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Journal Article > Review
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Knobloch MJ, Thomas KV, Musuuza J, Safdar N. Am J Infect Control. 2019;47:633–637.
Health care–associated infections (HAIs) are a persistent challenge to patient safety. This review found that evidence regarding the role of leadership in implementing the Systems Engineering Initiative for Patient Safety framework to HAI reduction was limited. The authors conclude that research is needed to examine how communication and leadership characteristics affect work system approaches to HAI prevention.
Journal Article > Study
Magill SS, O'Leary E, Janelle SJ, et al; Emerging Infections Program Hospital Prevalence Survey Team. N Engl J Med. 2018;379:1732-1744.
Health care–associated infections (HAIs) are a key cause of preventable harm in hospitals. Successful programs to avert HAIs include the comprehensive unit-based safety program to reduce catheter-related bloodstream infections and the AHRQ Safety Program for Surgery to prevent surgical site infections. This survey of 12,299 patients at 199 hospitals on a single day enabled researchers to estimate the prevalence of HAIs in the United States. In 2015, 3.2% of hospitalized patients experienced an HAI, a 16% decrease compared to a similarly derived estimate in 2011. The most common HAIs were pneumonia and Clostridium difficile infections, while the biggest reductions were in urinary tract and surgical site infections. This data emphasizes the importance of identifying strategies to combat pneumonia in nonventilated patients, which remains common and less well-studied than other HAIs. A past PSNet perspective discussed the history around efforts to address preventable HAIs, including federal initiatives.