Preventing Hospital Infections: Real-World Problems, Realistic Solutions

Description

The first edition of Preventing Hospital Infections led readers through a step-by-step description of a quality improvement intervention as it might unfold in a model hospital, pinpointing the likely obstacles and offering practical strategies for how to overcome them. This newly updated edition draws on fresh examples and modern clinical tools, with new or expanded topics spanning antimicrobial resistance and antimicrobial stewardship, RAND/UCLA appropriateness criteria for using devices, and tiered approaches to CAUTI, CLABSI, and CDI. Unlike other approaches, which focus on the technical aspects of healthcare-associated infections, this book offers a user-friendly manual for effecting real, practical change. Whether resistance comes from physicians who distrust change, nurses who want to protect their turf, or infection preventionists who are removed from the day-to-day work on wards, Preventing Hospital Infections, 2nd Edition offers an innovative and accessible approach that focuses on navigating the human element in a hospital quality improvement initiative. Dedications Contents Preface About the Authors 1. An Effective Strategy to Combat Hospital Infections 2. Committing to an Infection Prevention Initiative 3. Types of Interventions: Catheter- Associated Urinary Tract Infection 4. Types of Interventions: Central Line–Associated Bloodstream Infection 5. Building the Team 6. The Importance of Leadership and Followership 7. Common Problems, Realistic Solutions 8. Joining a Collaborative 9. Toward Sustainability 10. Taking on Clostridioides difficile 11. The Future of Infection Prevention Appendix A. Ann Arbor Criteria for Urinary Catheters in Hospitalized Medical Patients Appendix B. Michigan Appropriate Perioperative (MAP) Criteria for Urinary Catheter Use Appendix C. Two-Tier Approach to Prioritize Interventions for Catheter-Associated Urinary Tract Infection (CAUTI), Central Line–Associated Bloodstream Infection (CLABSI), and Clostridioides difficile Infection (CDI) Appendix D. Guide to Patient Safety (GPS) Tools for CAUTI, CLABSI, and CDI Appendix E. Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) Criteria References Index