scholarly journals The Evolving Landscape of Healthcare-Associated Infections: Recent Advances in Prevention and a Road Map for Research

2014 ◽  
Vol 35 (5) ◽  
pp. 480-493 ◽  
Author(s):  
Nasia Safdar ◽  
Deverick J. Anderson ◽  
Barbara I. Braun ◽  
Philip Carling ◽  
Stuart Cohen ◽  
...  
Keyword(s):  
Research Priorities ◽  
White Paper ◽  
Research Network ◽  
Healthcare Associated Infections ◽  
Research Committee ◽  
Road Map ◽  
Research Questions ◽  
Healthcare Associated ◽  
Healthcare Epidemiology ◽  
National Approach

This white paper identifies knowledge gaps and new challenges in healthcare epidemiology research, assesses the progress made toward addressing research priorities, provides the Society for Healthcare Epidemiology of America (SHEA) Research Committee's recommendations for high-priority research topics, and proposes a road map for making progress toward these goals. It updates the 2010 SHEA Research Committee document, “Charting the Course for the Future of Science in Healthcare Epidemiology: Results of a Survey of the Membership of SHEA,” which called for a national approach to healthcare-associated infections (HAIs) and a prioritized research agenda. This paper highlights recent studies that have advanced our understanding of HAIs, the establishment of the SHEA Research Network as a collaborative infrastructure to address research questions, prevention initiatives at state and national levels, changes in reporting and payment requirements, and new patterns in antimicrobial resistance.

scholarly journals Enhancing Patient Safety by Reducing Healthcare-Associated Infections: The Role of Discovery and Dissemination

2010 ◽  
Vol 31 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Keyword(s):  
Patient Safety ◽  
Healthcare System ◽  
Research Agenda ◽  
Position Paper ◽  
Public Confidence ◽  
Healthcare Associated Infections ◽  
Science Base ◽  
Healthcare Associated ◽  
National Approach

Healthcare-associated infections (HAIs) take a major human toll on society and reduce public confidence in the healthcare system. The current convergence of scientific, public, and legislative interest in reducing rates of HAI can provide the necessary momentum to address and answer important questions in HAI research. This position paper outlines priorities for a national approach to HAIs: scrutinizing the science base, developing a prioritized research agenda, conducting studies that address the questions that have been identified, creating and deploying guidelines that are based on the outcomes of these studies, and then initiating new studies that assess the efficacy of the interventions.

scholarly journals Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals: 2014 Update

2014 ◽  
Vol 35 (S2) ◽  
pp. S48-S65 ◽  
Author(s):  
Erik R. Dubberke ◽  
Philip Carling ◽  
Ruth Carrico ◽  
Curtis J. Donskey ◽  
Vivian G. Loo ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Guidance Document ◽  
Healthcare Associated Infections ◽  
American Hospital ◽  
American Hospital Association ◽  
Healthcare Associated ◽  
Healthcare Epidemiology ◽  
Practical Recommendations

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their Clostridium difficile infection (CDI) prevention efforts. This document updates “Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals,” published in 2008. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

Charting the Course for the Future of Science in Healthcare Epidemiology: Results of a Survey of the Membership of the Society of Healthcare Epidemiology of America

2010 ◽  
Vol 31 (7) ◽  
pp. 669-675 ◽  
Author(s):  
Ninet Sinaii ◽  
Keyword(s):  
Research Training ◽  
Multidrug Resistant ◽  
Research Committee ◽  
Protected Time ◽  
Road Map ◽  
Additional Funding ◽  
Conducting Research ◽  
Gram Negative Organisms ◽  
Research And Education ◽  
Healthcare Epidemiology

Objective.To describe the results of a survey of members of the Society for Healthcare Epidemiology of America (SHEA) that (1) measured members' perceptions of gaps in the healthcare epidemiology knowledge base and members' priorities for SHEA research goals, (2) assessed whether members would be willing to participate in consortia to address identified gaps in knowledge, and (3) evaluated the need for training for the next generation of investigators in the field of healthcare epidemiology.Design.Electronic and paper survey of members of SHEA, a professional society formed to advance the science of healthcare epidemiology through research and education.Participants.All society members were invited to participate.Results.Of 1,289 SHEA members, 593 (46.0%) responded. Respondents identified the following issues as important for the Research Committee of SHEA: setting the scientific agenda for healthcare epidemiology, developing collaborative infrastructure to conduct research, and developing funding mechanisms for research. Respondents ranked multidrug-resistant gram-negative organisms, antimicrobial stewardship, methicillin-resistant Staphylococcus aureus, adherence to effective hand hygiene guidelines, and Clostridium difficile infections as the most important scientific issues facing the field. Respondents ranked inadequate project funding, lack of protected time for research, and inability to obtain a grant, contract, and/or outside funding as the most significant barriers to conducting research. More than 92% of respondents support creating a SHEA research consortium; more than 40% would participate even if no additional funding were available; nearly 90% identified developing research training as a key function for SHEA.Conclusions.These data provide a road map for the SHEA Research Committee for the next decade.

scholarly journals Surveillance practices and air-sampling strategies to address healthcare-associated invasive mold infections in Society for Healthcare Epidemiology of America (SHEA) Research Network hospitals—United States, 2020

2021 ◽  
pp. 1-4
Author(s):  
Jeremy A. W. Gold ◽  
Brendan R. Jackson ◽  
Janet Glowicz ◽  
Kenneth R. Mead ◽  
Karlyn D. Beer
Keyword(s):  
United States ◽  
Acute Care ◽  
Air Sampling ◽  
Acute Care Hospitals ◽  
Research Network ◽  
Sampling Strategies ◽  
Case Definitions ◽  
Healthcare Associated ◽  
Healthcare Epidemiology ◽  
Invasive Mold Infections

Abstract With this survey, we investigated healthcare-associated invasive mold infection (HA-IMI) surveillance and air sampling practices in US acute-care hospitals. More than half of surveyed facilities performed HA-IMI surveillance and air sampling. HA-IMI surveillance was more commonly performed in academic versus nonacademic facilities. HA-IMI case definitions and sampling strategies varied widely among respondents.

scholarly journals Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update

2014 ◽  
Vol 35 (S2) ◽  
pp. S66-S88 ◽  
Author(s):  
Deverick J. Anderson ◽  
Kelly Podgorny ◽  
Sandra I. Berríos-Torres ◽  
Dale W. Bratzler ◽  
E. Patchen Dellinger ◽  
...  
Keyword(s):  
Acute Care ◽  
Surgical Site Infections ◽  
Acute Care Hospitals ◽  
Guidance Document ◽  
Healthcare Associated Infections ◽  
American Hospital ◽  
American Hospital Association ◽  
Healthcare Associated ◽  
Healthcare Epidemiology ◽  
Practical Recommendations

Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their surgical site infection (SSI) prevention efforts. This document updates “Strategies to Prevent Surgical Site Infections in Acute Care Hospitals,” published in 2008. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

scholarly journals Data Requirements for Electronic Surveillance of Healthcare-Associated Infections

2014 ◽  
Vol 35 (9) ◽  
pp. 1083-1091 ◽  
Author(s):  
Keith F. Woeltje ◽  
Michael Y. Lin ◽  
Michael Klompas ◽  
Marc Oliver Wright ◽  
Gianna Zuccotti ◽  
...  
Keyword(s):  
White Paper ◽  
Specific Information ◽  
Surveillance Systems ◽  
Healthcare Associated Infections ◽  
Electronic Surveillance ◽  
Specific Data ◽  
Healthcare Facilities ◽  
Data Elements ◽  
Healthcare Associated ◽  
Optimal Implementation

Electronic surveillance for healthcare-associated infections (HAIs) is increasingly widespread. This is driven by multiple factors: a greater burden on hospitals to provide surveillance data to state and national agencies, financial pressures to be more efficient with HAI surveillance, the desire for more objective comparisons between healthcare facilities, and the increasing amount of patient data available electronically. Optimal implementation of electronic surveillance requires that specific information be available to the surveillance systems. This white paper reviews different approaches to electronic surveillance, discusses the specific data elements required for performing surveillance, and considers important issues of data validation.Infect Control Hosp Epidemiol 2014;35(9):1083-1091

scholarly journals Recent advances in understanding the epidemiology of healthcare-associated infections

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 106
Author(s):  
Pranavi Sreeramoju
Keyword(s):  
Review Article ◽  
Healthcare Associated Infections ◽  
Recent Advances ◽  
Healthcare Associated ◽  
Healthcare Epidemiology

Since the 2014 publication of updates to the Society for Healthcare Epidemiology of America (SHEA) compendium of strategies to reduce healthcare-associated infections, there have been several advances in understanding the epidemiology of these diseases. This review article captures many of the key advances but does not include all of them.

scholarly journals COVID-19 Research Agenda for Healthcare Epidemiology

2021 ◽  
pp. 1-81
Author(s):  
Lona Mody ◽  
Ibukunoluwa C. Akinboyo ◽  
Hilary M. Babcock ◽  
Werner E. Bischoff ◽  
Vincent Chi-Chung Cheng ◽  
...  
Keyword(s):  
Research Agenda ◽  
Large Scale ◽  
Occupational Safety ◽  
Science Research ◽  
White Paper ◽  
Healthcare Personnel ◽  
Social Disparities ◽  
Health Outcomes Research ◽  
Research Questions ◽  
Healthcare Epidemiology

Abstract This SHEA white paper identifies knowledge gaps and challenges in healthcare epidemiology research related to COVID-19 with a focus on core principles of healthcare epidemiology. These gaps, revealed during the worst phases of the COVID-19 pandemic, are described in 10 sections: epidemiology, outbreak investigation, surveillance, isolation precaution practices, personal protective equipment (PPE), environmental contamination and disinfection, drug and supply shortages, antimicrobial stewardship, healthcare personnel (HCP) occupational safety, and return to work policies. Each section highlights three critical healthcare epidemiology research questions with detailed description provided in supplemental materials. This research agenda calls for translational studies from laboratory-based basic science research to well-designed, large-scale studies and health outcomes research. Research gaps and challenges related to nursing homes and social disparities are included. Collaborations across various disciplines, expertise and across diverse geographic locations will be critical.

scholarly journals Using a deliberative forum for engaging health system and health plan leaders to prioritize research topics

2018 ◽  
Vol 6 (2) ◽  
pp. 228
Author(s):  
Kathleen M McTigue ◽  
E Johanna Hartelius ◽  
Timothey S Anderson ◽  
Andrew P Allsup ◽  
Treva Alston ◽  
...  
Keyword(s):  
Health System ◽  
Health Plan ◽  
Research Priorities ◽  
Research Network ◽  
Audience Response ◽  
Research Topics ◽  
System Leaders ◽  
Research Questions ◽  
General Topic ◽  
Deliberative Forum

Background: Including stakeholders in the process and outcomes of comparative effectiveness research (CER) can help ensure that research questions are relevant and findings are communicated to individuals who need them for decision-making. Yet limited strategies are available to assist researchers with stakeholder engagement.While health system leaders’ perspectives are increasingly recognized as valuable for CER planning, their inclusion in the stakeholder pool raises challenges due to differences in culture, training, incentives, priorities and language norms.Objective: To convene and evaluate a deliberative forum for engaging health system leaders and other stakeholders in order to shape health system research priorities for the PaTH Clinical Data Research Network, a member of the National Patient-Centered Clinical Research Network (PCORnet).Methods: Breakout sessions and large group deliberation solicited diverse perspectives and explored benefits and challenges of different research questions. Topic reframing, narrative integration and dynamic updating techniques facilitated communication across diverse backgrounds. Participants included 29 health system and health plan leaders, clinicians, clinical researchers and patients from the network’s 6 participating health systems. Main measures were audience response system (ARS) polling on general topic preferences and survey data on measures of engagement and deliberation success.Results: A slate of 10 specific research topics was vetted; after deliberation, the group converged to favor the characterization of high utilizers of healthcare. Audience response polling revealed opinion shifts. Participants reported high levels of satisfaction with the experience and rated it highly for markers of deliberative quality (e.g., opportunity for active participation and adequate discussion, respect for others’ opinions and awareness of different perspectives). Fifty-four percent noted their views on the issues changed. Most participants learned from the experience (93%) and agreed that the process helped them to empathize with the challenges of others (85%).Conclusions: A deliberation forum can incorporate diverse stakeholders into CER, enabling participants to inform and learn from each other’s perspectives while shaping a person-centered research trajectory.

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