Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-19T20:47:47.350Z Has data issue: false hasContentIssue false
  • English
  • Français

Implementing the MRSA Bundle in ICUs: One Citywide Collaborative's Key Lessons Learned

Published online by Cambridge University Press:  02 January 2015

Catherine Amber Welsh ,
Mindy E. Flanagan ,
Chris Kiess  and
Bradley N. Doebbeling
Catherine Amber Welsh*
Affiliation:
Indiana University (IU) Center for Health Services and Outcomes Research, Indianapolis, Indiana School of Engineering and Technology, IU–Purdue University Indianapolis, Indianapolis, Indiana
Mindy E. Flanagan
Affiliation:
Indiana University (IU) Center for Health Services and Outcomes Research, Indianapolis, Indiana
Chris Kiess
Affiliation:
Regenstrief Institute, Indianapolis, Indiana
Bradley N. Doebbeling
Affiliation:
Indiana University (IU) Center for Health Services and Outcomes Research, Indianapolis, Indiana Regenstrief Institute, Indianapolis, Indiana US Department of Veterans Affairs Health Services Research and Development Service, Center of Excellence, Indianapolis, Indiana; and Department of Medicine, IU School of Medicine, Indianapolis, Indiana
*
799 West Michigan Street, Indianapolis, IN 46202 (amwelsh@hotmail.com)
Get access Rights & Permissions [Opens in a new window]

Extract

Because bundle implementation in intensive care units to reduce methicillin-resistant Staphylococcus aureus is challenging, we conducted in-depth interviews with implementation teams at 5 participating hospitals. Key lessons learned across hospitals included the following: maintain management support, engage frontline staff, build the right multidisciplinary team, conduct process mapping, and commit to data collection and feedback.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 32 , Issue 9 , September 2011 , pp. 918 - 921
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Hagg, HW, Workman-Germann, J, Flanagan, M, et al.Implementation of systems redesign: approaches to spread and sustain adoption. In: Henriksen, K, Battles, JB, Keyes, MA, Grady, ML, eds. Advances in patient safety: new directions and alternative approaches. Vol 2. Culture and redesign. Rockville, MD: Agency for Healthcare Research and Quality; 2005. http://www.ncbi.nlm.nih.gov/books/NBK43727/.Google Scholar
2.Berwick, DM. Disseminating innovations in health care. JAMA 2003;289:1969–1975.CrossRefGoogle ScholarPubMed
3.Greenhalgh, T, Robert, G, Macfarlane, F, Bate, P, Kyriakidou, O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004;82:581–629.Google Scholar
4.Rogers, EM. Diffusion of innovations. 4th ed. New York: Free Press, 1995.Google Scholar
5.Lukas, CV, Holmes, SK, Cohen, AB, et al.Transformational change in health care systems: an organizational model. Health Care Manag Rev 2007;32:309–320.CrossRefGoogle ScholarPubMed
6.Feldstein, AC, Glasgow, RE. A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Jt Comm J Qual Improv 2008;34:228–243.Google ScholarPubMed
7.Chou, AF, Yano, EM, McCoy, KD, Willis, DR, Doebbeling, BN. Structural and process factors affecting the implementation of antimicrobial resistance prevention and control strategies in U.S. hospitals. Health Care Manag Rev 2008;33:308–322.Google Scholar