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Impact of implementing a method of feedback and accountability related to contact precautions compliance.
- Source :
-
American journal of infection control [Am J Infect Control] 2004 Dec; Vol. 32 (8), pp. 451-5. - Publication Year :
- 2004
-
Abstract
- Background: In January 2002, Infection control professionals for Spartanburg Regional Healthcare System held a planning retreat focused on patient safety. The main challenge discussed was the control of antibiotic-resistant organisms. Rounds on the patient care units had revealed compliance issues with the current isolation procedures. The team developed a process improvement project coined the Effective Processes in Infection Control Project (EPIC). With a broad challenge of antibiotic resistance, the focus was narrowed to isolation precautions for methicillin-resistant Staphylococcus aureus (MRSA).<br />Methods: The initial stage of the EPIC project was education, followed by routine unit rounds to monitor compliance. A tool was developed to provide immediate feedback for the nursing units. Summary reports were generated for clinical directors as a method of accountability for unit leadership. Rates for facility-acquired MRSA were monitored and compared with MRSA days at risk.<br />Results: Over a 1-year period of increased accountability, the facility-acquired rate of MRSA decreased by 30%, even though the days at risk increased. The decrease was maintained during year 2.<br />Conclusions: The results of this project point to the importance of accountability with isolation precautions in the effort to combat the spread of MRSA in the hospital setting.
- Subjects :
- Hospitals
Humans
Methicillin Resistance
Outcome and Process Assessment, Health Care
Patient Isolation organization & administration
Prospective Studies
Risk Factors
South Carolina
Staphylococcal Infections drug therapy
Staphylococcal Infections prevention & control
Staphylococcus aureus isolation & purification
Cross Infection prevention & control
Infection Control standards
Patient Isolation standards
Subjects
Details
- Language :
- English
- ISSN :
- 0196-6553
- Volume :
- 32
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- American journal of infection control
- Publication Type :
- Academic Journal
- Accession number :
- 15573051
- Full Text :
- https://doi.org/10.1016/j.ajic.2004.06.003