Time-Series Analysis of Health Care–Associated Infections in a New Hospital With All Private Rooms

Abstract

associated infections are often caused by multidrug-resistant organisms and substantially factor into hospital costs and avoidable iatrogenic harm. Although it is recommended that new facilities be built with single-room, low-acuity beds, this process is costly and evidence of reductions in health care-associated infections is weak. OBJECTIVE To examine whether single-patient rooms are associated with decreased rates of common multidrug-resistant organism transmissions and health care-associated infections. DESIGN, SETTING, AND PARTICIPANTS A time-series analysis comparing institution-level rates of new multidrug-resistant organism colonization and health care-associated infections before (

Quality and safety in the literature: January 2020

“…However, the data needed to quantify the impact of the transition to private rooms on infectious patient outcomes are limited, and there are also challenges10 to adapting the clinical work flow for single rooms. To address this knowledge gap, McDonald and colleagues11 used a time-series analysis to assess the impact of the transition to a new hospital with exclusively single-patient rooms on the rates of common multidrug resistant organism (MDRO) transmissions and healthcare-associated infections (HAIs).…”

Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: A hospital-level analysis of administrative data from the United States

“…Studies examining the association between PPRs and HA-MRSA have notable limitations, however, and provide little strong evidence to support recommendations for HA-MRSA control through PPRs. For example, most studies examining PPRs and HA-MRSA were conducted outside the US [12][13][14][15][16][17][18][19][20][21][22][23]; few studies focused on US hospitals [24][25][26]. This is a concern given international differences in healthcare delivery structures and hospital organizational characteristics [27,28] and variations in regulations, control policies, and surveillance measures related to MRSA [29][30][31].…”

“…This is a concern given international differences in healthcare delivery structures and hospital organizational characteristics [27,28] and variations in regulations, control policies, and surveillance measures related to MRSA [29][30][31]. In addition, most studies examined only a few facilities, which not only limits generalizability but may result in bias given the inability to control for organizational or environmental factors (e.g., staffing, physical spaces) [12][13][14][15][16][17][18][19][20][23][24][25][26]. Further, many studies were focused exclusively on intensive care unit (ICU) patients [12-15, 18, 22-24, 26] even though the broader inpatient population is at risk of HA-MRSA [19,25,32].…”

Using VRE screening tests to predict vancomycin resistance in enterococcal bacteremia

“…Local and national VRE epidemiology has been previously reported. 16,17 The only change that occurred during the period of study was an institutional move for one of our study sites to a new facility with single patient rooms in 2015, which resulted in a 4-fold decrease in the VRE colonization incidence rate ratio. 17 Throughout the period described in our study, the infection control and laboratory protocols have remained unchanged and represent hospital standard operating procedures.…”