Infection prevention practices in the United States, the Netherlands, Switzerland, and Japan: Results from national surveys

2021 ◽  
pp. 1-9
Author(s):  
M. Todd Greene ◽  
Sarah L. Krein ◽  
Anita Huis ◽  
Marlies Hulscher ◽  
Hugo Sax ◽  
...  
Keyword(s):  
United States ◽  
The Netherlands ◽  
Acute Care ◽  
Infection Prevention ◽  
Acute Care Hospitals ◽  
The United States ◽  
Survey Study ◽  
Surveillance Systems ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Objective: To assess the extent to which evidence-based practices are regularly used in acute care hospitals in different countries. Design: Cross-sectional survey study. Participants and setting: Infection preventionists in acute care hospitals in the United States (US), the Netherlands, Switzerland, and Japan. Methods: Data collected from hospital surveys distributed between 2015 and 2017 were evaluated to determine the use of practices to prevent catheter-associated urinary tract infection (CAUTI), central-line–associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and Clostridioides difficile infection (CDI). Descriptive statistics were used to examine hospital characteristics and the percentage of hospitals reporting regular use of each infection prevention practice. Results: Survey response rates were 59% in the United States, 65% in the Netherlands, 77% in Switzerland, and 65% in Japan. Several recommended practices were used in the majority of hospitals: aseptic catheter insertion and maintenance (CAUTI), maximum sterile barrier precautions (CLABSI), semirecumbent patient positioning (VAP), and contact precautions and routine daily cleaning (CDI). Other prevention practices for CAUTI and VAP were used less frequently, particularly in Swiss and Japanese hospitals. Established surveillance systems were also lacking in Dutch, Swiss and Japanese hospitals. Conclusions: Most hospitals in the United States, the Netherlands, Switzerland, and Japan have adopted certain infection prevention practices. Clear opportunities for reducing HAI risk in hospitals exist across all 4 countries surveyed.

Evaluation of Research Training and Productivity Among Junior Pharmacy Practice Faculty in the United States

2010 ◽  
Vol 23 (6) ◽  
pp. 553-559 ◽  
Author(s):  
Kelly C. Lee ◽  
Shareen Y. El-Ibiary ◽  
Karen Suchanek Hudmon
Keyword(s):  
United States ◽  
Research Training ◽  
Pharmacy Practice ◽  
Junior Faculty ◽  
The United States ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Faculty Positions ◽  
Research Demands

Objective: To evaluate the extent of research training and productivity among junior faculty in US schools of pharmacy. Methods: A cross-sectional survey study was conducted to characterize junior faculty’s ( a) research training and productivity, ( b) perceived ability to meet research demands, ( c) confidence and resources for research, and ( d) interest in receiving further research training. Main Results: Surveys were completed by 349 faculty members (36.7% response). More than 60% completed a pharmacy practice residency and fewer than 15% completed a fellowship. Respondents reported lack of formal training in most research skills during their postgraduate training. Most reported that they are able to meet the teaching, clinical, and service expectations of their departments; however, fewer than half believed that they are able to meet the research expectations. Conclusions: Study respondents reported lack of adequate research training during their postgraduate experiences and current faculty positions. Confidence among faculty to conduct research was also low compared to their confidence to fulfill other expectations of their position. Adequate preparation of current and future academicians is critical to ensuring the success and retention of faculty in the United States.

scholarly journals A novel tool for evaluating non-cognitive traits of doctor of physical therapy learners in the United States

2018 ◽  
Vol 15 ◽  
pp. 19 ◽  
Author(s):  
Marcus Roll ◽  
Lara Canham ◽  
Paul Salamh ◽  
Kyle Covington ◽  
Corey Simon ◽  
...  
Keyword(s):  
United States ◽  
Physical Therapy ◽  
Social Intelligence ◽  
The United States ◽  
Face Validity ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Doctor Of Physical Therapy ◽  
Cognitive Traits

Purpose: The primary aim of this study was to develop a survey addressing an individual’s non-cognitive traits, such as emotional intelligence, interpersonal skills, social intelligence, psychological flexibility, and grit. Such a tool would provide beneficial information for the continued development of admissions standards and would help better capture the full breadth of experience and capabilities of applicants applying to doctor of physical therapy (DPT) programs. Methods: This was a cross-sectional survey study involving learners in DPT programs at 3 academic institutions in the United States. A survey was developed based on established non-proprietary, non-cognitive measures affiliated with success and resilience. The survey was assessed for face validity, and exploratory factor analysis (EFA) was used to identify subgroups of factors based on responses to the items. Results: A total of 298 participants (90.3%) completed all elements of the survey. EFA yielded 39 items for dimensional assessment with regression coefficients < 0.4. Within the 39 items, 3 latent constructs were identified: adaptability (16 items), intuitiveness (12 items), and engagement (11 items). Conclusion: This preliminary non-cognitive assessment survey will be able to play a valuable role in DPT admissions decisions following further examination and refinement.

scholarly journals Changes in social behavior over time in the COVID-19 pandemic

2020 ◽  
Author(s):  
Megan M Sheehan ◽  
Elizabeth R. Pfoh ◽  
Sidra Speaker ◽  
Michael B. Rothberg
Keyword(s):  
Public Health ◽  
United States ◽  
Social Behavior ◽  
The United States ◽  
Survey Study ◽  
Age Group ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Group A ◽  
Over Time

Public health recommendations aimed at limiting spread of SARS-CoV-2 have encouraged social distancing and masks as economies across the United States re-open. Understanding adherence to these guidelines will inform further efforts to reduce transmission. In this repeated cross-sectional survey study, we describe changes in social behavior in Ohio during periods of declining and rising cases. While essential activities remained consistent over time, more individuals attended gatherings of 10 or more people as cases rose, particularly in the 18-29 age group. A majority of individuals wore masks. It appears necessary to continue limiting gatherings and encourage mask-wearing, particularly among younger groups.

scholarly journals Mobile Phone Use in Psychiatry Residents in the United States: Multisite Cross-Sectional Survey Study (Preprint)

2016 ◽  
Author(s):  
Shih Gipson ◽  
John Torous ◽  
Robert Boland ◽  
Erich Conrad
Keyword(s):  
United States ◽  
Mobile Phones ◽  
Mobile Technology ◽  
Technology Use ◽  
Clinical Care ◽  
The United States ◽  
Survey Study ◽  
Psychiatry Residents ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND Mobile technology ownership in the general US population and medical professionals is increasing, leading to increased use in clinical settings. However, data on use of mobile technology by psychiatry residents remain unclear. OBJECTIVE In this study, our aim was to provide data on how psychiatric residents use mobile phones in their clinical education as well as barriers relating to technology use. METHODS An anonymous, multisite survey was given to psychiatry residents in 2 regions in the United States, including New Orleans and Boston, to understand their technology use. RESULTS All participants owned mobile phones, and 79% (54/68) used them to access patient information. The majority do not use mobile phones to implement pharmacotherapy (62%, 42/68) or psychotherapy plans (90%, 61/68). The top 3 barriers to using mobile technology in clinical care were privacy concerns (56%, 38/68), lack of clinical guidance (40%, 27/68), and lack of evidence (29%, 20/68). CONCLUSIONS We conclude that developing a technology curriculum and engaging in research could address these barriers to using mobile phones in clinical practice.

Infection prevention and control practices related to carbapenemase-producing Enterobacteriaceae (CPE) in acute-care hospitals in Ontario, Canada

2019 ◽  
Vol 40 (9) ◽  
pp. 1006-1012 ◽  
Author(s):  
Alainna J. Jamal ◽  
Felipe Garcia-Jeldes ◽  
Mahin Baqi ◽  
Sergio Borgia ◽  
Jennie Johnstone ◽  
...  
Keyword(s):  
Acute Care ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Indian Subcontinent ◽  
Acute Care Hospitals ◽  
Infection Prevention And Control ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Admission Screening ◽  
And Control

AbstractObjective:To determine infection prevention and control (IPAC) practices for carbapenemase-producing Enterobacteriaceae (CPE), an emerging threat, at acute-care hospitals in Ontario, Canada.Design:A descriptive cross-sectional survey.Methods:We surveyed IPAC directors and managers at all acute-care hospitals in Ontario, Canada, to gather information on IPAC practices related to CPE, including admission screening, other patient screening, environmental testing, use of precautions to prevent transmission, and outbreak management.Results:Of 116 acute-care hospitals, 105 (91%) responded. Admission screening included patients previously colonized or infected with CPE (n = 64, 61%), patients recently hospitalized outside of Canada (Indian subcontinent, n = 62, 59%; other countries, n = 56, 53%), and patients recently hospitalized in Canada (n = 22, 21%). Fifty-one hospitals (49%) screened patients for colonization during an outbreak. Almost all hospitals (n = 101, 96%) used precautions to prevent transmission from patients with CPE colonization or infection; most hospitals (n = 54, 53%) continued precautions indefinitely. Few hospitals (n = 19, 18%) performed environmental cultures. Eight hospitals (8%) reported at least 1 outbreak, and 6 hospitals (6%) reported transmission from sink or shower drains to patients.Conclusions:Variability in practices may result from lack of evidence and challenges in updating guidelines as evidence emerges. A coordinated approach to slow the emergence of CPE should be considered in our population.

27091 Violence in academic dermatology practices across the United States: A cross-sectional survey study

2021 ◽  
Vol 85 (3) ◽  
pp. AB29
Author(s):  
Raghav Tripathi ◽  
Angie Y. Wan ◽  
Rishabh S. Mazmudar ◽  
Jeremy S. Bordeaux ◽  
Jeffrey F. Scott
Keyword(s):  
United States ◽  
The United States ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional

Ebola Preparedness Resources for Acute-Care Hospitals in the United States: A Cross-Sectional Study of Costs, Benefits, and Challenges

2017 ◽  
Vol 38 (4) ◽  
pp. 405-410 ◽  
Author(s):  
Michael A. Smit ◽  
Kenneth A. Rasinski ◽  
Barbara I. Braun ◽  
Linda L. Kusek ◽  
Aaron M. Milstone ◽  
...  
Keyword(s):  
United States ◽  
Acute Care ◽  
Ebola Virus ◽  
Virus Disease ◽  
Acute Care Hospitals ◽  
The United States ◽  
Labor Costs ◽  
Cross Sectional ◽  
American Hospital ◽  
American Hospital Association

OBJECTIVETo assess resource allocation and costs associated with US hospitals preparing for the possible spread of the 2014–2015 Ebola virus disease (EVD) epidemic in the United States.METHODSA survey was sent to a stratified national probability sample (n=750) of US general medical/surgical hospitals selected from the American Hospital Association (AHA) list of hospitals. The survey was also sent to all children’s general hospitals listed by the AHA (n=60). The survey assessed EVD preparation supply costs and overtime staff hours. The average national wage was multiplied by labor hours to calculate overtime labor costs. Additional information collected included challenges, benefits, and perceived value of EVD preparedness activities.RESULTSThe average amount spent by hospitals on combined supply and overtime labor costs was $80,461 (n=133; 95% confidence interval [CI], $56,502–$104,419). Multivariate analysis indicated that small hospitals (mean, $76,167) spent more on staff overtime costs per 100 beds than large hospitals (mean, $15,737; P<.0001). The overall cost for acute-care hospitals in the United States to prepare for possible EVD cases was estimated to be $361,108,968. The leading challenge was difficulty obtaining supplies from vendors due to shortages (83%; 95% CI, 78%–88%) and the greatest benefit was improved knowledge about personal protective equipment (89%; 95% CI, 85%–93%).CONCLUSIONSThe financial impact of EVD preparedness activities was substantial. Overtime cost in smaller hospitals was >3 times that in larger hospitals. Planning for emerging infectious disease identification, triage, and management should be conducted at regional and national levels in the United States to facilitate efficient and appropriate allocation of resources in acute-care facilities.Infect Control Hosp Epidemiol 2017;38:405–410

scholarly journals A Large Cross-Sectional Survey Study of the Prevalence of Alopecia Areata in the United States

2020 ◽  
Vol Volume 13 ◽  
pp. 259-266
Author(s):  
Michael Benigno ◽  
Kathryn P Anastassopoulos ◽  
Arash Mostaghimi ◽  
Margarita Udall ◽  
Shoshana R Daniel ◽  
...  
Keyword(s):  
United States ◽  
Alopecia Areata ◽  
The United States ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Infection prevention practices in the Netherlands: results from a National Survey

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Anita Huis ◽  
Jeroen Schouten ◽  
Dominique Lescure ◽  
Sarah Krein ◽  
David Ratz ◽  
...  
Keyword(s):  
The Netherlands ◽  
Acute Care ◽  
Infection Prevention ◽  
Insertion Site ◽  
Acute Care Hospitals ◽  
Central Line ◽  
Selective Decontamination ◽  
Surveillance Systems ◽  
Healthcare Associated Infection ◽  
Recommended Practices

Abstract Objective To examine the extent to which acute care hospitals in the Netherlands have adopted recommended practices to prevent catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and Clostridioides difficile infection (CDI). Methods Between 18 July 2017 and 31 October 2017, we surveyed the infection prevention teams of all acute care hospitals in the Netherlands. The survey instrument was based on the ‘Translating Healthcare-Associated Infection Prevention Research into Practice’ (TRIP) questionnaire and adapted to the Dutch context. Descriptive statistics were used to examine the reported regular use of CAUTI, CLABSI, VAP, and CDI prevention practices as well as the hospital characteristics. Results Out of 72 eligible hospitals, 47 (65.3%) responded. Surveillance systems for monitoring CAUTI, CLABSI, VAP, and CDI were present in 17.8, 95.4, 26.2, and 77.3% of hospitals, respectively. Antimicrobial stewardship programs have been established in 91.5% of participating hospitals. For CAUTI, the majority of hospitals regularly used aseptic technique during catheter insertion (95%) and portable bladder ultrasound scanners (86.1%). Intermittent catheterization and catheter stop-orders were regularly used by 65.8 and 62.2% of hospitals. For CLABSI, all hospitals regularly used maximum sterile barrier precautions and chlorhexidine gluconate for insertion site antisepsis. Avoidance of the femoral site for central line insertions was regularly used by 65.9% of hospitals. Urinary catheters and central-lines impregnated with antibiotics or antiseptics were rarely used (≤ 5%). Selective decontamination strategies for preventing VAP were used in 84% of hospitals. With the exception of disposable thermometers (31.8%), all prevention practices to prevent CDI were regularly used by more than 80% of hospitals. Conclusions Most Dutch hospitals report regular use of recommended practices for preventing CLABSI and CDI. Several specific practices to prevent CAUTI and VAP were less frequently used, however, providing an opportunity for improvement.

Sign in / Sign up

Export Citation Format

Share Document