Prevention of hospital-onset Clostridium difficile infection in the New York metropolitan region using a collaborative intervention model

Brian S. Koll, Rafael Ruiz, David P. Calfee, Hillary S. Jalon, Rachel L. Stricof, Audrey Adams, Barbara A. Smith, Gina Shin, Kathleen Gase, Maria K. Woods, Ismail Sirtalan

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The incidence, severity, and associated costs of Clostridium difficile (C. difficile) infection (CDI) have dramatically increased in hospitals over the past decade, indicating an urgent need for strategies to prevent transmission of C. difficile. This article describes a multifaceted collaborative approach to reduce hospital-onset CDI rates in 35 acute care hospitals in the New York metropolitan region. Hospitals participated in a comprehensive CDI reduction intervention and formed interdisciplinary teams to coordinate their efforts. Standardized clinical infection prevention and environmental cleaning protocols were implemented and monitored using checklists. Monthly data reports were provided to hospitals for facility-specific performance evaluation and comparison to aggregate data from all participants. Hospitals also participated in monthly teleconferences to review data and highlight successes, challenges, and strategies to reduce CDI. Incidence of hospital-onset CDI per 10,000 patient days was the primary outcome measure. Additionally, the incidence of nonhospital-associated, community-onset, hospital-associated, and recurrent CDIs were measured. The use of a collaborative model to implement a multifaceted infection prevention strategy was temporally associated with a significant reduction in hospital-onset CDI rates in participating New York metropolitan regional hospitals.

Original languageEnglish (US)
Pages (from-to)35-45
Number of pages11
JournalJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Volume36
Issue number3
DOIs
StatePublished - May 1 2014
Externally publishedYes

Fingerprint

Clostridium Infections
Clostridium difficile
Incidence
Telecommunications
Urban Hospitals
Community Hospital
Infection
Checklist
Outcome Assessment (Health Care)
Costs and Cost Analysis

Keywords

  • clostridium difficile
  • collaborative
  • healthcare-associated infection
  • infection prevention and environmental cleaning
  • quality improvement

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prevention of hospital-onset Clostridium difficile infection in the New York metropolitan region using a collaborative intervention model. / Koll, Brian S.; Ruiz, Rafael; Calfee, David P.; Jalon, Hillary S.; Stricof, Rachel L.; Adams, Audrey; Smith, Barbara A.; Shin, Gina; Gase, Kathleen; Woods, Maria K.; Sirtalan, Ismail.

In: Journal for healthcare quality : official publication of the National Association for Healthcare Quality, Vol. 36, No. 3, 01.05.2014, p. 35-45.

Research output: Contribution to journalArticle

Koll, Brian S. ; Ruiz, Rafael ; Calfee, David P. ; Jalon, Hillary S. ; Stricof, Rachel L. ; Adams, Audrey ; Smith, Barbara A. ; Shin, Gina ; Gase, Kathleen ; Woods, Maria K. ; Sirtalan, Ismail. / Prevention of hospital-onset Clostridium difficile infection in the New York metropolitan region using a collaborative intervention model. In: Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 2014 ; Vol. 36, No. 3. pp. 35-45.
@article{da510b2bdc814bd8a9607d8eddae8158,
title = "Prevention of hospital-onset Clostridium difficile infection in the New York metropolitan region using a collaborative intervention model",
abstract = "The incidence, severity, and associated costs of Clostridium difficile (C. difficile) infection (CDI) have dramatically increased in hospitals over the past decade, indicating an urgent need for strategies to prevent transmission of C. difficile. This article describes a multifaceted collaborative approach to reduce hospital-onset CDI rates in 35 acute care hospitals in the New York metropolitan region. Hospitals participated in a comprehensive CDI reduction intervention and formed interdisciplinary teams to coordinate their efforts. Standardized clinical infection prevention and environmental cleaning protocols were implemented and monitored using checklists. Monthly data reports were provided to hospitals for facility-specific performance evaluation and comparison to aggregate data from all participants. Hospitals also participated in monthly teleconferences to review data and highlight successes, challenges, and strategies to reduce CDI. Incidence of hospital-onset CDI per 10,000 patient days was the primary outcome measure. Additionally, the incidence of nonhospital-associated, community-onset, hospital-associated, and recurrent CDIs were measured. The use of a collaborative model to implement a multifaceted infection prevention strategy was temporally associated with a significant reduction in hospital-onset CDI rates in participating New York metropolitan regional hospitals.",
keywords = "clostridium difficile, collaborative, healthcare-associated infection, infection prevention and environmental cleaning, quality improvement",
author = "Koll, {Brian S.} and Rafael Ruiz and Calfee, {David P.} and Jalon, {Hillary S.} and Stricof, {Rachel L.} and Audrey Adams and Smith, {Barbara A.} and Gina Shin and Kathleen Gase and Woods, {Maria K.} and Ismail Sirtalan",
year = "2014",
month = "5",
day = "1",
doi = "10.1111/jhq.12002",
language = "English (US)",
volume = "36",
pages = "35--45",
journal = "Journal for healthcare quality : official publication of the National Association for Healthcare Quality",
issn = "1062-2551",
publisher = "National Association for Healthcare Quality",
number = "3",

}

TY - JOUR

T1 - Prevention of hospital-onset Clostridium difficile infection in the New York metropolitan region using a collaborative intervention model

AU - Koll, Brian S.

AU - Ruiz, Rafael

AU - Calfee, David P.

AU - Jalon, Hillary S.

AU - Stricof, Rachel L.

AU - Adams, Audrey

AU - Smith, Barbara A.

AU - Shin, Gina

AU - Gase, Kathleen

AU - Woods, Maria K.

AU - Sirtalan, Ismail

PY - 2014/5/1

Y1 - 2014/5/1

N2 - The incidence, severity, and associated costs of Clostridium difficile (C. difficile) infection (CDI) have dramatically increased in hospitals over the past decade, indicating an urgent need for strategies to prevent transmission of C. difficile. This article describes a multifaceted collaborative approach to reduce hospital-onset CDI rates in 35 acute care hospitals in the New York metropolitan region. Hospitals participated in a comprehensive CDI reduction intervention and formed interdisciplinary teams to coordinate their efforts. Standardized clinical infection prevention and environmental cleaning protocols were implemented and monitored using checklists. Monthly data reports were provided to hospitals for facility-specific performance evaluation and comparison to aggregate data from all participants. Hospitals also participated in monthly teleconferences to review data and highlight successes, challenges, and strategies to reduce CDI. Incidence of hospital-onset CDI per 10,000 patient days was the primary outcome measure. Additionally, the incidence of nonhospital-associated, community-onset, hospital-associated, and recurrent CDIs were measured. The use of a collaborative model to implement a multifaceted infection prevention strategy was temporally associated with a significant reduction in hospital-onset CDI rates in participating New York metropolitan regional hospitals.

AB - The incidence, severity, and associated costs of Clostridium difficile (C. difficile) infection (CDI) have dramatically increased in hospitals over the past decade, indicating an urgent need for strategies to prevent transmission of C. difficile. This article describes a multifaceted collaborative approach to reduce hospital-onset CDI rates in 35 acute care hospitals in the New York metropolitan region. Hospitals participated in a comprehensive CDI reduction intervention and formed interdisciplinary teams to coordinate their efforts. Standardized clinical infection prevention and environmental cleaning protocols were implemented and monitored using checklists. Monthly data reports were provided to hospitals for facility-specific performance evaluation and comparison to aggregate data from all participants. Hospitals also participated in monthly teleconferences to review data and highlight successes, challenges, and strategies to reduce CDI. Incidence of hospital-onset CDI per 10,000 patient days was the primary outcome measure. Additionally, the incidence of nonhospital-associated, community-onset, hospital-associated, and recurrent CDIs were measured. The use of a collaborative model to implement a multifaceted infection prevention strategy was temporally associated with a significant reduction in hospital-onset CDI rates in participating New York metropolitan regional hospitals.

KW - clostridium difficile

KW - collaborative

KW - healthcare-associated infection

KW - infection prevention and environmental cleaning

KW - quality improvement

UR - http://www.scopus.com/inward/record.url?scp=84927169689&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927169689&partnerID=8YFLogxK

U2 - 10.1111/jhq.12002

DO - 10.1111/jhq.12002

M3 - Article

C2 - 23294050

AN - SCOPUS:84927169689

VL - 36

SP - 35

EP - 45

JO - Journal for healthcare quality : official publication of the National Association for Healthcare Quality

JF - Journal for healthcare quality : official publication of the National Association for Healthcare Quality

SN - 1062-2551

IS - 3

ER -