2019 Publications
Risk Factors and Outcomes Associated With Treatment of Asymptomatic Bacteriuria in Hospitalized Patients
JAMA Intern Med
What are the clinical characteristics and outcomes associated with antibiotic treatment of hospitalized patients with asymptomatic bacteriuria?
What are the clinical characteristics and outcomes associated with antibiotic treatment of hospitalized patients with asymptomatic bacteriuria?
States Targeting Reduction in Infections via Engagement (STRIVE): Supplement
Ann Intern Med
A 17 part supplement issue describing the entire STRIVE project and the results of its implementation.
A 17 part supplement issue describing the entire STRIVE project and the results of its implementation.
Excess Antibiotic Treatment Duration and Adverse Events in Patients Hospitalized With Pneumonia: A Multihospital Cohort Study
Ann Intern Med
Randomized trials demonstrate no benefit from antibiotic treatment exceeding the shortest effective duration. Objective: To examine predictors and outcomes associated with excess duration of antibiotic treatment.
Randomized trials demonstrate no benefit from antibiotic treatment exceeding the shortest effective duration. Objective: To examine predictors and outcomes associated with excess duration of antibiotic treatment.
Persistent Barriers to Timely Catheter Removal Identified from Clinical Observations and Interviews
Jt Comm J Qual Saf
Indwelling urinary and vascular catheters are valuable devices in patient care, but prolonged or unnecessary use increases the risk of infectious and noninfectious catheter harms. To understand persistent barriers to detecting and removing unnecessary catheters, researchers conducted a multimethod qualitative study that included observations and in-person interviews with clinicians working...
Indwelling urinary and vascular catheters are valuable devices in patient care, but prolonged or unnecessary use increases the risk of infectious and noninfectious catheter harms. To understand persistent barriers to detecting and removing unnecessary catheters, researchers conducted a multimethod qualitative study that included observations and in-person interviews with clinicians working...
The devil is in the details: Factors influencing hand hygiene adherence and contamination with antibiotic-resistant organisms among healthcare providers in nursing facilities
Infect Control Hosp Epidemiol
Antibiotic-resistant organism (ARO) colonization rates in skilled nursing facilities (NFs) are high; hand hygiene is crucial to interrupt transmission. We aimed to determine factors associated with hand hygiene adherence in NFs and to assess rates of ARO acquisition...
Antibiotic-resistant organism (ARO) colonization rates in skilled nursing facilities (NFs) are high; hand hygiene is crucial to interrupt transmission. We aimed to determine factors associated with hand hygiene adherence in NFs and to assess rates of ARO acquisition...
Role of Post‐Acute Care in Readmissions for Preexisting Healthcare‐Associated Infections
J Am Geriatr Soc
Although preventable, healthcare‐associated infections (HAIs) are commonly observed in post‐acute care settings for at‐risk older adults and are a leading cause of hospital readmissions. However, whether HAIs resulting in avoidable readmissions for preexisting HAIs (the same HAI as at the index admission) are more common for patients discharged to post‐acute care as opposed to home is unknown...
Although preventable, healthcare‐associated infections (HAIs) are commonly observed in post‐acute care settings for at‐risk older adults and are a leading cause of hospital readmissions. However, whether HAIs resulting in avoidable readmissions for preexisting HAIs (the same HAI as at the index admission) are more common for patients discharged to post‐acute care as opposed to home is unknown...
Understanding Workflow and Personal Protective Equipment Challenges Across Different Healthcare Personnel Roles
Clin Infect Dis
Hospitals use standard and transmission-based precautions, including personal protective equipment (PPE), to prevent the spread of infectious organisms. However, little attention has been paid to the potentially unique challenges of various healthcare personnel...
Hospitals use standard and transmission-based precautions, including personal protective equipment (PPE), to prevent the spread of infectious organisms. However, little attention has been paid to the potentially unique challenges of various healthcare personnel...
Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process
Diagnosis
Diagnosis requires that clinicians communicate and share patient information in an efficient manner. Advances in electronic health records (EHRs) and health information technologies have created both challenges and opportunities for such communication.
Diagnosis requires that clinicians communicate and share patient information in an efficient manner. Advances in electronic health records (EHRs) and health information technologies have created both challenges and opportunities for such communication.
What do patients say about their experience with urinary catheters and peripherally inserted central catheters?
Am J Infect Control
Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by...
Little is known about the patient experience with urinary catheters or peripherally inserted central catheters (PICCs). We sought to better understand patient perspectives on having a urinary catheter or a PICC by reviewing open-ended comments made by...
Assessing sustainability of hand hygiene adherence 5 years after a contest-based intervention in 3 Japanese hospitals
Am J Infect Control
Our goal was to evaluate the 5-year sustainability of a multimodal intervention that included a prize to the hospital with the highest overall hand hygiene adherence rates among health care workers.
Our goal was to evaluate the 5-year sustainability of a multimodal intervention that included a prize to the hospital with the highest overall hand hygiene adherence rates among health care workers.
Teamwork and safety climate affect antimicrobial stewardship for asymptomatic bacteriuria
Infect Control Hosp Epidemiol
In preparation for a multisite antibiotic stewardship intervention, we assessed knowledge and attitudes toward management of
asymptomatic bacteriuria (ASB) plus teamwork and safety climate among providers, nurses, and clinical nurse assistants (CNAs).
In preparation for a multisite antibiotic stewardship intervention, we assessed knowledge and attitudes toward management of
asymptomatic bacteriuria (ASB) plus teamwork and safety climate among providers, nurses, and clinical nurse assistants (CNAs).
Contextual Barriers to Communication Between Physicians and Nurses About Appropriate Catheter Use
Am J Crit Care
Indwelling urinary and vascular catheters are a common cause of health care–associated infections. Interventions designed to reduce catheter use can be ineffective if they are not integrated into the workflow and communication streams of busy clinicians. To characterize communication barriers between physicians and nurses and to understand how these barriers affect appropriate...
Indwelling urinary and vascular catheters are a common cause of health care–associated infections. Interventions designed to reduce catheter use can be ineffective if they are not integrated into the workflow and communication streams of busy clinicians. To characterize communication barriers between physicians and nurses and to understand how these barriers affect appropriate...
Patient Preferences for Physician Attire in Ophthalmology Practices
J Acad Ophthalmol
Interest is growing in targeting physician attire to improve the patient experience. Few studies in ophthalmology have examined patient preferences for physician attire.
Interest is growing in targeting physician attire to improve the patient experience. Few studies in ophthalmology have examined patient preferences for physician attire.
Understanding patient preference for physician attire in ambulatory clinics: a cross-sectional observational study
BMJ Open
We explored patient perceptions regarding physician attire in different clinical contexts and resultant effects on the physician–patient relationship.
We explored patient perceptions regarding physician attire in different clinical contexts and resultant effects on the physician–patient relationship.
What US Hospitals are Currently Doing to Prevent Common Device-associated Infections: Results from a National Survey
BMJ Qual Saf
Despite focused initiatives to reduce device-associated infection among hospitalised patients, the practices US hospitals are currently using are unknown. We thus used a national survey to ascertain the use of several established and novel practices to prevent device-associated infections.
Despite focused initiatives to reduce device-associated infection among hospitalised patients, the practices US hospitals are currently using are unknown. We thus used a national survey to ascertain the use of several established and novel practices to prevent device-associated infections.
Quality and Safety in the Literature: May 2019
BMJ Qual Saf
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last 6 months. Some articles will focus on a particular theme, while others will highlight unique publications from high-impact medical journals.
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last 6 months. Some articles will focus on a particular theme, while others will highlight unique publications from high-impact medical journals.
Multidrug-resistant Organisms in Hospitals: What Is on Patient Hands and in Their Rooms?
Clin Infect Dis
The impact of healthcare personnel hand contamination in multidrug-resistant organism (MDRO) transmission is important and well studies; however, the role of patient hand contamination needs to be characterized further.
The impact of healthcare personnel hand contamination in multidrug-resistant organism (MDRO) transmission is important and well studies; however, the role of patient hand contamination needs to be characterized further.
Leadership & Professional Development: Be the Change You Want To See
J Hosp Med
Mentorship is essential to success in hospital medicine and may be particularly important for women. Cross-gender mentorship is especially salient since roughly equal proportions of women and men enter the medical pipeline, but men occupy over 75% of senior leadership roles in healthcare companies.
Mentorship is essential to success in hospital medicine and may be particularly important for women. Cross-gender mentorship is especially salient since roughly equal proportions of women and men enter the medical pipeline, but men occupy over 75% of senior leadership roles in healthcare companies.
Role of transfusions in the development of hospital-acquired urinary tract−related bloodstream infection among United States veterans
Am J Infect Control
Urinary tract–related bloodstream infection (BSI) is associated with substantial morbidity, mortality, and financial costs. We examined the role of red blood cell (RBC) transfusions on developing this condition among US Veterans.
Urinary tract–related bloodstream infection (BSI) is associated with substantial morbidity, mortality, and financial costs. We examined the role of red blood cell (RBC) transfusions on developing this condition among US Veterans.
Condom Catheters versus Indwelling Urethral Catheters in Men: A Prospective, Observational Study
J Hosp Med
To assess complications of condom catheters compared with indwelling urethral catheters, we conducted a prospective cohort study in two Veterans Affairs hospitals. Male patients who used a condom catheter or indwelling urethral catheter during their hospital stay were followed for one month by interview and medical record review. Participants included 36 men who used condom catheters and 44 who used indwelling urethral catheters...
To assess complications of condom catheters compared with indwelling urethral catheters, we conducted a prospective cohort study in two Veterans Affairs hospitals. Male patients who used a condom catheter or indwelling urethral catheter during their hospital stay were followed for one month by interview and medical record review. Participants included 36 men who used condom catheters and 44 who used indwelling urethral catheters...
Leadership & Professional Development: Know Your TLR
BMJ Qual Saf
Have you ever been in a meeting with a supervisor wondering when you will get a chance to speak? Or have you walked away from an interview not knowing much about the candidate because you were talking all the time? If so, it might be time to consider your TLR: Talking to Listening Ratio. The TLR is a leadership pearl of great value. By keeping track of how much you talk versus how much you listen, you learn how and when to keep quiet.
Have you ever been in a meeting with a supervisor wondering when you will get a chance to speak? Or have you walked away from an interview not knowing much about the candidate because you were talking all the time? If so, it might be time to consider your TLR: Talking to Listening Ratio. The TLR is a leadership pearl of great value. By keeping track of how much you talk versus how much you listen, you learn how and when to keep quiet.
Quality and Safety in the Literature: March 2019
BMJ Qual Saf
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last 6 months. Some articles will focus on a particular theme, while others will highlight unique publications from high-impact medical journals.
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last 6 months. Some articles will focus on a particular theme, while others will highlight unique publications from high-impact medical journals.
Leadership & Professional Development: Hire Hard, Manage Easy
J Hosp Med
When you initiate a quality or performance improvement project, you want to find someone who can help you do the necessary work and find that someone quickly. But be warned: leaders must learn to go slow when hiring for their team. Do not settle on whoever has available time or interest—they may have time to give or be eager for a reason.
When you initiate a quality or performance improvement project, you want to find someone who can help you do the necessary work and find that someone quickly. But be warned: leaders must learn to go slow when hiring for their team. Do not settle on whoever has available time or interest—they may have time to give or be eager for a reason.
Introducing Leadership & Professional Development: A New Series in JHM
J Hosp Med
The socio-adaptive (or "nontechnical") aspects of healthcare including leadership, followership, mentorship, culture, teamwork, and communication are not formally taught in the medical training. Yet, they are critical to our daily lives as Hospitalists. The LPS series features brief "pearls of wisdom" that highlight these important lessons.
The socio-adaptive (or "nontechnical") aspects of healthcare including leadership, followership, mentorship, culture, teamwork, and communication are not formally taught in the medical training. Yet, they are critical to our daily lives as Hospitalists. The LPS series features brief "pearls of wisdom" that highlight these important lessons.
Association of Antibiotic Stewardship with Fluoroquinolone Prescribing in Michigan Hospitals: A Multi-hospital Cohort Study
Clin Infect Dis
Fluoroquinolones increase the risk of Clostridioides difficile infection and antibiotic resistance. Hospitals often use pre-prescription approval or prospective audit and feedback to target fluoroquinolone prescribing. Whether these strategies impact aggregate fluoroquinolone use is unknown.
Fluoroquinolones increase the risk of Clostridioides difficile infection and antibiotic resistance. Hospitals often use pre-prescription approval or prospective audit and feedback to target fluoroquinolone prescribing. Whether these strategies impact aggregate fluoroquinolone use is unknown.
Quality and Safety in the Literature: January 2019
BMJ Qual Saf
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last 6 months. Some articles will focus on a particular theme, while others will highlight unique publications from high-impact medical journals.
Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last 6 months. Some articles will focus on a particular theme, while others will highlight unique publications from high-impact medical journals.
Patient-reported complications related to peripherally inserted central catheters: a multicentre prospective cohort study
BMJ Qual Saf
Peripherally inserted central catheters (PICC) are frequently used to deliver medical therapies, but our knowledge regarding PICC-related complications remains incomplete. The objective of this study was to systematically elicit and characterise PICC-related complications as experienced by patients during and after hospitalisation.
Peripherally inserted central catheters (PICC) are frequently used to deliver medical therapies, but our knowledge regarding PICC-related complications remains incomplete. The objective of this study was to systematically elicit and characterise PICC-related complications as experienced by patients during and after hospitalisation.
Changes in Health Care-associated Infection Prevention Practices in Japan: Results from 2 National Surveys
Am J Infect Control
National surveys in 2012 and 2016 show that many recommended practices to prevent common health care-associated infections are underused in Japanese hospitals. Since 2012, the Japanese health care payment system has adopted an incentive system...
National surveys in 2012 and 2016 show that many recommended practices to prevent common health care-associated infections are underused in Japanese hospitals. Since 2012, the Japanese health care payment system has adopted an incentive system...
