Impact of implementation of evidence-based best practices on nursing home infections
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Contributor(s):
- Bradley, Sharon. Segal, Phenelle. Finley, Edward. Pennsylvania. Patient Safety Authority. ECRI (Organization) Institute for Safe Medication Practices.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Cross Infection -- prevention & control Evidence-Based Practice Infection Control -- methods Nursing Homes Quality Assurance, Health Care Quality Improvement Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- Reports of inconsistencies in the implementation of evidence-based infection control best practices and the number of deficiency citations for infection control problems in nursing homes indicate the need to identify barriers to the integration of infection control practices in this setting. The Pennsylvania Patient Safety Authority conducted on-site assessment visits to 10 Pennsylvania nursing homes with high healthcare-associated infection (HAI) rates and 10 with low HAI rates. The assessment's purpose was to study the impact of various levels of implementation of infection prevention best practices on HAI rates and to assess patterns of care that could be targeted for improvement. Authority analysts assessed the implementation of 50 evidence-based infection prevention best practices. Analysis of the aggregate assessment data from the visits demonstrated a relationship between high infection rates and low implementation of best practices. Compared with nursing homes with low infection rates, those with high rates were deficient in one or more of six levels of implementation for 45 of the 50 best practices. The assessments identified multidisciplinary implementation barriers in nursing homes with high HAI rates at the leadership, physician, clinical, and support staff levels and recognized patterns of care that nursing homes could target for improvement.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101591701 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101591701