Effectiveness of national and subnational interventions for prevention and control of health-care-associated infections in acute hospitals in high-income and upper-middle-income counties: a systematic review update

Price, Lesley; Gozdzielewska, Lucyna; Hendry, Katie; McFarland, Agi; Reilly, Jacqui

doi:10.1016/s1473-3099(23)00049-x

Cited by 4 publications

(1 citation statement)

References 50 publications

(253 reference statements)

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“…There is consistent evidence indicating that infection prevention interventions, when combined with a well-planned implementation strategy, have proven successful in reducing HAIs within clinical settings ( Price et al, 2023 ). This success can be attributed to the fact that implementation strategies not only encompass the technical aspects of the intervention but also consider how to effectively manage the social and contextual factors that influence the implementation process ( Gilmartin and Hessels, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Central aspects when implementing an electronic monitoring system for assessing hand hygiene in clinical settings: A grounded theory study

Granqvist,

Ahlstrom,

Karlsson

et al. 2024

Journal of Infection Prevention

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Background New technologies, such as electronic monitoring systems, have been developed to promote increased adherence to hand hygiene among healthcare workers. However, challenges when implementing these technologies in clinical settings have been identified. Aim The aim of this study was to explore healthcare workers’ experiences when implementing an electronic monitoring system to assess hand hygiene in a clinical setting. Method Interviews with healthcare workers (registered nurses, nurse assistants and leaders) involved in the implementation process of an electronic monitoring system ( n = 17) were conducted and data were analyzed according to the grounded theory methodology formulated by Strauss and Corbin. Results Healthcare workers’ experiences were expressed in terms of leading and facilitating, participating and contributing, and knowing and confirming. These three aspects were merged together to form the core category of collaborating for progress. Leaders were positive and committed to the implementation of the electronic monitoring system, endeavouring to enable facilitation and support for their co-workers (registered nurses and nurse assistants). At the same time, co-workers were positive about the support they received and contributed by raising questions and demands for the product to be used in clinical settings. Moreover, leaders and co-workers were aware of the objective of implementing the electronic monitoring system. Conclusion We identified dynamic collective work between leaders and co-workers during the implementation of the electronic monitoring system. Leadership, participation and knowledge were central aspects of enhancing a collaborative process. We strongly recommend involving both ward leaders and users of new technologies to promote successful implementation.

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Section: Introductionmentioning

confidence: 99%

Central aspects when implementing an electronic monitoring system for assessing hand hygiene in clinical settings: A grounded theory study

Granqvist,

Ahlstrom,

Karlsson

et al. 2024

Journal of Infection Prevention

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Evaluating national infection prevention and control minimum requirements: evidence from global cross-sectional surveys, 2017–22

Tartari,

Tomczyk,

Twyman

et al. 2024

The Lancet Global Health

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The burden of healthcare-associated infections in New Zealand public hospitals 2021

Morris,

Hensen,

Graves

et al. 2024

Infect. Control Hosp. Epidemiol.

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Background: There are no contemporary data on the burden of healthcare-associated infections (HAIs) in New Zealand. Objectives: To estimate the economic burden of HAIs in adults in New Zealand public hospitals by number and monetary value of bed days lost; number of deaths, number of life years lost, and the monetary value (in NZ dollars); Accident Compensation Commission (ACC) HAI treatment injury payments; and disability-adjusted life years (DALYs). Methods: The annual incidence rate was calculated from the observed prevalence of HAIs in New Zealand, and length of patient stays. Total HAIs for 2021 were estimated by multiplying adult admissions by incidence rates. The excess length of stay and mortality risk attributed to those with HAI was calculated using a multistate model. Payments for treatment injuries were obtained from the ACC. DALYs for HAIs were estimated from the literature. Results: The incidence rate of HAI was 4.74%, predicting 24,191 HAIs for 2021, resulting in 76,861 lost bed days, 699 deaths, with 9,371 years of life lost (YoLL). The annual economic burden was estimated to be $955m comprised of $121m for lost bed days, $792m for cost of YoLL, and $43m ACC claims. There were 24,165 DALY which is greater than many other measured injuries in New Zealand, eg motor vehicle traffic crashes with 20,328 DALY. Conclusions: HAIs are a significant burden for patients, their families, and the public health system. Preventive guidelines for many HAIs exist and a strategic plan is needed to reduce HAIs in New Zealand.

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Effectiveness of national and subnational interventions for prevention and control of health-care-associated infections in acute hospitals in high-income and upper-middle-income counties: a systematic review update

Cited by 4 publications

References 50 publications

Central aspects when implementing an electronic monitoring system for assessing hand hygiene in clinical settings: A grounded theory study

Central aspects when implementing an electronic monitoring system for assessing hand hygiene in clinical settings: A grounded theory study

Evaluating national infection prevention and control minimum requirements: evidence from global cross-sectional surveys, 2017–22

The burden of healthcare-associated infections in New Zealand public hospitals 2021

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