Regional & National Infection Prevention Efforts
Female Foley Facilitator (F3) Study
Jennifer Meddings | UM FFMI | 04.01.2018 - 03.31.2019
A study to test the effectiveness of a simple new medical device called the Female Foley Facilitator (F3) whose purpose is to facilitate the sterile placement of 2 types of urinary catheters into bladders of female patients: indwelling urinary catheters (commonly known as Foleys) and intermittent straight catheters (commonly known as ‘in-and-out’ catheters).
The Effect of Health Information Technology on Healthcare Provider Communication
Milisa Manojlovich | AHRQ | 09.30.2014 - 04.29.2019
The purpose of this study is to understand how communication technologies facilitate or hinder communication between nurses and physicians.
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.
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 - 03.28.2020
The purpose of this project is to expand the implementation of 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.
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.
Understanding Use of Peripherally Inserted Central Catheters (PICCs): System, Provider, Patient Perspectives
Chopra & Krein | VA HSR&D | 05.01.2018 - 04.30.2020
Implementing Change to Reduce Infection & Improve the Appropriate Use of Catheters in Veterans
Sarah 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.
Implementing MAGIC to Improve PICC Appropriateness and Patient Outcomes
Vineet Chopra | AHRQ | 08.01.2018 - 07.31.2022
Peripherally inserted central catheters have rapidly become the most common central venous catheters inserted in hospitalized patients. As their use has grown, so too has the evidence suggesting that they are often used inappropriately and are associated with risks and complications. This research will test whether an evidence-based set of appropriateness criteria – MAGIC - can improve PICC use and patient outcomes in a quality initiative that spans 50 Michigan hospitals. Knowledge derived from this proposal will serve as a foundation to refine, improve, sustain and scale MAGIC so as to improve the safety of PICC use across the nation.