Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.

Stephen Rice; Katherine Carr; Pauline Sobiesuo; Hosein Shabaninejad; Giovany Orozco-Leal; Vasileios Kontogiannis; Christopher Marshall; Fiona Pearson; Najmeh Moradi; Nicole O'Connor; Akvile Stoniute; Catherine Richmond; Dawn Craig; Benedetta Allegranzi; Alessandro Cassini

Review

Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.

April 26, 2023

Rice S, Carr K, Sobiesuo P, et al. Lancet Infect Dis. 2023;23(7):e228-e239.

View more articles from the same authors.

Health care-associated infections continue to be one of the most common health care-related complications. This systematic review including 67 studies identified several cost-effective interventions addressing health care-associated infections, including screening high-risk individuals, universal decolonization in intensive care units, hand hygiene, environmental cleaning, and surveillance. The authors found limited evidence evaluating the cost-effectiveness of other strategies such as education and training or use of personal protective equipment.

PubMed citation

Available at

Related Resources From the Same Author(s)

Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019.

August 3, 2022

Resistance to patient safety initiatives.

December 14, 2005

Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs.

June 15, 2016

How do we learn about error? A cross-sectional study of urology trainees.

June 28, 2023

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

July 13, 2011

Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants.

December 12, 2018

A meta-analysis of the effectiveness of crew resource management training in acute care domains.

November 19, 2014

STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.

December 10, 2014

Four-year impact of an alert notification system on closed-loop communication of critical test results.

November 26, 2014

Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.

October 28, 2015

Disclosure of patient safety incidents: a comprehensive review.

September 1, 2010

Healthcare staff wellbeing, burnout, and patient safety: a systematic review.

August 24, 2016

Surgical checklists: the human factor.

July 24, 2013

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.

May 7, 2014

'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006.

September 13, 2006

"Excuse me": teaching interns to speak up.

August 28, 2013

Changes in language services use by US pediatricians.

August 7, 2013

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

Patient empowerment and multimodal hand hygiene promotion: a win–win strategy.

July 14, 2010

Adverse events in healthcare: learning from mistakes.

September 3, 2014

Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion.

June 8, 2022

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Patient safety in nursing education: contexts, tensions and feeling safe to learn.

July 17, 2013

Do safety briefings improve patient safety in the acute hospital setting? A systematic review.

June 5, 2019

Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.

April 3, 2024

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

August 9, 2006

Efficacy of an incident-reporting system in cellular pathology: a practical experience.

April 25, 2012

Interprofessional learning for medication safety.

July 9, 2014

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial.

November 29, 2017

Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.

January 19, 2011

Technological distractions—part 1 and part 2.

February 14, 2018

Sensemaking, safety, and cooperative work in the intensive care unit.

August 8, 2007

Automation failures and patient safety.

December 2, 2020

The patient's "story": an examination of patient-reported safety incidents in general practice.

May 4, 2022

The Child Health PSO at 10 years: an emerging learning network.

August 18, 2021

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.

June 10, 2020

SAFER Care: improving caregiver comprehension of discharge instructions.

March 31, 2021

Distractions and surgical proficiency: an educational perspective.

January 20, 2010

Barriers to accessing nighttime supervisors: a national survey of internal medicine residents.

March 17, 2021

A meta-review of methods of measuring and monitoring safety in primary care.

September 15, 2021

Medication error prevention in the school setting: a closer look.

October 19, 2011

Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety.

February 21, 2024

How safe is prehospital care? A systematic review.

November 17, 2021

A systematic review of patient-report safety climate measures in health care.

May 27, 2020

Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education.

March 18, 2020

Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents.

March 22, 2023

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.

March 9, 2011

Measurement and monitoring patient safety in prehospital care: a systematic review.

February 24, 2021

Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic.

August 5, 2020

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice.

November 3, 2021

The association between culture, climate and quality of care in primary health care teams.

July 11, 2007

Interventions to improve hand hygiene compliance in the ICU: a systematic review.

November 29, 2017

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery.

March 2, 2022

Coaching to improve the quality of communication during briefings and debriefings.

October 15, 2014

Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.

March 11, 2015

Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities.

March 14, 2018

Hospital Readmissions Reduction Program: implications for pharmacy.

February 18, 2015

Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.

October 6, 2021

Hand hygiene and healthcare system change within multi-modal promotion: a narrative review.

April 24, 2013

Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis.

May 13, 2020

Coping and recovery in surgical residents after adverse events: the second victim phenomenon.

April 20, 2022

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.

June 19, 2013

Making checklists work: South Carolina's statewide experiment.

February 3, 2016

Hospitals slow to adopt patient apology policies.

September 2, 2015

Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls.

April 1, 2015

Hospitals often ignore policies on using qualified medical interpreters.

September 17, 2014

10 ways to guarantee a lawsuit.

July 27, 2005

Reaching the summit of discharge summaries: a quality improvement project.

March 3, 2021

Not sick enough to worry? "Influenza-like" symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey.

June 3, 2020

Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis.

April 1, 2020

Promoting patient safety using an early warning scoring system.

August 27, 2008

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians.

January 6, 2016

Perinatal patient safety and quality.

July 6, 2011

Emerging trends in perinatal quality and risk with recommendations for patient safety.

February 14, 2018

Measuring perinatal patient safety: review of current methods.

May 31, 2006

How do nurses use early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review.

May 29, 2019

Examining the relationship between nurse fatigue, alertness, and medication errors.

April 3, 2024

Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem.

March 12, 2014

Practice review: medication reconciliation in the ambulatory setting.

January 31, 2024

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

January 9, 2013

Organizational factors that promote error reporting in healthcare: a scoping review.

September 14, 2022

Mindful workarounds in bar code medication administration.

June 8, 2022

Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training

January 13, 2021

The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology.

September 10, 2014

Communication between primary and secondary care: deficits and danger.

August 21, 2019

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.

September 19, 2018

Exploring the concept of medication discrepancy within the context of patient safety to improve population health.

December 9, 2009

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

December 13, 2006

Individual surgeon mortality rates: can outliers be detected? A national utility analysis.

November 16, 2016

Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals.

November 2, 2016

Organisational failure: rethinking whistleblowing for tomorrow's doctors.

September 7, 2022

Advancing health equity in patient safety: a reckoning, challenge and opportunity.

January 13, 2021

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Hospital safety climate and safety behavior: a social exchange perspective.

September 27, 2017

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi.

September 13, 2006

Related Resources

Patient Safety Primers

Long-term Care and Patient Safety

April 10, 2024

Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022.

September 11, 2023

What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States.

June 21, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports.

May 24, 2023

Medical errors kill thousands of people each year. But are hospitals getting any safer?

May 17, 2023

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.

May 10, 2023

Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19.

May 10, 2023

Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.

April 5, 2023

An examination of Leapfrog safety measures and Magnet designation.

April 5, 2023

Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame.

March 29, 2023

The effectiveness of tele-triage during the COVID-19 pandemic: a systematic review and narrative synthesis.

February 8, 2023

Interventions to increase patient safety in long-term care facilities-umbrella review.

January 25, 2023

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.

October 5, 2022

Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews.

September 28, 2022

Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019.

August 3, 2022

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

What is needed to sustain improvements in hospital practices post-COVID-19? A qualitative study of interprofessional dissonance in hospital infection prevention and control.

May 4, 2022

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.

March 30, 2022

Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.

March 30, 2022

Cost of health care-associated infections in the United States.

March 23, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

February 24, 2022

Implicit bias in healthcare professionals: a systematic review.

January 19, 2022

Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study.

November 10, 2021

Patient Safety Innovations

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

October 27, 2021

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

Toolkit to Improve Antibiotic Use in Long-Term Care.

July 14, 2021

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.

July 14, 2021

See More About The Topic

Hospitals

Facility and Group Administrators

Quality and Safety Professionals

Medicine

Nurse Care

Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.

Long-term Care and Patient Safety

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.

Long-term Care and Patient Safety

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site