A5076250253- Urinary Tract Infections Management
- Patient Satisfaction in Healthcare
- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Healthcare cost, quality, practices
- Central Venous Catheters and Hemodialysis
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Pressure Ulcer Prevention and Management
- Patient Safety and Medication Errors
- Surgical site infection prevention
- Medical Malpractice and Liability Issues
- Healthcare Operations and Scheduling Optimization
- Antibiotic Use and Resistance
- Sepsis Diagnosis and Treatment
- Infection Control in Healthcare
- Primary Care and Health Outcomes
- Telemedicine and Telehealth Implementation
- Pediatric Urology and Nephrology Studies
- Nosocomial Infections in ICU
- Health Systems, Economic Evaluations, Quality of Life
- Electronic Health Records Systems
- Clinical practice guidelines implementation
- Diagnosis and Treatment of Venous Diseases
University of Michigan
2015-2025
VA Ann Arbor Healthcare System
2015-2025
VA Center for Clinical Management Research
2017-2024
Michigan United
2019-2024
National Patient Safety Foundation
2013-2023
Michigan Medicine
2011-2023
Geriatric Research Education and Clinical Center
2023
New York Proton Center
2015-2023
Communities In Schools of Orange County
2023
Manhattan Institute for Policy Research
2023
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical in a concise format designed assist acute care hospitals implementing prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. This updates “Strategies Prevent Catheter-Associated Urinary Tract Infections Acute Care Hospitals,” 2008. expert guidance...
Abstract and purpose The intent of this document is to highlight practical recommendations in a concise format designed assist physicians, nurses, infection preventionists at acute-care hospitals implementing prioritizing their catheter-associated urinary tract (CAUTI) prevention efforts. This updates the Strategies Prevent Catheter-Associated Urinary Tract Infections Acute-Care Hospitals published 2014. It product collaborative effort led by SHEA, Infectious Diseases Society America (IDSA),...
Interventions to reduce urinary catheter use involve lists of "appropriate" indications developed from limited evidence without substantial multidisciplinary input. Implementing these lists, however, is challenging given broad interpretation indications, such as "critical illness." To refine criteria for appropriate use-defined in which benefits outweigh risks-the RAND/UCLA Appropriateness Method was applied. After reviewing the literature, a 15-member panel physicians, nurses, and...
<h3>Importance</h3> Catheter-associated urinary tract infection (UTI) in nursing home residents is a common cause of sepsis, hospital admission, and antimicrobial use leading to colonization with multidrug-resistant organisms. <h3>Objective</h3> To develop, implement, evaluate an intervention reduce catheter-associated UTI. <h3>Design, Setting, Participants</h3> A large-scale prospective implementation project was conducted community-based homes participating the Agency for Healthcare...
Many patients have uncontrolled blood pressure (BP) because they are not taking medications as prescribed. Providers may difficulty accurately assessing adherence. need to assess medication adherence decide whether address BP by improving the current prescribed regimen or intensifying treatment increasing doses adding more medications. We examined how provider assessments of with antihypertensive compared refill records, and providers' were associated decisions intensify for BP. studied a...
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical in a concise format designed assist acute care hospitals implementing prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. This updates “Strategies Prevent Catheter-Associated Urinary Tract Infections Acute Care Hospitals,” 2008. expert guidance...
Objective. To evaluate whether hospital-acquired catheter-associated urinary tract infections (CA-UTIs) are accurately documented in discharge records with the use of International Classification Diseases, Ninth Revision, Clinical Modification diagnosis codes so that nonpayment is triggered, as mandated by Centers for Medicare and Medicaid Services (CMS) Hospital-Acquired Conditions Initiative. Methods. We conducted a retrospective medical record review 80 randomly selected adult discharges...
Background: Most (59% to 86%) hospital-acquired urinary tract infections (UTIs) are catheter-associated (CAUTIs). As of 2008, claims data used deny payment for certain conditions, including CAUTIs, and publicly report hospital performance. Objective: To examine rates UTIs in adults that coded as events evaluate how often nonpayment CAUTI lowers payment. Design: Before-and-after study all-payer cross-sectional data. Setting: 96 nonfederal acute care Michigan hospitals. Patients: Nonobstetric...
Background The Agency for Healthcare Research and Quality (AHRQ) has funded national collaboratives using the Comprehensive Unit-based Safety Program to reduce rates of two catheter-associated infections—central-line-associated bloodstream infection (CLABSI) urinary tract (CAUTI), evidence-based intervention bundles improve technical aspects care socioadaptive approaches foster a culture safety. Objective Examine association between hospital units' results Hospital Survey on Patient Culture...
This cross-sectional study assesses patient preferences for various visual backgrounds during telemedicine video visits.
Urine cultures are frequently obtained for hospitalized patients. We reviewed documented indications culture and compared these with professional society guidelines. Lack of documentation important clinical scenarios (before orthopedic procedures when the patient has altered mental status without a urinary catheter) highlighted as areas use outside current
Objective. To examine regional variation in the use and appropriateness of indwelling urinary catheters catheter-associated tract infection (CAUTI). Design Setting. Cross-sectional study. Participants. US acute care hospitals. Methods. Hospitals were divided into 4 regions according to Census Bureau. Baseline data on catheter use, appropriateness, CAUTI collected from participating units. The utilization ratio was calculated by dividing number catheter-days patient-days. We used National...
Central line-associated bloodstream infections (CLABSIs) are a significant source of morbidity and mortality in the NICU. In 2010, Medicaid was mandated not to pay hospitals for treatment CLABSI; however, CLABSI data this policy specified. Our objective evaluate accuracy hospital administrative compared with confirmed by an infection control service.We evaluated newborns admitted consecutively from January 1, 2008, December 31, 2010. Clinical demographic were collected through chart review....
Background Numerous initiatives have focused on reducing device-associated infections, contributing to an overall decrease in infections nationwide. To better understand factors associated with this decline, we assessed the use of key practices prevent by US acute care hospitals from 2005 2013. Methods We mailed surveys infection preventionists at a national random sample ∼600 2005, 2009 and Our survey asked about 3 most common infections: central line-associated bloodstream (CLABSI),...