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1.
Am J Infect Control ; 36(9): 672-7, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18834733

ABSTRACT

In 2006, we began monitoring hand hygiene compliance by direct observation. In 2006, with no changes in the methicillin-resistant Staphylococcus aureus (MRSA) control program, a 38% reduction of facility-acquired rates for this organism was realized. These results indicate that focused monitoring of hand hygiene can reduce facility-acquired rates of MRSA.


Subject(s)
Cross Infection/prevention & control , Guideline Adherence/statistics & numerical data , Hand Disinfection , Infection Control/methods , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/prevention & control , Cross Infection/epidemiology , Cross Infection/microbiology , Female , Health Services Research , Humans , Incidence , Male , Middle Aged , Staphylococcal Infections/epidemiology , Staphylococcal Infections/microbiology
2.
Am J Infect Control ; 32(8): 451-5, 2004 Dec.
Article in English | MEDLINE | ID: mdl-15573051

ABSTRACT

BACKGROUND: In January 2002, Infection control professionals for Spartanburg Regional Healthcare System held a planning retreat focused on patient safety. The main challenge discussed was the control of antibiotic-resistant organisms. Rounds on the patient care units had revealed compliance issues with the current isolation procedures. The team developed a process improvement project coined the Effective Processes in Infection Control Project (EPIC). With a broad challenge of antibiotic resistance, the focus was narrowed to isolation precautions for methicillin-resistant Staphylococcus aureus (MRSA). METHODS: The initial stage of the EPIC project was education, followed by routine unit rounds to monitor compliance. A tool was developed to provide immediate feedback for the nursing units. Summary reports were generated for clinical directors as a method of accountability for unit leadership. Rates for facility-acquired MRSA were monitored and compared with MRSA days at risk. RESULTS: Over a 1-year period of increased accountability, the facility-acquired rate of MRSA decreased by 30%, even though the days at risk increased. The decrease was maintained during year 2. CONCLUSIONS: The results of this project point to the importance of accountability with isolation precautions in the effort to combat the spread of MRSA in the hospital setting.


Subject(s)
Cross Infection/prevention & control , Infection Control/standards , Patient Isolation/standards , Hospitals , Humans , Methicillin Resistance , Outcome and Process Assessment, Health Care , Patient Isolation/organization & administration , Prospective Studies , Risk Factors , South Carolina , Staphylococcal Infections/drug therapy , Staphylococcal Infections/prevention & control , Staphylococcus aureus/isolation & purification
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