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Journal Article > Study
Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.
Smith SN, Greene MT, Mody L, Banaszak-Holl J, Petersen LD, Meddings J. BMJ Qual Saf. 2018;27:464-473.
Measuring safety culture is a core patient safety activity, but the relationship between safety culture and adverse events remains unclear. This prospective cohort study measured nursing home safety culture using the AHRQ Nursing Home Survey on Patient Safety Culture and also measured rates of catheter-associated urinary tract infections (CAUTIs) as part of a quality improvement collaborative. Although safety culture survey results improved and CAUTIs declined over time, after accounting for other factors such as nursing home size and nonprofit versus for-profit status, there was no association between safety culture score and CAUTI rates. The authors recommend focusing on technical aspects of infection control such as standard protocols for catheter insertion rather than safety culture in order to improve patient safety outcomes. Correspondence published in the same issue points out limitations of a related study on the AHRQ Hospital Survey on Patient Safety Culture.
Journal Article > Review
The preventable proportion of healthcare-associated infections 2005–2016: systematic review and meta-analysis.
Schreiber PW, Sax H, Wolfensberger A, Clack L, Kuster SP; Swissnoso. Infect Control Hosp Epidemiol. 2018;39:1277-1295.
Health care–associated infections (HAIs) represent a significant source of preventable harm to patients. Targeted interventions have been shown to be effective in decreasing HAIs and events once deemed unavoidable, such as central line–associated bloodstream infections, are now considered preventable. In this systematic review and meta-analysis, investigators sought to determine the proportion of HAIs prevented by infection control efforts across countries of different income levels. From the 144 studies ultimately included in the analysis, they found that implementation of evidence-based interventions was associated with an overall reduction in HAIs and that there was no relationship to the financial status of the country in which the study was conducted. A past PSNet perspective discussed infection prevention and patient safety.