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Browsing by Subject "infection prevention"
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Item Multihospital Infection Prevention Collaborative: Informatics Challenges and Strategies to Prevent MRSA(2013-11) Doebbeling, Bradley N.; Flanagan, Mindy E.; Nall, Glenna; Hoke, Shawn; Rosenman, Marc; Kho, AbelWe formed a collaborative to spread effective MRSA prevention strategies. We conducted a two-phase, multisite, quasi-experimental study of seven hospital systems (11 hospitals) in IN, MT, ME and Ontario, Canada over six years. Patients with prior MRSA were identified at admission using regional health information exchange data. We developed a system to return an alert message indicating a prior history of MRSA, directed to infection preventionists and admissions. Alerts indicated the prior anatomic site, and the originating institution. The combined approach of training and coaching, implementation of MRSA registries, notifying hospitals on admission of previously infected or colonized patients, and change strategies was effective in reducing MRSA infections over 80%. Further research and development of electronic surveillance tools is needed to better integrate the varied data source and support preventing MRSA infections. Our study supports the importance of hospitals collaborating to share data and implement effective strategies to prevent MRSA.Item Strategies for the successful implementation of disinfecting port protectors to reduce CLABSI in a large tertiary care teaching hospital(Elsevier, 2019-12) Beeler, Cole; Kerley, Denise; Davis, Carmen; Hazen, Dana; Snyderman, William; Lyons, Kathy; Sadowski, Josh; Sweeney, Jennifer; Dbeibo, Lana; Kelley, Kristen; Webb, Douglas H.; Medicine, School of MedicineDisinfecting port protectors are a supplement to the central line–associated bloodstream infection prevention bundle as an optional recommendation from the Centers for Disease Control and Prevention. Despite evidence of effectiveness, few centers have successfully reported systematic, sustained implementation of these devices. In this article, we discuss a successful implementation in a large tertiary care teaching hospital, using an evidence-based, multidisciplinary approach.