A systemwide approach to validation of electronic device denominator data.

A multidisciplinary team collaborated to develop and validate a process to electronically capture patient and device denominator data at 6 hospitals in the same healthcare system. Validation was completed within 4-16 months. Manual count errors were identified as the main driver of electronic versus manual discrepancies.

Incorporating structured linen oversight into an infection prevention program.

Hospital linen is a potential source for health care acquired infections. The elements of cleaning, transport and storage should be part of an Infection Prevention (IP) consult. The incorporation of linen reprocessing into the IP program ensures compliance with linen standards and patient safety.

High-level disinfection evaluation in the ambulatory setting.

High level disinfection (HLD) is a complex process, requiring appropriate materials and highly trained personnel. An investigation of the HLD process was performed at an outpatient urology practice upon notification of expired chemical test strips being utilized. Infection Prevention (IP) identified various breaches in the reprocessing of flexible cystoscopes and transrectal prostate biopsy probes.

Impact of COVID-19 on hospital acquired infections.

While there are established and effective guidelines for prevention of hospital-acquired infections (HAIs), the impact of the COVID-19 pandemic on those implemented practices and policies have not been thoroughly investigated. This report examines the impact of COVID-19 on HAI rates at 2 hospitals within the same healthcare system. HAIs significantly increased during the COVID-19 pandemic which correlated with the use of overtime and agency nursing hours.

Developing an infection prevention program by leveraging the APIC competency model.

Health care systems are expanding and the health care industry is growing in complexity, necessitating the importance of competent Infection Preventionists (IPs). At Northwestern Medicine, a health care system consisting of diverse facilities with varied patient populations and environments of care, the need for a standardized approach to developing competent IPs became apparent. This Infection Prevention department utilized the APIC Competency Model to develop a framework for Infection Prevention program development, including a standardized orientation guide and career ladder.

Inappropriate Clostridium difficile Testing and Consequent Overtreatment and Inaccurate Publicly Reported Metrics.

BACKGROUND The nationally reported metric for Clostridium difficile infection (CDI) relies solely on laboratory testing, which can result in overreporting due to asymptomatic C. difficile colonization. OBJECTIVE To review the clinical scenarios of cases of healthcare facility-onset CDI (HO-CDI) and to determine the appropriateness of C.

Simulation-Based Mastery Learning Improves Central Line Maintenance Skills of ICU Nurses.

Objective: This study evaluated the impact of a simulation-based mastery learning (SBML) curriculum on central line maintenance and care among a group of ICU nurses.

Methods: The intervention included 5 tasks: (a) medication administration, (b) injection cap (needleless connector) changes, (c) tubing changes, (d) blood drawing, and (e) dressing changes. All participants underwent a pretest, engaged in deliberate practice with directed feedback, and completed a posttest.