Preventing Hospital Infections Real-World Problems, Realistic Solutions

The first edition of Preventing Hospital Infections led readers through a step-by-step description of a quality improvement intervention as it might unfold in a model hospital, pinpointing the likely obstacles and offering practical strategies for how to overcome them. This newly updated edition draws on fresh examples and modern clinical tools, with new or expanded topics spanning antimicrobial resistance and antimicrobial stewardship, RAND/UCLA appropriateness criteria for using devices, and tiered approaches to CAUTI, CLABSI, and CDI.

Unlike other approaches, which focus on the technical aspects of healthcare-associated infections, this book offers a user-friendly manual for effecting real, practical change. Whether resistance comes from physicians who distrust change, nurses who want to protect their turf, or infection preventionists who are removed from the day-to-day work on wards, Preventing Hospital Infections, 2nd Edition offers an innovative and accessible approach that focuses on navigating the human element in a hospital quality improvement initiative.

Jennifer Meddings, MD, MSc is an Associate Professor of Internal Medicine and Pediatrics at the University of Michigan Health System and the VA Ann Arbor Healthcare System.

Vineet Chopra, MD, is Associate Professor of Medicine and Chief of the Division of Hospital Medicine and Research Scientist at the University of Michigan and VA Ann Arbor Health System.

Sanjay Saint, MD, MPH, MACP, is the Chief of Medicine at the VA Ann Arbor Healthcare System and the George Dock Professor of Internal Medicine at the University of Michigan.

Preface

About the Authors

1. An Effective Strategy to Combat Hospital Infections

2. Committing to an Infection Prevention Initiative

3. Types of Interventions: Catheter-Associated Urinary Tract Infection

4. Types of Interventions: Central Line-Associated Bloodstream Infection

5. Building the Team

6. The Importance of Leadership and Followership

7. Common Problems, Realistic Solutions

8. Joining a Collaborative

9. Toward Sustainability

10. Taking on Clostridioides difficile

11. The Future of Infection Prevention

Appendices

References

Index