Active Projects >>>
Intervening in the Emergency Department to Reduce Urinary Catheter Use
M. Todd Greene & Sanjay Saint | NIH | 08.01.2015 - 07.31.2018
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).
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
Jennifer Meddings & Sanjay Saint | HRET-AHRQ | 09.14.2015 - 09.28.2018
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.
The Effect of Health Information Technology on Healthcare Provider Communication
Milisa Manojlovich | AHRQ | 09.30.2014 - 09.29.2018
The purpose of this study is to understand how communication technologies facilitate or hinder communication between nurses and physicians.
Enhancing Patient Safety by Preventing Device-Associated Harm
Sanjay Saint | VA National Center for Patient Safety | 10.01.2015 - 09.30.2018
The general theme of this Patient Safety Center of Inquiry (PSCI) is preventing healthcare-associated infection. Our goal is to enhance the safety of patients by promoting the safe and appropriate use of urinary catheters and peripherally inserted central catheters (PICCs) to prevent device-associated infections.
Engaging Partners in Infection Prevention and Control in Acute Care Hospitals
Sanjay Saint | HRET-CDC | 10.01.2015 - 09.30.2018
The purpose of this project is to improve the implementation of infection prevention efforts in acute care hospitals across the United States. We will study at least 300 short-stay and long-term acute care hospitals that have a high burden of four key healthcare-associated infections: central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), Clostridium difficile infection (CDI), and Methicillin resistant Staphylococcus aureus (MRSA).
Translating Heathcare-associated Research Into Practice: Wave 4
Sanjay Saint | BCBSMF | 03.01.2017 - 11.30.2018
The fourth survey wave for TRIP (previous surveys done in 2005, 2009, and 2013).
Female Foley Facilitator (F3) Study
Jennifer Meddings | UM FFMI | 04.01.2018 - 03.31.2019
Hospital Enhancement of Resuscitation Outcomes for In-Hospital Cardiac Arrest (HEROIC)
Brahmajee Nallamothu & Chan | UM-NIH | 08.01.2014 - 05.31.2019
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.
Enhancing Patient Safety through Cognition & Communication: The "M-Safety Lab"
Sanjay Saint | AHRQ | 09.30.2015 - 09.29.2019
Our overarching goal is to implement novel methods to enhance cognition and communication among care providers in order to reduce hospital-acquired complications. Our center-wide aim is to establish a cohesive M-Safety Lab comprised of multidisciplinary, collaborating teams of investigators supported by a robust infrastructure including and Innovation, Development, Evaluation and Administration Core that will help oversee the development and successful completion of both projects from problem analysis to evaluation and will provide methodological, technical, and administrative support. The aim of project 1 is to develop, refine, and test a comprehensive inpatient monitoring system to reduce two common, harmful, and costly patient safey problems: healthcare-associated infections and pressure ulcers. The aim of project 2 is to develop, design, implement and evaluate interventions that combine cognitive and technology-based system-wide innovations to improve diagnostic and therapeutic decision-making around diagnostic error, blood transfusion and antimicrobial use.
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training Program
Lona Mody | NIH-NIA | 08.01.2015 - 03.31.2020
The candidate’s career objectives are to conduct patient-oriented research that improves outcomes from infectious diseases and reduces antimicrobial resistance in a vulnerable older population and to train a multidisciplinary group of students, residents, fellows, nurse investigators and junior faculty who wish to conduct patient-oriented and outcomes research in infection prevention. The majority of her professional life has been dedicated to the conduct of patient-oriented research in infection prevention, establish a steady stream of funding from NIA and other sources and organize numerous career-development programs in aging research nationally.
Expanding the 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 | AHRQ | 09.27.2017 - 09.28.2021
Expansion of CUSP.
Implementing Change to Reduce Infection & Improve the Appropriate Use of Catheters in Veterans
Saint & Krein | VA National Center for Patient Safety | 10.01.2018 - 09.30.2021
PRIISM: Preventing Resistance & Infection by Integrating Systems in Michigan
Lona Mody | AHRQ | 08.01.2017 - 03.31.2022
Infections, including urinary tract infection (UTI), remain a major cause of readmission from nursing homes to acute care hospitals. This project will develop an integrated infection prevention program model aligning nursing homes with their referral hospitals and test the effectiveness of this integrated UTI prevention program to reduce catheter-associated and non-catheter-associated UTIs, inappropriate antibiotic use in patients with asymptomatic bacteriuria, and UTI-related hospitalizations. This alignment can foster adoption of best practices including surveillance for common infections, joint antimicrobial stewardship programs, and training to reduce device utilization and infection-related hospitalizations leading to improved outcomes.