a 'work in progress', which requires ongoing dialogue for successful promotion and dissemination. The statement is therefore offered for further public discussion. Journals and research councils are strongly recommended to incorporate it into their submission and reviewing processes. Feedback to the authors is encouraged and the statement will be revised in 2 years.
- Published
- 2007
- Full Text
- View/download PDF
11. The ORION statement: guidelines for transparent reporting of outbreak reports and intervention studies of nosocomial infection.
- Author
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Stone SP, Cooper BS, Kibbler CC, Cookson BD, Roberts JA, Medley GF, Duckworth G, Lai R, Ebrahim S, Brown EM, Wiffen PJ, and Davey PG
- Subjects
- Humans, Infection Control statistics & numerical data, Cross Infection prevention & control, Disease Notification standards, Disease Notification statistics & numerical data, Disease Outbreaks prevention & control, Guidelines as Topic, Infection Control standards
- Abstract
The quality of research in hospital epidemiology (infection control) must be improved to be robust enough to influence policy and practice. In order to raise the standards of research and publication, a CONSORT equivalent for these largely quasi-experimental studies has been prepared by the authors of two relevant systematic reviews, following consultation with learned societies, editors of journals, and researchers. The ORION (Outbreak Reports and Intervention Studies Of Nosocomial infection) statement consists of a 22 item checklist, and a summary table. The emphasis is on transparency to improve the quality of reporting and on the use of appropriate statistical techniques. The statement has been endorsed by a number of professional special interest groups and societies. Like CONSORT, ORION should be considered a "work in progress", which requires ongoing dialogue for successful promotion and dissemination. The statement is therefore offered for further public discussion. Journals and research councils are strongly recommended to incorporate it into their submission and reviewing processes. Feedback to the authors is encouraged and the statement will be revised in 2 years.
- Published
- 2007
- Full Text
- View/download PDF
12. A laboratory-based, hospital-wide, electronic marker for nosocomial infection: the future of infection control surveillance?
- Author
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Brossette SE, Hacek DM, Gavin PJ, Kamdar MA, Gadbois KD, Fisher AG, and Peterson LR
- Subjects
- Cross Infection epidemiology, Cross Infection microbiology, Disease Notification standards, Humans, Illinois epidemiology, Intensive Care Units statistics & numerical data, Sentinel Surveillance, Cross Infection diagnosis, Infection Control methods, Laboratories, Hospital, Medical Records Systems, Computerized
- Abstract
Faced with expectations to improve patient safety and contain costs, the US health care system is under increasing pressure to comprehensively and objectively account for nosocomial infections. Widely accepted nosocomial infection surveillance methods, however, are limited in scope, not sensitive, and applied inconsistently. In 907 inpatient admissions to Evanston Northwestern Healthcare hospitals (Evanston, IL), nosocomial infection identification by the Nosocomial Infection Marker (MedMined, Birmingham, AL), an electronic, laboratory-based marker, was compared with hospital-wide nosocomial infection detection by medical records review and established nosocomial infection detection methods. The sensitivity and specificity of marker analysis were 0.86 (95% confidence interval [CI 95], 0.76-0.96) and 0.984 (CI 95, 0.976, 0.992). Marker analysis also identified 11 intensive care unit-associated nosocomial infections (sensitivity, 1.0; specificity, 0.986). Nosocomial Infection Marker analysis had a comparable sensitivity (P > .3) to and lower specificity (P < .001) than medical records review. It is important to note that marker analysis statistically outperformed widely accepted surveillance methods, including hospital-wide detection by Study on the Efficacy of Nosocomial Infection Control chart review and intensive care unit detection by National Nosocomial Infections Surveillance techniques.
- Published
- 2006
13. Infection-control report cards--securing patient safety.
- Author
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Weinstein RA, Siegel JD, and Brennan PJ
- Subjects
- Catheterization instrumentation, Cross Infection epidemiology, Cross Infection prevention & control, Disease Notification standards, Humans, Surgical Wound Infection prevention & control, United States, Disease Notification legislation & jurisprudence, Infection Control standards, Information Services, Outcome and Process Assessment, Health Care, Quality Indicators, Health Care
- Published
- 2005
- Full Text
- View/download PDF
14. Guidance on public reporting of healthcare-associated infections: recommendations of the Healthcare Infection Control Practices Advisory Committee.
- Author
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McKibben L, Horan TC, Tokars JI, Fowler G, Cardo DM, Pearson ML, and Brennan PJ
- Subjects
- Contact Tracing, Cross Infection diagnosis, Cross Infection epidemiology, Data Collection standards, Data Interpretation, Statistical, Health Planning Guidelines, Humans, Outcome and Process Assessment, Health Care standards, Population Surveillance, Risk Adjustment standards, Risk Assessment standards, Total Quality Management standards, Disease Notification standards, Infection Control standards, Public Health Practice standards
- Published
- 2005
- Full Text
- View/download PDF
15. Guidance on public reporting of healthcare-associated infections: recommendations of the Healthcare Infection Control Practices Advisory Committee.
- Author
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McKibben L, Horan T, Tokars JI, Fowler G, Cardo DM, Pearson ML, and Brennan PJ
- Subjects
- Disease Notification legislation & jurisprudence, Humans, Quality Assurance, Health Care legislation & jurisprudence, Quality Assurance, Health Care standards, Risk Factors, United States, Cross Infection, Disease Notification standards, Infection Control standards, Mandatory Reporting
- Abstract
Since 2002, 4 states have enacted legislation that requires health care organizations to publicly disclose health care-associated infection (HAI) rates. Similar legislative efforts are underway in several other states. Advocates of mandatory public reporting of HAIs believe that making such information publicly available will enable consumers to make more informed choices about their health care and improve overall health care quality by reducing HAIs. Further, they believe that patients have a right to know this information. However, others have expressed concern that the reliability of public reporting systems may be compromised by institutional variability in the definitions used for HAIs, or in the methods and resources used to identify HAIs. Presently, there is insufficient evidence on the merits and limitations of an HAI public reporting system. Therefore, the Healthcare Infection Control Practices Advisory Committee (HICPAC) has not recommended for or against mandatory public reporting of HAI rates. However, HICPAC has developed this guidance document based on established principles for public health and HAI reporting systems. This document is intended to assist policymakers, program planners, consumer advocacy organizations, and others tasked with designing and implementing public reporting systems for HAIs. The document provides a framework for legislators, but does not provide model legislation. HICPAC recommends that persons who design and implement such systems 1) use established public health surveillance methods when designing and implementing mandatory HAI reporting systems; 2) create multidisciplinary advisory panels, including persons with expertise in the prevention and control of HAIs, to monitor the planning and oversight of HAI public reporting systems; 3) choose appropriate process and outcome measures based on facility type and phase in measures to allow time for facilities to adapt and to permit ongoing evaluation of data validity; and 4) provide regular and confidential feedback of performance data to healthcare providers. Specifically, HICPAC recommends that states establishing public reporting systems for HAIs select one or more of the following process or outcome measures as appropriate for hospitals or long-term care facilities in their jurisdictions: 1) central-line insertion practices; 2) surgical antimicrobial prophylaxis; 3) influenza vaccination coverage among patients and healthcare personnel; 4) central line-associated bloodstream infections; and 5) surgical site infections following selected operations. HICPAC will update these recommendations as more research and experience become available.
- Published
- 2005
- Full Text
- View/download PDF
16. Full disclosure. CDC to give guidelines for reporting infection rates.
- Author
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Becker C
- Subjects
- Disclosure, Disease Notification legislation & jurisprudence, Humans, Infection Control legislation & jurisprudence, Mandatory Programs, United States epidemiology, Centers for Disease Control and Prevention, U.S., Cross Infection epidemiology, Disease Notification standards, Guidelines as Topic, Infection Control standards
- Published
- 2005
17. [Analysis of the factors influencing the internal reporting of nosocomial infections. A review of 108 notifications].
- Author
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Penel N, Fournier C, Roussel-Delvallez M, Deberles MF, Buisset E, Cazin JL, and Leclercq B
- Subjects
- Anti-Bacterial Agents adverse effects, Anti-Bacterial Agents therapeutic use, Bacterial Infections drug therapy, Bacterial Infections etiology, Catheters, Indwelling adverse effects, Cross Infection drug therapy, Cross Infection etiology, Disease Notification methods, Drug Prescriptions statistics & numerical data, Drug Resistance, Multiple, Bacterial, France epidemiology, Hospital Bed Capacity statistics & numerical data, Humans, Incidence, Infection Control methods, Length of Stay statistics & numerical data, Personnel Staffing and Scheduling organization & administration, Population Surveillance methods, Practice Patterns, Physicians' statistics & numerical data, Prevalence, Retrospective Studies, Risk Factors, Statistics, Nonparametric, Bacterial Infections epidemiology, Cross Infection epidemiology, Disease Notification standards, Infection Control standards
- Abstract
Introduction: Since July 26, 2001, the external reporting to the regional office of health and social affairs (Direction départementale des affaires sanitaires et sociales--Ddass) and the coordination centre (Comité de lutte contre les infections nosocomiales--Cclin) for the fight against nosocomial infections (NI) is mandatory. However, the modalities of internal reporting to the Clin are unknown., Method: We performed a retrospective analysis of 108 cases of NI reported over 23 months in 4 medical-surgical departments (MSD) with 14 to 35 NI reported/MSD. The distribution of the bacteria responsible was compared with that of the local epidemiological state (chi2 test). A correlation analysis was performed between the number of NI reported in each MSD and the structural characteristics and activity index of these MSD (Spearmann's correlation test)., Results: The NI were predominantly infections related to a catheter (43), lower respiratory tract (25) and infection of the site of surgery (19). Ninety were documented biologically, among which 10 implied multi-resistant bacteria. Ninety-four NI were associated with the prescription of an antibiotic. Compared with the local epidemiological state, the NI reported generally implied multi-resistant bacteria (p=0.009). The other microbiological data had little implication. In each of the MSD, the number of cases reported was independent of: the global activity, the number of interventions, the mean duration of hospitalisation, the number of beds, the number of clinicians, the number of new patients managed and the chemotherapy outpatient activity. Conversely, there was a strong correlation between the global consumption of antibiotics (r=0.78), and the number of the Clin members in each MSD DMC (r=0.82)., Conclusion: In each MSD, the internal reporting of NI relies on the discovery of multi-resistant bacteria, but above all on the implication of those involved in the fight against nosocomial infections.
- Published
- 2003
18. OzFoodNet: enhancing foodborne disease surveillance across Australia: quarterly report, April to June 2002.
- Subjects
- Animals, Australia epidemiology, Food Microbiology, Humans, Incidence, Population Surveillance, Program Development, Program Evaluation, Risk Management, Seasons, Community Networks organization & administration, Disease Notification standards, Disease Outbreaks, Foodborne Diseases epidemiology, Foodborne Diseases microbiology, Infection Control organization & administration
- Published
- 2002
19. Requirements for infrastructure and essential activities of infection control and epidemiology in out-of-hospital settings: a consensus panel report. Association for Professionals in Infection Control and Epidemiology and Society for Healthcare Epidemiology of America.
- Author
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Friedman C, Barnette M, Buck AS, Ham R, Harris JA, Hoffman P, Johnson D, Manian F, Nicolle L, Pearson ML, Perl TM, and Solomon SL
- Subjects
- Ambulatory Care standards, Cross Infection epidemiology, Disease Notification standards, Home Care Services standards, Humans, Infection Control methods, Infection Control organization & administration, Interinstitutional Relations, Long-Term Care standards, Population Surveillance, United States epidemiology, Aftercare standards, Cross Infection prevention & control, Health Facilities standards, Infection Control standards
- Abstract
In 1997 the Association for Professionals in Infection Control and Epidemiology and the Society for Healthcare Epidemiology of America established a consensus panel to develop recommendations for optimal infrastructure and essential activities of infection control and epidemiology programs in out-of-hospital settings. The following report represents the Consensus Panel's best assessment of requirements for a healthy and effective out-of-hospital-based infection control and epidemiology program. The recommendations fall into 5 categories: managing critical data and information; developing and recommending policies and procedures; intervening directly to prevent infections; educating and training of health care workers, patients, and nonmedical caregivers; and resources. The Consensus Panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by the Clinical Affairs Committee of the Infectious Diseases Society of America and the Centers for Disease Control and Prevention's Healthcare Infection Control Practices Advisory Committee.
- Published
- 1999
- Full Text
- View/download PDF
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