AHRQ Study: Hospital Management Practices Can Influence Efforts To Prevent Bloodstream Infections
Specific hospital management practices can influence the effectiveness of central line-associated bloodstream infection prevention efforts, an AHRQ-funded study found. Researchers interviewed staff from eight hospitals participating in implementation of AHRQ’s Comprehensive Unit-based Safety Program to identify management practices that differentiated higher-performing hospitals from lower-performing ones. They found that the degree of commitment to the goal of “getting to zero” infections was a determining factor in the effectiveness of this prevention effort. At higher-performing hospitals, this goal was stated explicitly, widely embraced and aggressively pursued. At lower-performing hospitals, the goal was viewed as an aspiration and was not part of an integrated strategy to prevent infections, the study stated. Additional management practices – top-level commitment, physician-nurse alignment, systematic education, meaningful use of data, and rewards and recognition – were nearly exclusively present in the higher-performing hospitals. The study presents a management practice “bundle” with suggestions for implementing strategies to prevent infections. The article and abstract, “Preventing Central Line-Associated Bloodstream Infections: A Qualitative Study of Management Practices” were published online February 23 in the journal Infection Control & Hospital Epidemiology. AHRQ’s Michael I. Harrison, Ph.D., is a coauthor of the study.