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The learning hospital: From theory to practice in a hospital infection prevention program

Published online by Cambridge University Press:  22 November 2019

Olivia C.R. Hess*
Affiliation:
Colgate University, Hamilton, New York
Meha Srivastava
Affiliation:
Emory University, Atlanta, Georgia
Rachel Pryor
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Amie Patrick
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Kaila Cooper
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Emily Godbout
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Katie Anderson
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michelle Doll
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michael P. Stevens
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Robin Hemphill
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michael Edmond
Affiliation:
University of Iowa, Iowa City, Iowa
Richard Wenzel
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Gonzalo Bearman
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
*
Author for correspondence: Olivia C.R. Hess, Email: ohess@colgate.edu

Abstract

The learning hospital is distinguished by ceaseless evolution of erudition, enhancement, and implementation of clinical best practices. We describe a model for the learning hospital within the framework of a hospital infection prevention program and argue that a critical assessment of safety practices is possible without significant grant funding. We reviewed 121 peer-reviewed manuscripts published by the VCU Hospital Infection Prevention Program over 16 years. Publications included quasi-experimental studies, observational studies, surveys, interrupted time series analyses, and editorials. We summarized the articles based on their infection prevention focus, and we provide a brief summary of the findings. We also summarized the involvement of nonfaculty learners in these manuscripts as well as the contributions of grant funding. Despite the absence of significant grant funding, infection prevention programs can critically assess safety strategies under the learning hospital framework by leveraging a diverse collaboration of motivated nonfaculty learners. This model is a valuable adjunct to traditional grant-funded efforts in infection prevention science and is part of a successful horizontal infection control program.

Type
Commentary
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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The learning hospital: From theory to practice in a hospital infection prevention program
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