A5065020092- Criminal Law and Policy
- Patient Satisfaction in Healthcare
- Urinary Tract Infections Management
- Antibiotic Use and Resistance
- Nosocomial Infections in ICU
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Infection Control in Healthcare
- Central Venous Catheters and Hemodialysis
- Surgical site infection prevention
- Diabetic Foot Ulcer Assessment and Management
- Sepsis Diagnosis and Treatment
- Pressure Ulcer Prevention and Management
- Antimicrobial Resistance in Staphylococcus
- Healthcare cost, quality, practices
- Clostridium difficile and Clostridium perfringens research
- Criminal Justice and Corrections Analysis
- Bacterial Identification and Susceptibility Testing
- Medical Device Sterilization and Disinfection
- Emergency and Acute Care Studies
- Colorectal Cancer Surgical Treatments
- Disaster Response and Management
- Infection Control and Ventilation
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Antifungal resistance and susceptibility
Ascension
2017-2025
New York Proton Center
2022
Communities In Schools of Orange County
2022
Ann Arbor Center for Independent Living
2022
University of Richmond
2022
Oregon Medical Research Center
2022
Lindsay Unified School District
2022
Museum of Heilongjiang Province
2021
Michigan Medicine
2003-2016
University Health System
2016
Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact on US hospitalizations, affecting processes and patient population. Objective: To evaluate the of COVID-19 central-line–associated bloodstream infections (CLABSIs) catheter associated urinary tract (CAUTIs) in hospitals. Methods: We performed retrospective study CLABSIs CAUTIs 78 12 months before 6 during pandemic. Results: During 2 periods, there were 795,022 central-line days 817,267 days....
Surgical site infections cause significant morbidity and mortality in the postoperative period. Opening of operating room door disrupts its filtered atmosphere, increasing contamination above wound. We conducted a study traffic as risk for infections. This is an observational recorded behaviors room. Data collected included number people entering/exiting, role these individuals, event. A total 3071 openings were 28 cases. Traffic varied from 19 to 50 events per hour across specialties. The...
BACKGROUND The National Healthcare Safety Network (NHSN) catheter-associated urinary tract infection (CAUTI) definition was revised as of January 2015 to exclude funguria and lower bacteriuria levels. We evaluated the effect CAUTI change on NHSN-defined central-line-associated bloodstream (CLABSI) outcomes. METHODS compared CLABSI outcomes for calendar years 2014 in adult intensive care units (ICUs) a single large health system. Changes event rates, associated organisms, standardized ratio...
Optimizing outcomes of hospitalized patients anchors on standardizing processes in medical management, interventions to reduce the risk decompensation, and prompt intervention when a patient decompensates.
Background Recent literature supports the notion that bronchoalveolar lavage (BAL) in ventilated trauma patients may improve our ability to diagnose and treat ventilator-associated pneumonia (VAP). We hypothesized BAL would decrease number of cases VAP diagnosed impact antibiotic use ventilator days . Methods Prospective data on all infectious complications were collected for admitted trauma-burn service year 2001. All VAPs between January 1, 2001, through June 30, without (No group) using...
The device standardized infection ratio (SIR) is used to compare unit and hospital performance for different publicly reported infections. Interventions reduce unnecessary use may select a higher-risk population, leading paradoxical increase in SIR some high-performing facilities. utilization (SUR) adjusts units facilities.We calculated the (calculated based on actual days) population (defined as Σ observed events divided by predicted days), adjusting facility SUR both...
Of 500 hospital-onset Staphylococcus aureus bacteremia events (58% methicillin-susceptible S. [MSSA]; 42% methicillin-resistant [MRSA]), we found no significant differences in rates between medium-sized and large hospitals. However, the proportion of caused by MSSA was greater hospitals did not correlate with MRSA bacteremia. Infect Control Hosp Epidemiol 2018;39:476–478
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Currently, publicly reported infections include a few types of events, and do not provide comprehensive picture on overall infection prevention practices. Hospital onset bloodstream (HOBSI), regardless source, reflects invasive from an at risk patient population in inpatient healthcare settings. Using one surveillance system, we identified all positives blood cultures for 5 organisms commonly associated with (Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Pseudomonas...
Background: Acute-care hospitals in the United States are required to submit 6 healthcare-associated infection (HAI) metrics CMS for reporting and performance purposes prior payment. We examined association between HAI rate trends hospital-onset bloodstream (HO-BSI) across a large, multihospital health system. Methods: HO-BSI events were identified 52 attributable Staphylococcus aureus , Pseudomonas aeruginosa Escherichia coli Klebsiella pneumoniae, or Candida spp using NHSN Lab ID event...
Surgical site infections (SSIs) increase morbidity, mortality, and health care costs. Morbid obesity has been identified as an independent risk factor; it demonstrated that higher doses of antimicrobials are warranted to achieve adequate tissue concentrations. In 2008, the University Michigan Health System (UMHS) implemented weight-based dosing such patients with a documented weight ≥80 kg would receive larger initial dose antibiotic for surgical prophylaxis. This process included pharmacy...