Preventing Hospital Infections: Real-World Problems, Realistic Solutions
Sanjay Saint, Robert W. Stock
Format: PDF / Kindle (mobi) / ePub
Nearly 2 million Americans develop a healthcare-associated infection each year, and some 100,000 of them die as a result. Such infections are highly preventable, particularly through the adoption and implementation of evidence-based methods for reducing patient infection at the point of care. In cases where hospitals fall short of their goals for improving infection prevention, their failures are often rooted in a low rate of staff adherence to the new prevention policies.
In easy-to-read, user-friendly language, Preventing Hospital Infections leads readers through a step-by-step description of a quality improvement intervention as it might unfold in a model hospital, pinpointing the likely obstacles and offering practical strategies for how to overcome them. The text draws on the extensive personal clinical experience of the authors, including examples, anecdotes, and down-to-earth, practical guidance.
Whereas most books focus on the technical aspects of healthcare-associated infections, this book offers the first manual for effecting real, practical change. Whether resistance comes from physicians who distrust change, nurses who want to protect their turf, or infection preventionists who avoid the wards, Preventing Hospital Infections offers an innovative and accessible approach that focuses on navigating the human element in a hospital quality improvement initiative.
bundle, making sure there is a standard operating procedure in place, and discussing potential problems. Does the unit have enough intermittent straight catheters on hand? Is there a portable bladder scanner on the unit? Are there other quality improvement activities underway or scheduled on 4 West that need to be coordinated with? Are there personal traits or quirks of the 4 West leadership that the team needs to watch out for? Will the nursing staff get with the program? Have the elements of
healthcare-associated Leadership and Followership 69 infection: Results of a multisite qualitative study. Infection Control and Hospital Epidemiology, 31(9), 901–907. In this article, Saint and colleagues follow up on preliminary data that indicated that hospital leadership played an important role in whether a hospital was engaged in infection prevention activities. They found that successful leaders (a) cultivated a culture of clinical excellence and effectively communicated it to staff;
to address them. Saint, S., Kowalski, C. P., Banaszak-Holl, J., Forman, J., Damschroder, L., & Krein, S. L. (2009). How active resisters and organizational constipators affect health care-acquired infection prevention efforts. Joint Commission Journal on Quality and Patient Safety, 35(5), 239–246. The authors collected qualitative data from phone and in-person interviews with hospital staff from a national study to determine the barriers to implementing 90 P R E V E N T I N G H O S P I TA L
115b Joint Commission on Accreditation of Hospitals, 23–24 Kabat-Zinn, Jon, 135 Kelley, Robert E., 62 Keystone ICU Initiative, 29, 97 Kocher, Gerhard, 4 Krein, Sarah, 4 Lao Tzu, 57 leadership, 53–69 barriers and possible solutions, 71–72, 74t, 79 “hire hard, manage easy” school, 59 key traits, 57, 57b “management by walking around” approach, 58 transactional, 54–55, 55b INDEX transformational, 54–55, 55b Lister, Joseph, 22 Locke, John, 115b management by walking around, 58
also discuss the particular personnel challenges of the VAP and CLABSI initiatives. Our goal throughout is to offer field-tested insights to aid in the adoption and implementation of quality improvement initiatives. SUGGESTIONS FOR FURTHER READING Burke, J. P. (2003). Infection control—a problem for patient safety. New England Journal of Medicine, 348(7), 651–656. In this article, Burke discusses the major problems in infection control, approaches for solving these problems, the role of the