|
The PSEP quadrennial TRIP survey examines the diffusion, adoption, and implementation of key practices in the field of patient safety and healthcare-associated infection prevention by hospitals across the United States.
Publications In Press
Changes in Influenza Vaccination Requirements for Healthcare Personnel in U.S. Hospitals
|
Wave: TRIP 2021
Practices to prevent central line-associated bloodstream infection: A 2021 survey of infection preventionists in US hospitals
Infect Control Hosp Epidemiol
Objective: To determine prevalence of technical and behavioral interventions aimed at preventing central line-associated bloodstream infection (CLABSI) following the COVID19 pandemic. Design: Cross-sectional survey. Setting: US acute care hospitals. Participants:
Infection preventionists at participating hospitals.
Objective: To determine prevalence of technical and behavioral interventions aimed at preventing central line-associated bloodstream infection (CLABSI) following the COVID19 pandemic. Design: Cross-sectional survey. Setting: US acute care hospitals. Participants:
Infection preventionists at participating hospitals.
Comparing practices to prevent infectious diseases transmission among Veterans Affairs and Nonveterans Affairs hospitals: Results from a national survey in the United States
Am J Infect Control
Our national cross-sectional survey of United States hospitals found greater implementation of contact precautions for multidrug-resistant organisms and a higher percentage reporting the use of supplemental no-touch disinfection devices among Veterans Affairs (VA) versus non-VA hospitals. Nationally coordinated infection prevention initiatives within the VA could account for these practice differences.
Our national cross-sectional survey of United States hospitals found greater implementation of contact precautions for multidrug-resistant organisms and a higher percentage reporting the use of supplemental no-touch disinfection devices among Veterans Affairs (VA) versus non-VA hospitals. Nationally coordinated infection prevention initiatives within the VA could account for these practice differences.
Antimicrobial Stewardship Teams in Veterans Affairs and Nonfederal Hospitals in the United States: A National Survey of Antimicrobial Stewardship Practices
Open Forum Infect Dis
In a cross-sectional survey of US acute care hospitals, antimicrobial stewardship programs were present in most Veterans Affairs and nonfederal hospitals but varied in team composition, scope, and impact. Diagnostic stewardship was common across hospitals. Veterans Affairs hospitals had increased reach in outpatient settings. Telestewardship remains an opportunity in all hospital systems.
In a cross-sectional survey of US acute care hospitals, antimicrobial stewardship programs were present in most Veterans Affairs and nonfederal hospitals but varied in team composition, scope, and impact. Diagnostic stewardship was common across hospitals. Veterans Affairs hospitals had increased reach in outpatient settings. Telestewardship remains an opportunity in all hospital systems.
Perceptions of organizational culture among infection preventionists in Israel, the United States, and Thailand: Results from national infection prevention surveys
Am J Infect Control
In national surveys of infection preventionists in Israel (n = 15), the United States (n = 415), and Thailand (n = 100), we found that views of organizational culture track well with these countries’ cultural dimension scores of power distance and individualism. Our findings highlight the importance of considering cultural dimensions when implementing infection prevention efforts.
In national surveys of infection preventionists in Israel (n = 15), the United States (n = 415), and Thailand (n = 100), we found that views of organizational culture track well with these countries’ cultural dimension scores of power distance and individualism. Our findings highlight the importance of considering cultural dimensions when implementing infection prevention efforts.
The influence of spirituality, religiosity, and self-care on well-being among Thai infection preventionists during the COVID-19 pandemic
Antimicrob Steward Healthc Epidemiol (ASHE)
In a national survey of lead infection preventionists in Thai hospitals, spiritual and religious importance were associated with increased odds of career satisfaction. Cultivating environments for spiritual, religious, and self-care practices within the clinical setting may help facilitate emotional well-being—and prevent burnout—among Thai healthcare workers.
In a national survey of lead infection preventionists in Thai hospitals, spiritual and religious importance were associated with increased odds of career satisfaction. Cultivating environments for spiritual, religious, and self-care practices within the clinical setting may help facilitate emotional well-being—and prevent burnout—among Thai healthcare workers.
The role of spirituality, religiosity, and self-care on infection preventionist well-being: Results from a national survey in the United States
Am J Infect Control
Background: The degree to which religiosity, spirituality, and self-care practices can improve well-being among infection preventionists is not well understood. Methods: We surveyed infection preventionists from a random sample of United States hospitals in 2021.
Multivariable logistic regression models were used to examine the associations between measures of spirituality, religiosity, and self-care and well-being.
Background: The degree to which religiosity, spirituality, and self-care practices can improve well-being among infection preventionists is not well understood. Methods: We surveyed infection preventionists from a random sample of United States hospitals in 2021.
Multivariable logistic regression models were used to examine the associations between measures of spirituality, religiosity, and self-care and well-being.
What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: Results from a national survey in the United States
Infect Control Hosp Epidemiol
Objective: The ways that device-associated infection prevention practices changed during the coronavirus disease 2019 (COVID-19) pandemic remain unknown. We collected data mid-pandemic to assess the use of several infection prevention practices and for comparison with historical data.
Objective: The ways that device-associated infection prevention practices changed during the coronavirus disease 2019 (COVID-19) pandemic remain unknown. We collected data mid-pandemic to assess the use of several infection prevention practices and for comparison with historical data.
The Current State of Antimicrobial and Urine Culture Stewardship in Thailand: Results from a National Survey
Am J Infect Control
Background: Antimicrobial stewardship in Thailand has made major progress backed by a national strategic plan. The current study aimed to assess the antimicrobial stewardship program (ASP) composition, reach, and breadth, as well as urine culture stewardship in Thai hospitals.
Background: Antimicrobial stewardship in Thailand has made major progress backed by a national strategic plan. The current study aimed to assess the antimicrobial stewardship program (ASP) composition, reach, and breadth, as well as urine culture stewardship in Thai hospitals.
The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic
Infect Control Hosp Epimemiol
Objective: To explore infection preventionists’ perceptions of hospital leadership support for infection prevention and control programs during the coronavirus disease 2019 (COVID-19) pandemic and relationships with individual perceptions of burnout, psychological safety, and safety climate.
Objective: To explore infection preventionists’ perceptions of hospital leadership support for infection prevention and control programs during the coronavirus disease 2019 (COVID-19) pandemic and relationships with individual perceptions of burnout, psychological safety, and safety climate.
Comparison of the Impact of COVID-19 on Veterans Affairs and Non-federal Hospitals: a Survey of Infection Prevention Specialists
J Gen Intern Med
Background: As the COVID-19 pandemic evolves, it is critical to understand characteristics that have allowed US healthcare systems, including the Veterans Affairs (VA) and non-federal hospitals, to mount an effective response in the setting of limited resources and unpredictable clinical demands generated by this system shock. Objective: To compare the impact of and response to resource shortages to both VA and non-federal healthcare systems during the COVID-19 pandemic.
Background: As the COVID-19 pandemic evolves, it is critical to understand characteristics that have allowed US healthcare systems, including the Veterans Affairs (VA) and non-federal hospitals, to mount an effective response in the setting of limited resources and unpredictable clinical demands generated by this system shock. Objective: To compare the impact of and response to resource shortages to both VA and non-federal healthcare systems during the COVID-19 pandemic.
Status of hospital infection prevention practices in Thailand in the era of COVID-19: Results from a national survey
Am J Infect Control
In 2021 we conducted a survey to assess infection prevention (IP) practices in Thai hospitals for catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP). In this study we compare these findings to results obtained in 2014 with a similar survey.
In 2021 we conducted a survey to assess infection prevention (IP) practices in Thai hospitals for catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP). In this study we compare these findings to results obtained in 2014 with a similar survey.
Healthcare-associated infection prevention and control practices in Israel: results of a national survey
BMC Infect Dis
Healthcare-associated infection (HAI) is a common and largely preventable cause of morbidity and mortality. The COVID-19 pandemic has presented unprecedented challenges to health systems. We conducted a national survey to ascertain hospital characteristics and the use of HAI prevention measures in Israel.
Healthcare-associated infection (HAI) is a common and largely preventable cause of morbidity and mortality. The COVID-19 pandemic has presented unprecedented challenges to health systems. We conducted a national survey to ascertain hospital characteristics and the use of HAI prevention measures in Israel.
The Non-Veteran Experience at Veterans Affairs Medical Centers During the COVID-19 Pandemic: a Survey-Based Study
J Gen Intern Med
In April 2020, the VA Ann Arbor Healthcare System (AAVA) and the VA Detroit Medical Center (DVA) began caring for non-Veteran patients in the midst of the COVID-19 pandemic, subsequently caring for the second and third most non- Veteran patients in the nation, respectively. In a first-of-its- kind study, we sought to understand non-Veteran perceptions of the quality of care provided at VA medical centers.
In April 2020, the VA Ann Arbor Healthcare System (AAVA) and the VA Detroit Medical Center (DVA) began caring for non-Veteran patients in the midst of the COVID-19 pandemic, subsequently caring for the second and third most non- Veteran patients in the nation, respectively. In a first-of-its- kind study, we sought to understand non-Veteran perceptions of the quality of care provided at VA medical centers.
Wave: TRIP 2017
Infection prevention practices in the United States, the Netherlands, Switzerland, and Japan: Results from national surveys
Infect Control Hosp Epidemiol
To assess the extent to which evidence-based practices are regularly used in acute care hospitals in different countries. Cross-sectional survey study of infection preventionists in acute care hospitals in the United States (US), the Netherlands, Switzerland, and Japan.
To assess the extent to which evidence-based practices are regularly used in acute care hospitals in different countries. Cross-sectional survey study of infection preventionists in acute care hospitals in the United States (US), the Netherlands, Switzerland, and Japan.
Trends in Health Care-Associated Infection Prevention Practices in US Veterans Affairs Hospitals From 2005 to 2017
JAMA Netw Open
In this study of 320 surveys completed by infection preventionists from 2005 to 2017, the use of 12 different infection prevention practices increased in Veterans Affairs hospitals. Between 92% and 100% of hospitals reported regular use of key infection prevention practices for Clostridioides difficile infection and central line–associated bloodstream infection, but reported use of such practices...
In this study of 320 surveys completed by infection preventionists from 2005 to 2017, the use of 12 different infection prevention practices increased in Veterans Affairs hospitals. Between 92% and 100% of hospitals reported regular use of key infection prevention practices for Clostridioides difficile infection and central line–associated bloodstream infection, but reported use of such practices...
Antibiotic stewardship teams and Clostridioides difficile practices in United States hospitals: A national survey in The Joint Commission antibiotic stewardship standard era
Infect Control Hosp Epidemiol
Clostridioides difficile infection (CDI) can be prevented through infection prevention practices and antibiotic stewardship. Diagnostic stewardship (ie, strategies to improve use of microbiological testing) can also improve antibiotic use. However, little is known about the use of such practices in US hospitals, especially after multidisciplinary stewardship programs became a requirement for US...
Clostridioides difficile infection (CDI) can be prevented through infection prevention practices and antibiotic stewardship. Diagnostic stewardship (ie, strategies to improve use of microbiological testing) can also improve antibiotic use. However, little is known about the use of such practices in US hospitals, especially after multidisciplinary stewardship programs became a requirement for US...
Psychological safety and infection prevention practices: Results from a national survey
Am J Infect Control
Psychological safety is a critical factor in team learning that positively impacts patient safety. We sought to examine the influence of psychological safety on using recommended health care–associated infection (HAI) prevention practices within US hospitals.
Psychological safety is a critical factor in team learning that positively impacts patient safety. We sought to examine the influence of psychological safety on using recommended health care–associated infection (HAI) prevention practices within US hospitals.
What US Hospitals are Currently Doing to Prevent Common Device-associated Infections: Results from a National Survey
BMJ Qual Saf 2018
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.
Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals
JAMA Network Open
How has the proportion of US hospitals requiring receipt of annual influenza vaccination among health care personnel changed in recent years?
How has the proportion of US hospitals requiring receipt of annual influenza vaccination among health care personnel changed in recent years?
Infection prevention practices in Japan, Thailand, and the United States: Results from national surveys.
Clin Infect Dis
Numerous evidence-based practices for preventing device-associated infections are available, yet the extent to which these practices are regularly used in acute care hospitals across different countries has not been compared, to our knowledge.
Numerous evidence-based practices for preventing device-associated infections are available, yet the extent to which these practices are regularly used in acute care hospitals across different countries has not been compared, to our knowledge.
Use of daily interruption of sedation and early mobility in US hospitals.
J Nurs Care Qual
Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption of...
Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption of...
Influenza vaccination requirements for healthcare personnel in U.S. Hospitals: Results of a national survey.
Infect Control Hosp Epidemiol
While the crude post-HAI LOS and risk of death was greater for patients with HAI sepsis than patients with HAI only, the small number of HAI-sepsis cases prevented us from adjusting for the severity of illness at HAI onset. Therefore, we are unable to assess the...
While the crude post-HAI LOS and risk of death was greater for patients with HAI sepsis than patients with HAI only, the small number of HAI-sepsis cases prevented us from adjusting for the severity of illness at HAI onset. Therefore, we are unable to assess the...
Followership characteristics among infection preventionists in U.S. hospitals: Results of a national survey.
Am J Infect Control
Infection prevention practices vary across U.S. hospitals. Although the importance of leadership in infection prevention has been described, little is known about how followership influences such efforts. Our national survey found that hospitals with truly...
Infection prevention practices vary across U.S. hospitals. Although the importance of leadership in infection prevention has been described, little is known about how followership influences such efforts. Our national survey found that hospitals with truly...
Use of designated nurse PICC teams and CLABSI prevention practices among U.S. hospitals: A survey-based study.
J Patient Saf
The use of peripherally inserted central catheters (PICCs) has increased substantially within hospitals during the past several years. Yet, the prevalence and practices of designated nurse PICC teams (i.e., specially trained nurses who are responsible for PICC...
The use of peripherally inserted central catheters (PICCs) has increased substantially within hospitals during the past several years. Yet, the prevalence and practices of designated nurse PICC teams (i.e., specially trained nurses who are responsible for PICC...
Clostridium difficile infection in the United States: A national study assessing preventive practices used and perceptions of practice evidence.
Infect Control Hosp Epidemiol
We surveyed 571 US hospitals about practices used to prevent Clostridium difficile infection (CDI). Most hospitals reported regularly using key CDI prevention practices, and perceived their strength of evidence as high. The largest discrepancy between regular use...
We surveyed 571 US hospitals about practices used to prevent Clostridium difficile infection (CDI). Most hospitals reported regularly using key CDI prevention practices, and perceived their strength of evidence as high. The largest discrepancy between regular use...
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.
BMJ Qual Saf
Numerous initiatives have focused on reducing device-associated infections, contributing to an overall decrease in infections nationwide. To better understand factors associated with this decline, we assessed the use of key practices to prevent device...
Numerous initiatives have focused on reducing device-associated infections, contributing to an overall decrease in infections nationwide. To better understand factors associated with this decline, we assessed the use of key practices to prevent device...
Urinary catheter indications in the United States: results from a national survey of acute care hospitals.
Infect Control Hosp Epidemiol
In a survey of acute care hospitals across the United States, we found that many hospitals use indwelling urinary catheters for reasons that are not medically necessary (eg, urinary incontinence without outlet obstruction and patient/family requests). Our findings...
In a survey of acute care hospitals across the United States, we found that many hospitals use indwelling urinary catheters for reasons that are not medically necessary (eg, urinary incontinence without outlet obstruction and patient/family requests). Our findings...
Is the use of antimicrobial devices to prevent infection correlated across different healthcare-associated infections?
Infect Control Hosp Epidemiol
Antimicrobial devices are often used to prevent nosocomial infection, despite mixed evidence as to their efficacy. Using a national survey, we found that a hospital's use of an antimicrobial device to prevent one type of infection was associated with a higher...
Antimicrobial devices are often used to prevent nosocomial infection, despite mixed evidence as to their efficacy. Using a national survey, we found that a hospital's use of an antimicrobial device to prevent one type of infection was associated with a higher...
Preventing catheter-associated urinary tract infection in the United States: A national comparative study.
JAMA Intern Med
Despite the national goal to reduce catheter-associated urinary tract infection (CAUTI) by 25% by 2013, limited data exist describing prevention practices for CAUTI in US hospitals and none tie national practice use to CAUTI-specific standardized infection ratios (SIRs).
Despite the national goal to reduce catheter-associated urinary tract infection (CAUTI) by 25% by 2013, limited data exist describing prevention practices for CAUTI in US hospitals and none tie national practice use to CAUTI-specific standardized infection ratios (SIRs).
Perceived strength of evidence supporting practices to prevent health care-associated infection: Results from a national survey of infection prevention personnel.
Am J Infect Control
Limited data exist describing the perceived strength of evidence behind practices to prevent common health care-associated infections (HAIs). We conducted a national survey of infection prevention personnel to assess perception of the evidence for various...
Limited data exist describing the perceived strength of evidence behind practices to prevent common health care-associated infections (HAIs). We conducted a national survey of infection prevention personnel to assess perception of the evidence for various...
Organisational characteristics associated with the use of daily interruption of sedation in US hospitals: a national study.
BMJ Qual Saf
Daily interruption of sedation (DIS) has multiple proven benefits, but implementation is erratic. Past research on sedative interruption utilisation focused on individual clinicians, ignoring the role of organisations in shaping practice. The authors test the hypothesis that...
Daily interruption of sedation (DIS) has multiple proven benefits, but implementation is erratic. Past research on sedative interruption utilisation focused on individual clinicians, ignoring the role of organisations in shaping practice. The authors test the hypothesis that...
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
J Gen Internal Medicine
Hospital-acquired infection (HAI) is common, costly, and potentially lethal. Whether initiatives to reduce HAI--such as the Centers for Medicare and Medicaid Services (CMS) no payment rule--have increased the use of preventive practices is not known.
Hospital-acquired infection (HAI) is common, costly, and potentially lethal. Whether initiatives to reduce HAI--such as the Centers for Medicare and Medicaid Services (CMS) no payment rule--have increased the use of preventive practices is not known.
The Adoption of Alcohol-Based Handrub by U.S. Hospitals: A National Survey.
Infect Control Hosp Epidemiol
The extent to which the use of alcohol-based handrub for hand hygiene has been adopted by US hospitals is unknown. A survey of infection control coordinators (response rate, 516 [72%] of 719) revealed that most hospitals (436 [84%] of 516) have adopted...
The extent to which the use of alcohol-based handrub for hand hygiene has been adopted by US hospitals is unknown. A survey of infection control coordinators (response rate, 516 [72%] of 719) revealed that most hospitals (436 [84%] of 516) have adopted...
Preventing Ventilator-Associated Pneumonia in the United States: A Multi-Center Mixed-Methods Study.
Infect Control Hosp Epidemiol
To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, to understand more fully why hospitals use certain practices and not others.
To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, to understand more fully why hospitals use certain practices and not others.
Preventing Hospital-Acquired Urinary Tract Infection in the United States: A National Study.
Clin Infect Dis
Although urinary tract infection (UTI) is the most common hospital-acquired infection in the United States, to our knowledge, no national data exist describing what hospitals in the United States are doing to prevent this patient safety problem...
Although urinary tract infection (UTI) is the most common hospital-acquired infection in the United States, to our knowledge, no national data exist describing what hospitals in the United States are doing to prevent this patient safety problem...
Use of Central Venous Catheter-Related Bloodstream Infection Prevention Practices by US Hospitals.
Mayo Clin Proc
To examine the extent to which US acute care hospitals have adopted recommended practices to prevent central venous catheter-related bloodstream infections (CR-BSIs).
To examine the extent to which US acute care hospitals have adopted recommended practices to prevent central venous catheter-related bloodstream infections (CR-BSIs).
Reading habits of infection control coordinators in the United States: peer-reviewed or non peer-reviewed evidence?
Am J Infect Control
Because evidence-based health care is taking on increasing importance, we surveyed a national sample of infection control coordinators on their reading habits to discern which and how often various media are utilized.
Because evidence-based health care is taking on increasing importance, we surveyed a national sample of infection control coordinators on their reading habits to discern which and how often various media are utilized.
