National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Catheter-Associated Urinary Tract Infection (CAUTI) (1)
- Central Line-Associated Bloodstream Infections (CLABSI) (1)
- Clostridium difficile Infections (1)
- (-) COVID-19 (3)
- Critical Care (1)
- Elderly (1)
- (-) Healthcare-Associated Infections (HAIs) (3)
- Infectious Diseases (3)
- Intensive Care Unit (ICU) (1)
- Nursing Homes (1)
- Prevention (2)
- Public Health (1)
- Quality Improvement (1)
- Quality of Care (1)
- Urinary Tract Infection (UTI) (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 3 of 3 Research Studies DisplayedLang K, Atchison TJ, Singh P
Describing the monthly variability of hospital-onset Clostridioides difficile during early coronavirus disease 2019 (COVID-19) using electronic health record data.
The objectives of this retrospective cohort study were to assess the relative risk of hospital-onset Clostridioides difficile (HO-CDI) during the early months of the coronavirus 2019 (COVID-19) pandemic and to compare it with historical expectation based on patient characteristics. Secondary data was collected from the Ohio State University Wexner Medical Center electronic health records on adult patients admitted to the inpatient setting between January 2018 and May 2021. The results indicated that variations in HO-CDI incidence seemed to trend with COVID-19 incidence, but were not fully explained by the study’s case mix. The authors concluded that other factors contributing to variability in HO-CDI incidence needed to be explored.
AHRQ-funded; HS027200.
Citation: Lang K, Atchison TJ, Singh P .
Describing the monthly variability of hospital-onset Clostridioides difficile during early coronavirus disease 2019 (COVID-19) using electronic health record data.
Infect Control Hosp Epidemiol 2024 Mar; 45(3):329-34. doi: 10.1017/ice.2023.171.
Keywords: Clostridium difficile Infections, Healthcare-Associated Infections (HAIs), COVID-19, Infectious Diseases
Crnich CJ
Reimagining infection control in U.S. nursing homes in the era of COVID-19.
This paper provides an overview of nursing home (NH) infection and control, reviews the 2016 CMS changes to federal regulations, and proposes recommendations to sustain improvements. COVID-19 put further pressure on nursing homes who were already strained by rising numbers of infections from C. difficile and multidrug-resistant organisms. The author puts out a call for reimagining infection prevention and control using the Systems Engineering Initiative for Patient Safety framework. Additional recommendations are made to enhance NH infection prevention and control programs in the areas of people, tasks, tools, organization, built environment, and external environment.
AHRQ-funded; HS022465.
Citation: Crnich CJ .
Reimagining infection control in U.S. nursing homes in the era of COVID-19.
J Am Med Dir Assoc 2022 Dec;23(12):1909-15. doi: 10.1016/j.jamda.2022.10.022..
Keywords: Elderly, COVID-19, Public Health, Infectious Diseases, Nursing Homes, Healthcare-Associated Infections (HAIs), Prevention
Krauss DM, Molefe A, Hung L
AHRQ Author: Henderson S, Miller M
Emergent themes from a quality improvement programme for CLABSI/CAUTI prevention in ICUs amid the COVID-19 pandemic.
In this study, researchers summarized themes for maintaining infection prevention activities learned from the implementation of a quality improvement (QI) program during the COVID-19 pandemic. They concluded that future shocks such as the pandemic must be anticipated, and the healthcare system must be resilient to the resulting disruptions to healthcare-associated infection prevention activities. Their study encountered four themes for successful maintenance of infection prevention activities during the current pandemic: the value of a pre-existing infection prevention infrastructure; a flexibility in approach; broad buy-in for maintaining QI programs; and the facilitation of idea-sharing.
AHRQ-authored; AHRQ-funded; 233201500016I.
Citation: Krauss DM, Molefe A, Hung L .
Emergent themes from a quality improvement programme for CLABSI/CAUTI prevention in ICUs amid the COVID-19 pandemic.
BMJ Open Qual 2022 Nov;11(4):e001926. doi: 10.1136/bmjoq-2022-001926..
Keywords: COVID-19, Central Line-Associated Bloodstream Infections (CLABSI), Catheter-Associated Urinary Tract Infection (CAUTI), Healthcare-Associated Infections (HAIs), Quality Improvement, Quality of Care, Critical Care, Intensive Care Unit (ICU), Prevention, Urinary Tract Infection (UTI), Infectious Diseases