Leadership line care rounds: Application of the engage, educate, execute, and evaluate improvement model for the prevention of central line–associated bloodstream infections in children with cancer

et al. 2020

Preprint

Activities of infection control and prevention are diverse and complicated. Regular and well-organized inspection of infection control is essential element of infection control program. The aim of study was to identify strong points and limitations of weekly infection control rounding (ICTR) in an acute care hospital. We conducted infection control rounding weekly to improve the compliance of infection control in the real field at a 734-bed academic hospital in Republic of Korea between January, 18, 2018 to December, 26, 2018. We investigated the functional coverage of a weekly ICTR. The result of the rounding are categorized well maintained, improvement is needed, long-term support such as space or manpower is needed, not applicable and could not observed. ICTR visited median 7 times [interquartile range (IQR) 6–7 times] per department. When visiting a department, ICTR observed median 16 practices (IQR 12–22). There were 7452 results of practices. Of those results, 75% were monitored properly, 22% were not applicable, and 4% were difficult-to-observe. Among applicable practice results, the most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections and pneumonia, injection safety practices, and strategies to prevent occupationally-acquired infections. The ICTR was able to maintain regular visits to each department; however, additional observation is necessary to eliminate blind spots.* These authors contributed equally

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

The scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

et al. 2020

Preprint

“…Although several previous studies related to ICTR have been conducted, these studies investigated the bene ts of incorporating leadership rounding into infection prevention and focused on the association between infection control activities with rounding and one speci c type of infection. 2,4,5,6,8,9 These assessments indicated that ICTR was successful in the studied context; nonetheless, these studies lack a comprehensive perspective on the mechanisms of rounding. In contrast, our study evaluated monitoring of infection control activities based on the entire infection prevention protocol, with a grade-based assessment of infection control activities.…”

Section: Discussionmentioning

confidence: 99%

“…1 Leadership rounding for HAI prevention has emerged as a method to maintain and develop HAIpreventive practices in healthcare units. 2,3 Previous studies have found that leadership rounding for strategic discussions, including prevention of catheter-associated urinary tract infections, 4 surgical site infection (SSI), 5 and central line-associated bloodstream infections (CLABSI), 2,4 has a dramatically positive effect on reducing HAI rates. Infection control activities are diverse and complex as they include practices that protect healthcare workers, visitors, trainees, and patients from infections.…”

Section: Introductionmentioning

confidence: 99%

Scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

et al. 2020

Preprint

Regular and well-organized inspection of infection control is an essential element of an infection control program. The aim of this study was to identify the functional scope of weekly infection control team rounding (ICTR) in an acute care hospital. We conducted weekly ICTR between January 18 and December 26, 2018 to improve the compliance to infection control and prevention measures at a 734-bed academic hospital in the Republic of Korea and analyzed the results retrospectively. We categorized the results into five groups: “well maintained,” “improvement needed,” “long-term support, such as space or manpower, needed,” “not applicable,” or “could not be observed”. A total of nine categories and 85 sub-elements of infection control and prevention practices were evaluated. The median number of infection control team (ICT) visits per department was 7 (interquartile range [IQR]: 6-7). The ICT assessed a median of 16 elements (IQR: 12-22), and a total of 7,452 results were obtained. Of those, 75% were monitored properly, 22% were “not applicable”, and 4% were difficult to observe. The most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections, pneumonia, and occupationally acquired infections as well as injection safety practices. Although the ICTR was able to maintain regular visits to each department, further strategies beyond regular ICTR are needed to reduce category of “could not observed”. This pilot study may provide an important reference for institutional infection prevention practices as it is the first study to investigate the functional coverage of ICTR.

“…Leadership rounding for HAI prevention has emerged as a method to maintain and develop HAI-preventive practices in healthcare units [2,3]. Previous studies have found that leadership rounding for strategic discussions, including prevention of catheter-associated urinary tract infections [4], surgical site infection (SSI) [5], and central line-associated bloodstream infections (CLABSI) [2,4], has a dramatically positive effect on reducing HAI rates. Infection control activities are diverse and complex as they include practices that protect healthcare workers, visitors, trainees, and patients from infections.…”

Section: Introductionmentioning

confidence: 99%

Scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

Antimicrob Resist Infect Control

et al. 2020

Regular and well-organized inspection of infection control is an essential element of an infection control program. The aim of this study was to identify the functional scope of weekly infection control team rounding (ICTR) in an acute care hospital. We conducted weekly ICTR between January 18 and December 26, 2018 to improve the compliance to infection control and prevention measures at a 734-bed academic hospital in the Republic of Korea and analyzed the results retrospectively. We categorized the results into five groups: "well maintained," "improvement needed," "long-term support, such as space or manpower, needed," "not applicable," or "could not be observed". A total of nine categories and 85 sub-elements of infection control and prevention practices were evaluated. The median number of infection control team (ICT) visits per department was 7 (interquartile range [IQR]: 6-7). The ICT assessed a median of 16 elements (IQR: 12-22), and a total of 7452 results were obtained. Of those, 75% were monitored properly, 22% were "not applicable", and 4% were difficult to observe. The most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections, pneumonia, and occupationally acquired infections as well as injection safety practices. Although the ICTR was able to maintain regular visits to each department, further strategies beyond regular ICTR are needed to reduce category of "could not observed". This pilot study may provide an important reference for institutional infection prevention practices as it is the first study to investigate the functional coverage of ICTR.