Background
CLABSI-reduction efforts
CAUTI-reduction efforts
The importance of context in HAI prevention
Aggressive Goal Setting and Support
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Establish the goal of zero CLABSIs and “walk the talk” Establish a budget to support product adoption, education, and communication efforts |
Strategic Alignment/Communication and Information Sharing
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Include CLABSI rate information as part of organization-level scorecard to be reviewed regularly with executives and board Communicate widely and regularly about CLABSI-prevention goals and progress |
Systematic Education
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Continual re-education about CLABSIs as part of broader patient safety efforts Develop structured education and in-service programs |
Inter-professional Collaboration
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Build and sustain positive physician-nursing relationships Hold inter-disciplinary rounds and safety huddles |
Meaningful Use of Data
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Emphasize importance of data by widely and regularly sharing data on CLABSI rates Prioritize development of automated reporting capabilities to support CLABSI monitoring and compliance with protocols |
Recognition for Success
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Provide rewards and recognition for success with CLABSI reduction efforts and ongoing CLABSI prevention If incentive compensation is used, tie a portion to CLABSI prevention goals |
Searching for management approaches to reduce HAI transmission (SMART): from strategies to guidelines
Methods
Conceptual framework
Study hypotheses
Organizations that exhibit a stronger adoption of certain structural practices (identified and explicated in the course of this study) will have lower HAI rates across clinical practice settings (ICUs and Medical/Surgical Units) within the hospital, where strength of adoption is based on the average implementation of a structural practice across survey respondents within a hospital unit.
Study design
Study activities
Phase 1: using a mixed-methods approach, develop valid and reliable measures of Structural Practices associated with the Management Strategies proposed to support HAI-prevention efforts for use as a survey (HAI MPG Survey) in both medical/surgical units and ICUs
CLABSI rates | |||||
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CAUTI rates | Lowest | Low | High | Not a factor | |
Lowest | 3 | ||||
Low | 5 | 5 | |||
High | 5 | 5 | |||
Not a Factor | 3 |