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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.
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.
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).
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.
Identifying and Reducing Catheter-Related Complications
Sarah Krein & Sanjay Saint | Department of Veterans Affairs HSR&D | 07.01.2014 - 12.31.2018
The purpose of this multi-site study is to identify, better understand, and then develop strategies to address the full range of complications – infectious and non-infectious – associated with the use of urinary catheters and peripherally inserted central venous catheters (PICCs).
Improving Peripherally Inserted Central Catheter Use in Hospitalized Patients
Vineet Chopra | AHRQ | 04.01.2014 - 03.31.2018
This is a career development award for Dr. Vineet Chopra. The candidate will pursue a mentored research plan that will promote development of expertise in: 1) hospital epidemiology, vascular biology, and infection prevention; 2) analysis of longitudinal, categorical, and survival data; 3) decision-making, leadership and cost-effectiveness; and 4) implementation science. The career development plan consists of a multidisciplinary team of experienced mentors and advisors who will oversee a range of formal coursework and practical experiences to ensure the candidates’ success. Exceptional resources and a mentoring team with proven success in developing junior physician-scientists make the University of Michigan an ideal environment for this proposal.
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.