Breaking News
October 16, 2018 - MDI Biological Laboratory receives $1.2 million SEPA grant to promote data literacy
October 16, 2018 - Vast majority of dementia cases may arise from spontaneous genetic errors
October 16, 2018 - New project aims to deliver fast, effective treatment for autoimmune rheumatic diseases
October 16, 2018 - Study identifies molecular switch that controls fate of milk-producing breast cells
October 16, 2018 - Research shows diet has little influence on precursor to gout
October 16, 2018 - “Without Dr. Shumway doing his miracle work, three generations would not be here”: A Stanford heart transplant patient’s story
October 16, 2018 - Researchers demonstrate integrated technique to control production of cell therapeutics
October 16, 2018 - Breast tomosynthesis detects 34% more tumors than traditional mammography
October 16, 2018 - Rhode Island Hospital, Brown receive $800,000 grant to keep up fight against opioid epidemic
October 16, 2018 - UVA partners with health systems in AVIA network’s Medicaid Transformation Project
October 16, 2018 - Trevena Announces Oliceridine FDA Advisory Committee Meeting Outcome
October 16, 2018 - Study reveals early warning signs of heart problems in patients with newly diagnosed lupus
October 16, 2018 - Connecting the dots of Alzheimer’s disease
October 16, 2018 - New publication offers evidence-based content for global breast imaging medical community
October 16, 2018 - ‘EinsteinVision’ that improves hand-eye coordination of surgeons introduced at Harefield Hospital
October 16, 2018 - WRAIR clinical study evaluates safety and immunogenicity of Marburg vaccine
October 16, 2018 - Ketamine can be considered as alternative to opioids for short-term pain control in ED
October 16, 2018 - Endurance exercise training beneficially alters gut microbiota composition
October 15, 2018 - FDA Approves Yutiq (fluocinolone acetonide intravitreal implant) for Chronic Non-Infectious Posterior Segment Uveitis
October 15, 2018 - Birthing Options for Full-Term Pregnancy
October 15, 2018 - Stressed, toxic, zombie cells seen for first time in Alzheimer’s
October 15, 2018 - Concussion researchers study head motion in high school football hits | News Center
October 15, 2018 - Neuropsychiatric symptoms related to earliest stages of Alzheimer’s brain pathology
October 15, 2018 - Neck collar device may help protect the brain of female high school soccer players
October 15, 2018 - Research reveals how the inner ear processes speech
October 15, 2018 - Many parents still skeptical about safety and effectiveness of flu shot, survey finds
October 15, 2018 - Payer Policies May Discourage Non-Pharma Tx for Low Back Pain
October 15, 2018 - Exercise may delay cognitive decline in people with rare Alzheimer’s disease
October 15, 2018 - Researchers modify CRISPR to reorganize genome | News Center
October 15, 2018 - Innovative brain tumor operation set to tailor to patients’ needs
October 15, 2018 - Findings offer new insight into early changes that occur during AD pathology
October 15, 2018 - Neurons regulating reproductive hormone release have different activity in epileptic mice
October 15, 2018 - More parents are concerned about taking babies swimming in public pools
October 15, 2018 - Health Tip: Know the Risk Factors for Lower Back Pain
October 15, 2018 - Study shows cigarillo flavors enhanced by high-intensity sweeteners
October 15, 2018 - Study traces hospital-acquired bloodstream infections to patients’ own bodies | News Center
October 15, 2018 - Abnormal vision in childhood can affect development of brain areas responsible for attention
October 15, 2018 - Study highlights need for increased support for alcohol-related liver disease patients
October 15, 2018 - Color-changing contact lens could help doctors to monitor eye disease medications
October 15, 2018 - Tobacco heating products cause less staining to teeth than conventional cigarettes
October 15, 2018 - Young adults who are obese can expect to lose up to 10 years in life expectancy
October 15, 2018 - Scientists uncover how proteins meet on the cell membrane
October 15, 2018 - Affordable housing with supportive social services for senior citizens can reduce hospital use
October 15, 2018 - Schiller Easy Pulse Saves Lives
October 15, 2018 - The latest ECG device from Schiller
October 15, 2018 - Following a Tissue Sample
October 15, 2018 - Prisoners need drug and alcohol treatments but AA programs aren’t the answer
October 15, 2018 - Andrea Califano and Jordan Orange Elected to National Academy of Medicine
October 15, 2018 - The impending risk of African Swine Fever Virus
October 15, 2018 - Breastfeeding reduces the number of antibiotic-resistant bacteria in infant gut
October 15, 2018 - Researchers develop comprehensive molecular atlas of postnatal mouse heart development
October 15, 2018 - ObsEva SA Presents Clinical Data from Phase III IMPLANT 2 Trial of Nolasiban in IVF at the American Society of Reproductive Medicine (ASRM) Annual Meeting
October 15, 2018 - Engineering teratoma-derived fibroblasts to enhance osteogenesis
October 15, 2018 - Lab study shows effectiveness of potential therapy for treatment-resistant hypothyroidism
October 15, 2018 - JCU study firms up association between diet and depression
October 15, 2018 - Researchers to study the use of CRISPR on human liver on-a-chip platform
October 15, 2018 - Sub-concussive impacts not associated with decline in neurocognitive function
October 15, 2018 - Researchers find potential treatment to halt premature labor and birth
October 15, 2018 - As U.S. suicides rates rise, Hispanics show relative immunity
October 15, 2018 - FDA Issues a Complete Response Letter to Acacia Pharma for Barhemsys
October 15, 2018 - Photoactive bacteria bait may help in fight against MRSA infections
October 15, 2018 - Increasing vigorous exercise reduces risk factors of type 2 diabetes, cardiovascular disease in children
October 15, 2018 - First-of-its-kind study to test a personalized vaccine in cancer patient
October 15, 2018 - Extension trial assesses benefit of switching from flash monitoring to RT-CGM for hypoglycemia
October 15, 2018 - Half of parents say young children are afraid of doctor’s visits
October 15, 2018 - Study shows how fingerprint-based drug screening works on the living and deceased
October 15, 2018 - Study reveals potential to monitor progression of Alzheimer’s disease by measuring brain antioxidant levels
October 15, 2018 - FDA Approves Xarelto to Reduce the Risk of Major Cardiovascular Events in Patients with Chronic Coronary Artery Disease (CAD) or Peripheral Artery Disease (PAD)
October 15, 2018 - Promising new therapeutic approach against Ebola virus identified
October 15, 2018 - Study unravels how cancer stem cells use normal genes in abnormal ways
October 15, 2018 - Healthcare systems fail to deliver at affordable prices finds report
October 15, 2018 - Intensive BP Therapy in Diabetes May Lower Risk for CV Events
October 15, 2018 - Muscle relaxants increase risk of respiratory complications
October 15, 2018 - Female birds become more promiscuous after hatchings fail in the first breeding attempt
October 15, 2018 - Humans occupied Madagascar thousands of years later than previously thought
October 15, 2018 - Is Kidney Dialysis Always Needed When Septic Shock Strikes?
October 15, 2018 - Study shows invasive lung cancer surgery can lead to long-term opioid use
October 15, 2018 - Sugar, a “sweet” tool to understand brain injuries
October 14, 2018 - King’s commemorates activities and research on World Arthritis Day
October 14, 2018 - Humana and VFW NY team up on Stop 22 initiative to increase awareness of veterans committing suicide
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