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  1. Article ; Online: Contact precautions as a barrier to hand hygiene: The Plan-Do-Study-Act (PDSA) framework to improve compliance with gloved hand hygiene.

    Bailey, Pamela / Cooper, Kaila / Stevens, Michael P / Bearman, Gonzalo / Doll, Michelle

    Infection control and hospital epidemiology

    2024  Volume 45, Issue 6, Page(s) 788–789

    Abstract: In an identified quality improvement effort, nurses were observed regarding their workflow while in contact precaution rooms. Multiple opportunities for hand hygiene were missed while nurses were in gloves, predominantly while moving between "dirty" and " ...

    Abstract In an identified quality improvement effort, nurses were observed regarding their workflow while in contact precaution rooms. Multiple opportunities for hand hygiene were missed while nurses were in gloves, predominantly while moving between "dirty" and "clean" tasks. An education initiative afterward did not show improvement in hand hygiene rates.
    MeSH term(s) Humans ; Guideline Adherence/statistics & numerical data ; Hand Hygiene/standards ; Quality Improvement ; Cross Infection/prevention & control ; Gloves, Protective ; Nursing Staff, Hospital ; Infection Control/methods ; Infection Control/standards ; Workflow
    Language English
    Publishing date 2024-02-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2024.24
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  2. Article: Healthcare Personnel Hand Hygiene Compliance: Are We There Yet?

    Armstrong-Novak, JoDee / Juan, Hui Yu / Cooper, Kaila / Bailey, Pamela

    Current infectious disease reports

    2023  , Page(s) 1–7

    Abstract: Purpose of review: Poor hand hygiene is well documented as a factor in healthcare-associated infections and excellent rates of hand hygiene remains elusive.: Recent findings: There is increased use of universal or increased gloving to minimize hand ... ...

    Abstract Purpose of review: Poor hand hygiene is well documented as a factor in healthcare-associated infections and excellent rates of hand hygiene remains elusive.
    Recent findings: There is increased use of universal or increased gloving to minimize hand contamination, but its use does not replace hand hygiene opportunities. There is significant interest in electronic hand hygiene monitoring systems, but they are not without their unique issues. Behavioral psychology remains a significant factor in motivating hand hygiene behaviors; even in COVID-19, hand hygiene rates initially improved but trended down back to baseline while still dealing with the pandemic.
    Summary: More emphasis should be placed on the how to properly perform hand hygiene and why it is so important, as well as the role of gloves, is needed. Continued investment and awareness of their status as role models from both system leadership and senior healthcare providers are needed.
    Language English
    Publishing date 2023-05-26
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2019948-X
    ISSN 1534-3146 ; 1523-3847
    ISSN (online) 1534-3146
    ISSN 1523-3847
    DOI 10.1007/s11908-023-00806-8
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  3. Article ; Online: Impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections: An update and perspective.

    Assi, Mariam A / Doll, Michelle / Pryor, Rachel / Cooper, Kaila / Bearman, Gonzalo / Stevens, Michael P

    Infection control and hospital epidemiology

    2021  Volume 43, Issue 6, Page(s) 813–815

    MeSH term(s) COVID-19 ; Cross Infection/epidemiology ; Cross Infection/prevention & control ; Delivery of Health Care ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2021-03-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2021.92
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  4. Article ; Online: Staphylococcal decolonization to prevent surgical site infection: Is there a role in colorectal surgery?

    Raslan, Rasha / Doll, Michelle / Albert, Heather / Shah, Hirsh / Bohl, Jaime / Cooper, Kaila / Stevens, Michael P / Bearman, Gonzalo

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2022  Volume 2, Issue 1, Page(s) e116

    Abstract: Objective: We implemented a preoperative staphylococcal decolonization protocol for colorectal surgeries if efforts to further reduce surgical site infections (SSIs).: Design: Retrospective observational study.: Setting: Tertiary-care, academic ... ...

    Abstract Objective: We implemented a preoperative staphylococcal decolonization protocol for colorectal surgeries if efforts to further reduce surgical site infections (SSIs).
    Design: Retrospective observational study.
    Setting: Tertiary-care, academic medical center.
    Patients: Adult patients who underwent colorectal surgery, as defined by National Healthcare Safety Network (NHSN), between July 2015 and June 2020. Emergent cases were excluded.
    Methods: Simple and multivariable logistic regression were performed to evaluate the relationship between decolonization and subsequent SSI. Other predictive variables included age, sex, body mass index, procedure duration, American Society of Anesthesiology (ASA) score, diabetes, smoking, and surgical oncology service.
    Results: In total, 1,683 patients underwent nonemergent NHSN-defined colorectal surgery, and 33.7% underwent the staphylococcal decolonization protocol. SSI occurred in 92 (5.5%); 53 were organ-space infections and 39 were superficial wound infections. We detected no difference in overall SSIs between those decolonized and not decolonized (
    Conclusions: Staphylococcal decolonization may prevent a subset of SSIs in patients undergoing colorectal surgery.
    Language English
    Publishing date 2022-07-11
    Publishing country England
    Document type Journal Article
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2022.262
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  5. Article: Hospital Infection Prevention: How Much Can We Prevent and How Hard Should We Try?

    Bearman, Gonzalo / Doll, Michelle / Cooper, Kaila / Stevens, Michael P

    Current infectious disease reports

    2019  Volume 21, Issue 1, Page(s) 2

    Abstract: Purpose of review: To summarize the extent to which hospital-acquired infections (HAIs) are preventable and to assess expectations, challenges, and barriers to improve patient outcomes.: Recent findings: HAIs cause significant morbidity and mortality. ...

    Abstract Purpose of review: To summarize the extent to which hospital-acquired infections (HAIs) are preventable and to assess expectations, challenges, and barriers to improve patient outcomes.
    Recent findings: HAIs cause significant morbidity and mortality. Getting to zero HAIs is a commonly stated goal yet leads to unrealistic expectations. The extent to which all HAIs can be prevented remains debatable and is subject to multiple considerations and barriers. Current infection prevention science is inexact and evolving. Evidence-based infection prevention practices are often incompletely implemented and at times controversial. Highly sensitive surveillance results in overdiagnosis, calling into question the real incidence of HAIs. Perceived reductions in HAIs by gaming the system lead to false conclusions about preventability and may cause harm. Successful HAI reduction programs require executive oversight yet keeping hospital leaders engaged in infection prevention is a challenge given competing priorities. Medicine is not a physical science with precisely defined laws; thus, infection prevention interventions are subject to variable outcomes. Perhaps up to 55-70% of HAIs are potentially preventable. This is subject to a law of diminishing returns as the preventable proportion of HAIs may reduce over time with improvements in patient safety. As the principle tenet of medicine is first do no harm, infection prevention programs should relentlessly pursue reliable, sustainable, and practical strategies for heightened patient safety.
    Language English
    Publishing date 2019-02-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2019948-X
    ISSN 1534-3146 ; 1523-3847
    ISSN (online) 1534-3146
    ISSN 1523-3847
    DOI 10.1007/s11908-019-0660-2
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  6. Article ; Online: Impact of COVID-19 on traditional healthcare-associated infection prevention efforts.

    Stevens, Michael P / Doll, Michelle / Pryor, Rachel / Godbout, Emily / Cooper, Kaila / Bearman, Gonzalo

    Infection control and hospital epidemiology

    2020  Volume 41, Issue 8, Page(s) 946–947

    MeSH term(s) COVID-19 ; Coronavirus Infections/prevention & control ; Cross Infection/prevention & control ; Humans ; Infection Control/methods ; Infection Control/organization & administration ; Occupational Exposure/prevention & control ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control
    Keywords covid19
    Language English
    Publishing date 2020-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2020.141
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  7. Article ; Online: Healthcare-associated COVID-19: The experience of an academic medical center.

    Pryor, Rachel J / Doll, Michelle / Stevens, Michael P / Cooper, Kaila / Godbout, Emily J / Hess, Oliva / Bearman, Gonzalo

    Infection control and hospital epidemiology

    2020  Volume 43, Issue 1, Page(s) 118–120

    MeSH term(s) Academic Medical Centers ; COVID-19 ; Delivery of Health Care ; Health Facilities ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2020-12-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2020.1357
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  8. Article ; Online: Reflections on the COVID-19 pandemic in the USA: Will we be better prepared next time?

    Bearman, Gonzalo / Pryor, Rachel / Vokes, Rebecca / Cooper, Kaila / Doll, Michelle / Godbout, Emily J / Stevens, Michael P

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2020  Volume 96, Page(s) 610–613

    Keywords covid19
    Language English
    Publishing date 2020-05-20
    Publishing country Canada
    Document type Editorial
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2020.05.059
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  9. Article ; Online: The impact of coronavirus disease 2019 (COVID-19) on provider use of electronic hand hygiene monitoring technology.

    Hess, Olivia C R / Armstrong-Novak, Jo Dee / Doll, Michelle / Cooper, Kaila / Bailey, Pamela / Godbout, Emily / Stevens, Michael P / Bearman, Gonzalo

    Infection control and hospital epidemiology

    2020  Volume 42, Issue 8, Page(s) 1007–1009

    Abstract: The use of an electronic hand hygiene monitoring system (EHHMS) decreased due to the coronavirus disease 2019 (COVID-19) pandemic. We analyzed dispenser use, hand hygiene (HH) badge use, and HH compliance to determine the effect of COVID-19 on EHHMS use ... ...

    Abstract The use of an electronic hand hygiene monitoring system (EHHMS) decreased due to the coronavirus disease 2019 (COVID-19) pandemic. We analyzed dispenser use, hand hygiene (HH) badge use, and HH compliance to determine the effect of COVID-19 on EHHMS use and HH compliance. HH product shortages and other pandemic-induced challenges influenced EHHMS use.
    MeSH term(s) COVID-19 ; Cross Infection/prevention & control ; Electronics ; Guideline Adherence ; Hand Hygiene ; Humans ; Infection Control ; SARS-CoV-2 ; Technology
    Keywords covid19
    Language English
    Publishing date 2020-11-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2020.1336
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  10. Article ; Online: Nurse survey, knowledge gaps and the creation of an environmental hygiene protocol for patient transport and removing linen from patient rooms.

    Patrick, Amie / Murphy, Patrick / Pryor, Rachel / Cooper, Kaila / Godbout, Emily / Stevens, Michael P / Doll, Michelle / Hemphill, Robin R / Bearman, Gonzalo

    American journal of infection control

    2020  Volume 48, Issue 9, Page(s) 1113–1115

    Abstract: General guidance for personal protective equipment (PPE) is provided by the Occupational Safety and Health Administration and the United States Centers for Disease Control and Prevention. Previous research of PPE demonstrates the ability of gloves to ... ...

    Abstract General guidance for personal protective equipment (PPE) is provided by the Occupational Safety and Health Administration and the United States Centers for Disease Control and Prevention. Previous research of PPE demonstrates the ability of gloves to harbor infectious pathogens. We surveyed health care workers to investigate current PPE practices during linen removal from patient rooms and during patient transport. The results suggest a possible risk for cross-contamination of the environment from overuse of gloves.
    MeSH term(s) Bedding and Linens ; Gloves, Protective ; Health Personnel ; Humans ; Hygiene ; Patients' Rooms ; Personal Protective Equipment ; United States
    Language English
    Publishing date 2020-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392362-9
    ISSN 1527-3296 ; 0196-6553
    ISSN (online) 1527-3296
    ISSN 0196-6553
    DOI 10.1016/j.ajic.2019.12.012
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