Patient Hand Hygiene Initiative
Lona Mody | Centers for Disease Control & Prevention | 09.30.2016 - 09.29.2017
The overarching goals of this contract are to: 1) using molecular epidemiologic methods to characterize the role of patient hand carriage of multidrug-resistant organisms on environmental contamination and thus establish predictors and consequences of patient hand contamination; 2) conduct a systematic review to document the prevalence of multidrug-resistant organism hand colonization of patients and healthcare personnel, and transmission pathways between the environment and patients; and 3) develop efficient, cost‐effective and sustainable interventions that promote and disseminate patient hand hygiene programs in various settings where healthcare is provided including acute care hospitals, nursing homes, outpatient settings, ambulatory surgery and dialysis centers.
Recovery After in Hospital Cardiac Arrest Late Outcomes and Utilization (ResCU)
Theodore Iwashyna & Brahmajee Nallamothu | VA ORD | 08.01.2014 - 07.31.2017
The fundamental goal of the ResCU proposal is to understand patterns of long-term outcomes and healthcare utilization across hospitals after IHCA and then to use these insights to develop new strategies for quality improvement both within the VHA and elsewhere. Its 3 Aims will: (1) measure long-term outcomes (including health status) and healthcare utilization in patients after IHCA within the VHA and then determine key patient-level factors that are linked to adverse outcomes; (2) identify hospital-level factors that are associated with long-term outcomes and healthcare utilization; and (3) determine the extent of variation in long-term outcomes across hospitals and VISNs for purposes of feedback and benchmarking.
Intervening in the Emergency Department to Reduce Urinary Catheter Use
M. Todd Greene & Sanjay Saint | NIH | 08.01.2015 - 07.31.2017
The immediate goals of this project are: 1) to develop an understanding of the extent to which urinary catheter use in emergency departments can be reduced following interventions focused on appropriate indications for catheter placement; and 2) to identify organizational, personnel and other contextual factors that either facilitate or impede placing urinary catheters in the emergency department only when appropriately indicated. These immediate goals will contribute to the long-term goal of identifying and implementing effective strategies to reduce inappropriate catheter use in the ED, thereby reducing overall catheter use and preventing catheter-associated urinary tract infection (CAUTI).
Predictors of Hospital-Acquired Urinary Tract-Related Bloodstream Infection in VA
Sanjay Saint | VA Merit Grant | 07.01.2012 - 06.30.2016
The objective of this VA-based clinical study is to delineate both host- and time dependent factors that contribute to urinary tract-related bloodstream infection in hospitalized veterans. This study is unique in that it will ascertain potential causal mechanisms of bloodstream infection taking into account the time course of a hospitalized patient’s stay and the multiple procedures and treatments that occur during this stay.
Hospital Enhancement of Resuscitation Outcomes for In-Hospital Cardiac Arrest (HEROIC)
Brahmajee Nallamothu | UM-NIH | 07.01.2012 - 06.30.2016
In-hospital cardiac arrest (IHCA) is a common event with poor survival. Yet, some hospitals are more successful in preventing and treating IHCA than others. This proposal lays the foundation for future quality efforts in IHCA by identifying specific and practical resuscitation strategies adopted by top-performing hospitals through a sequential mixed-methods study design that uses both quantitative and qualitative approaches. As part of this study, the University of Michigan team will be primarily responsible for arranging and conducting on-site, semi-structured interviews with key stakeholders at a random sample of top and bottom performing hospitals identified through a national registry. Through site tours and observations, we will collect data on each institution’s resources and physical lay-out, review documents and policies related to the prevention and management of IHCA, and identify quality improvement initiatives and innovations.
Comprehensive Unit-based Safety Program (CUSP) to reduce Central Line-associated Blood Stream Infections (CLABSI) and Catheter-associated Urinary Tract Infections (CAUTI) in Intensive Care Units (ICU) with persistently elevated infection rates
Sanjay Saint | HRET-AHRQ | 09.14.2015 - 03.03.2017
The purpose of this project is to develop and implement a program to support implementation, adoption, and use of CUSP to reduce CLABSI and CAUTI in ICUs with persistently elevated infection rates throughout the US through regional consortia/collaborative efforts in a phased approach.
National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-associated Urinary Tract Infection (CAUTI) in Long Term Care Facilities
Lona Mody & Sanjay Saint | AHA-AHRQ | 09.19.2013 - 09.18.2016
The purpose of this project is to develop and implement a program for the support development, implementation, the adoption, and use of a Comprehensive Unit-based Safety Program (CUSP) to reduce Catheter-associated Urinary Tract Infection (CAUTI) in long term care facilities in all States, the District of Columbia, and Puerto Rico through State-based or regional consortia/collaborative efforts in a phased approach. Our goal is to implement and evaluate a program to reduce CAUTI in approximately 500 nursing homes nationwide.
HRET Hospital Engagement Network 2.0
Sanjay Saint | HRET-CMS | 9.24.2015 - 09.23.2016
The long-term goal of this project, in collaboration with the Health Research & Educational Trust (HRET), is to help participants in the Hospital Engagement Network identify, implement and evaluate catheter-associated urinary tract infection (CAUTI) prevention strategies that are most effective in reducing overall catheter use and CAUTI rates.
Enhancing Veteran Safety by Preventing Catheter-Associated Urinary Tract Infection
Sanjay Saint | Department of Veterans Affairs Patient Safety Center of Inquiry | 10.01.2012 - 09.30.2015
The general theme of this Veterans Affairs Ann Arbor Patient Safety Center of Inquiry (PSCI) is preventing catheter-associated urinary tract infection.
Expansion of the National Implementation of Comprehensive Unit-Based Safety Program (CUSP) to reduce CAUTI in 50 States
Sanjay Saint | AHRQ | 08.15.2011 - 08.14.2015
The goal of this project is to deploy and implement a program to reduce catheter-associated urinary tract infection (CAUTI) in acute-care hospitals across the United States through State-based or regional consortia/collaboratives and with the assistance of various relevant professional societies.
Prevention of Hospital Infections by Intervention & Training (PROHIBIT)
Sanjay Saint | European Commission | 08.11.2010 - 06.30.2013
The aim of PROHIBIT is to understand existing guidelines and practices to prevent healthcare-associated infections in European hospitals and also identify factors that enable and prevent compliance with best practices. Our role will be to help our European colleagues conduct a qualitative study in European hospitals.
Implementing Evidence to Prevent Urinary Infection and Enhance Patient Safety – R01
Sanjay Saint | NIH | 07.01.2008 - 04.30.2013
The overarching objective of this research is to identify and develop strategies to optimize the successful implementation of key practices in the field of patient safety and healthcare-associated infection prevention.
Predictors of Hospital-Acquired Urinary Tract-Related Bloodstream Infection – R21
Sanjay Saint | NIH | 07.01.2008 - 06.30.2011
The objective of this study is to delineate both host- and time-dependent factors that contribute to hospitalized patients.
Does the University of Michigan’s Claims Management Model Reduce Malpractice Costs?
Sanjay Saint | BCBS - Michigan | 07.01.2007 - 12.31.2008
The purpose is to assess the effect of the University of Michigan Health System’s malpractice claims management model on malpractice liability outcomes.
Translating Nosocomial Infection Research into Practice
Sanjay Saint | VA-HSR&D | 07.01.2004 - 09.30.2008
The purpose of this project is to foster clinical research on nosocomial infections and to develop interventions to implement evidence-based infection prevention practices across different health care systems.
Infection Risk of Urinary Collection Strategies
Sanjay Saint | NIH - NIDDK | 07.01.2005 - 05.31.2008
The goal of this project is to describe use of urinary collection devices in a cohort of residents in long-term care facilities and determine the antecedent factors and effects of such use.