Breaking News
July 17, 2018 - Women Often Unaware of Their Hospital’s Religious Affiliation
July 17, 2018 - CRISPR editing reduces repetitive behavior in mice with a form of autism
July 17, 2018 - Scientists use magnets to detect cancer
July 17, 2018 - Microfluidic chip to detect sepsis proves successful in clinical study
July 17, 2018 - Research provides better understanding of mechanisms underlying memory storage
July 17, 2018 - A Multi-Modal Approach for the Early Detection of Breast Cancer
July 17, 2018 - Mailing colorectal cancer tests to patients increases screening rates, report researchers
July 17, 2018 - Scientists find possible sources of medicinal and antimicrobial drugs
July 17, 2018 - Molecules formed when the body metabolizes omega-3 fatty acids may inhibit cancer
July 17, 2018 - Efficient communication between hospitals improves patient safety and reduces mortality
July 17, 2018 - Study highlights potential of fetal gene therapy to prevent lethal neurodegenerative disease
July 17, 2018 - For Americans, in Science They Trust
July 17, 2018 - Combating HIV/AIDS | NIH MedlinePlus the Magazine
July 17, 2018 - Study shows minorities widely underrepresented in autism diagnoses
July 17, 2018 - Multigene testing replacing BRCA tests for breast cancer risk | News Center
July 17, 2018 - Pre-clinical pilot study shows promising results of ‘concussion pill’
July 17, 2018 - Researchers reduce size of tumors in mice by artificially activating the brain’s reward system
July 17, 2018 - New study documents symptoms of people before they acquire multiple sclerosis
July 17, 2018 - Researchers discover why CRISPR gene editing sometimes fails
July 17, 2018 - New finding may hold key to better understand the complexities of neurological disorders
July 17, 2018 - The Current issue of “The view from here” is concerned with Novel Targets.
July 17, 2018 - Fighting the Flu with a Universal Vaccine
July 17, 2018 - Key social reward circuit in the brain impaired in kids with autism | News Center
July 17, 2018 - Insight into causes, types and treatment of aphasia
July 16, 2018 - Quark Pharmaceuticals, Inc Announces First Patient Dosed in Phase 3 Clinical Trial of QPI-1002 for Prevention of Acute Kidney Injury Following Cardiac Surgery
July 16, 2018 - NSAIDs shown to have causal role in cardiovascular risk of patients with osteoarthritis
July 16, 2018 - PET scan tracer predicts success of cancer ‘vaccine’ | News Center
July 16, 2018 - Parents struggle with what to do when their child has headache, shows study
July 16, 2018 - Outrageous or overblown? HHS announces another round of ACA navigator funding cuts
July 16, 2018 - Weight loss surgery may impact individual’s risk of developing cancer, shows study
July 16, 2018 - Alexion Submits Application for Priority Review and Approval of ALXN1210 as a Treatment for Patients with Paroxysmal Nocturnal Hemoglobinuria (PNH) in the U.S.
July 16, 2018 - Restoring epigenetic balance reinstates memory in flies with Alzheimer’s disease symptoms
July 16, 2018 - Magnetized wire could be used to detect cancer in people | News Center
July 16, 2018 - Non-surgical management found to be feasible option for penetrating kidney trauma
July 16, 2018 - California clinic screens asylum seekers for honesty
July 16, 2018 - FDA Approves Xtandi (enzalutamide) for the Treatment of Men with Non-Metastatic Castration-Resistant Prostate Cancer (CRPC)
July 16, 2018 - Can nanotechnology help treat Alzheimer’s?
July 16, 2018 - Researchers identify protein essential for making stem cells | News Center
July 16, 2018 - Severe childhood infections linked with lower school achievement in adolescence
July 16, 2018 - Radiologist discusses causes, treatments of varicose veins
July 16, 2018 - Researchers develop nanostructured surface to accelerate wound healing after dental implants
July 16, 2018 - New non-invasive procedure to reposition kidney stones could benefit astronauts
July 16, 2018 - Attending Surgeon Influences Genetic Testing in Breast Cancer
July 16, 2018 - Medical doctors with addictions fear professional repercussions if they seek treatment
July 16, 2018 - 5 Questions: John Ioannidis calls for more rigorous nutrition research | News Center
July 16, 2018 - University of Illinois buys 3D-Bioplotter for regenerative biology, tissue engineering research
July 16, 2018 - Charité’s researchers integrate open-source platform into the ‘Human Brain Project’
July 16, 2018 - SUSU scientists develop rehabilitation device for people with lower limbs injuries
July 16, 2018 - Researchers find definite increase in scooter-related injuries
July 16, 2018 - Researchers solve mystery of final blood group system
July 16, 2018 - Researchers develop near-infrared fluorophores-based PDT to cure cancer with less side effects
July 16, 2018 - Traumatic brain injury biomarker could help predict patient prognosis
July 16, 2018 - Researchers to investigate role of hormones in mosquito’s ability to use human blood for egg production
July 16, 2018 - AHA: Doctor Makes Lifesaving House Call in His Own Home
July 16, 2018 - Nearsightedness – Genetics Home Reference
July 16, 2018 - Study shows biomarker panel boosts lung cancer risk assessment for smokers
July 16, 2018 - Researchers find link between bereavement during pregnancy, child’s mental health | News Center
July 16, 2018 - Legalizing same-sex marriage has meaningful effects on health care access for sexual-minority men
July 16, 2018 - New York to allow medical marijuana as substitute to opioids
July 16, 2018 - Reducing tapeworm infection could improve academic performance, reduce poverty | News Center
July 16, 2018 - Researchers describe key role of enzyme in regulating immune response against Chagas disease parasite
July 16, 2018 - Johnson & Johnson Announces Publication in The Lancet Highlighting Robust Immune Response to Janssen’s Mosaic-based Preventive Vaccine Regimen for HIV
July 16, 2018 - Do Racial and Gender Disparities Exist in Newer Glaucoma Treatments?
July 16, 2018 - Antibodies may predict transplant rejection risk
July 16, 2018 - New center sets out to stop disease before it starts | News Center
July 16, 2018 - FDA warns consumers about criminals sending fake warning letters
July 16, 2018 - Residential segregation linked with racial disparities in firearm homicide fatalities
July 16, 2018 - UW-Madison researchers develop new method to track Parkinson’s damage in the heart
July 16, 2018 - New approach to cultivate hypoallergenic tomato and strawberry varieties
July 16, 2018 - Smoking associated with delayed shinbone healing
July 16, 2018 - Sheila Dolezal, ‘team player extraordinaire,’ wins 2018 Amy J. Blue Award | News Center
July 16, 2018 - Advanced Prostate Cancer Variant More Common Than Thought
July 16, 2018 - New ways to conquer sleep apnea compete for place in bedroom
July 16, 2018 - Renowned microbe hunter Stanley Falkow dies at 84 | News Center
July 15, 2018 - FDA Slaps Stronger Warnings on Potent Class of Antibiotics, Fluoroquinolones
July 15, 2018 - Don’t let depression keep you from exercising
July 15, 2018 - Student research symposium showcases curiosity and scholarship | News Center
July 15, 2018 - Heavy smokers have increased risk of heart rhythm disorder, shows study
July 15, 2018 - Parents who had severe trauma, stresses in childhood more likely to have kids with behavioral health problems
July 15, 2018 - At colloquium, a range of views on value of predictive algorithms | News Center
National health collaborative efforts can help reduce infection rates in nursing homes

National health collaborative efforts can help reduce infection rates in nursing homes

image_pdfDownload PDFimage_print

Each year, 150,000 U.S. nursing home residents will receive a urinary catheter–half of whom will develop a catheter-associated urinary tract infection (CAUTI). While 70 percent of facilities report having an infection preventionist (IP) on staff, many nursing home IPs often have limited time to advance their training on infection control.

But as a new assessment reports, participation in a national health collaborative that promotes evidence-based infection prevention and control (IPC) can curb the risk of infection by streamlining how IPC practices are shared among nursing home staff. The paper, published in the December issue of the American Journal of Infection Control (AJIC), the journal of the Association for Professionals in Infection Control and Epidemiology (APIC), reviewed the benefits and challenges of the Agency for Healthcare Research and Quality (AHRQ)’s Safety Program for Long-Term Care, a national preventive program that was implemented from 2013 to 2016 and aimed at reducing CAUTI across U.S. nursing homes.

As reported in JAMA Internal Medicine, community-based nursing homes that participated in this project lowered CAUTI rates by 54 percent. The AHRQ project has developed a toolkit that reflects participant experiences.

“A national collaborative can empower IPs to play an active role in supporting infection-related practice changes, while instilling a more robust resident-safety culture across U.S. nursing homes,” said Sarah L. Krein, PhD, RN, the paper’s lead author and a professor at the University of Michigan’s Department of Internal Medicine. “With ample benefits and challenges identified, our research lays out how collaborative efforts, such as the AHRQ Safety Program, can be strengthened, and thus more powerfully used to promote change in the nursing home setting.”

From March 2014 through September 2016, the AHRQ safety program provided more than 400 participating nursing homes with streamlined CAUTI prevention practices centered on improving safety culture, teamwork, and communication. The program used experts to train participating nursing home staff on the proper implementation of CAUTI prevention practices and safety culture tools. Participating facilities further engaged in peer-to-peer learning through web conferences, virtual and in-person meetings, and coaching sessions. The qualitative assessment, conducted from June through July 2016, collected program feedback from eight of the 33 organizational leads, and eight nursing home facility leads.

Interviewed leads reported strong benefits following the AHRQ Safety Program implementation:

  • The AHRQ collaborative empowered nursing home IPs to speak with physicians and other team members regarding important patient decisions, including the necessity of catheters and the ordering of urine cultures. Prior to the AHRQ program, nursing home staff frequently ordered too many urine cultures, often failing to correctly collect the samples.
  • Facility and organizational leads reported increased staff awareness of CAUTI prevention and willingness to modify current practice and educate other team members. Staff became better equipped at identifying CAUTI symptoms, collecting urine samples appropriately, providing better catheter care, and both increasing and developing policies that encouraged the use of catheter alternatives.

Some participants expressed challenges including the amount of time needed to complete implementation, getting physician and staff support for the project, and logistical and technological obstacles. Researchers offered adaptations including establishing a more flexible curriculum with multiple modes of delivery, using modifiable education materials that are accessible for all staff levels, and incorporating peer-to-peer coaching and/or facility-specific strategies to address logistical barriers and staffing-related challenges.

“Preventing infections among nursing home residents is a national priority. We’re excited by the learnings presented here and believe that programs such as the AHRQ Safety Program for Long-term Care can equip nursing homes to improve IPC practices and prevent infections,” said Linda Greene, RN, MPS, CIC, FAPIC, 2017 APIC president. APIC was a member of the national project team.

“This program, built on the successes of prior CAUTI prevention programs, included the voices of long-term care staff via the nursing home safety culture survey and interviews,” said Jay Bhatt, DO, president of the Health Research & Educational Trust and chief medical officer of the American Hospital Association. “The work and findings of the collaborative will strengthen and refine infection prevention interventions in long-term care settings.” HRET staff led program management and implementation for the AHRQ Safety Program for Long-term Care.

“As this study demonstrates, AHRQ’s program of research and implementation focuses not only on what should be done to reduce infections, but also on the how,” said James I. Cleeman, MD, Director of AHRQ’s HAI Division. “Thanks to this study, we now have a better understanding of the factors that affect how infection prevention is done in nursing homes, which is critical for making care safer for nursing home residents.”

Across the U.S., an estimated 180,000 of the 1.5 million nursing home residents may have an infection each day. Roughly 25 percent of residents return to a hospital due to infection, costing the U.S. health system an additional $4 billion per year.

Tagged with:

About author

Related Articles