Hostname: page-component-7c8c6479df-ph5wq Total loading time: 0 Render date: 2024-03-29T00:38:26.145Z Has data issue: false hasContentIssue false

Resource Burden Associated with Contact Precautions for Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococcus: The Patient Access Managers' Perspective

Published online by Cambridge University Press:  02 January 2015

Erica S. Shenoy*
Affiliation:
Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts Infection Control Unit, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts
Rochelle P. Walensky
Affiliation:
Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts Center for AIDS Research, Harvard Medical School, Boston, Massachusetts
Hang Lee
Affiliation:
Harvard Medical School, Boston, Massachusetts Biostatistics Center, Massachusetts General Hospital, Boston, Massachusetts
Benjamin Orcutt
Affiliation:
Admitting Services, Massachusetts General Hospital, Boston, Massachusetts
David C. Hooper
Affiliation:
Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts Infection Control Unit, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts
*
Division of Infectious Diseases and Infection Control Unit, Massachusetts General Hospital, 55 Fruit Street, Bulfinch 340, Boston, MA 02114 (eseiguershenoy@partners.org)

Abstract

We surveyed patient access managers on the impact of contact precautions (CP) for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) on time to bed assignment, and we investigated the factors influencing infection control policies allowing for discontinuation of CP. The majority of respondents reported an increase in time to bed assignment for patients with a history of MRSA and/or VRE infection or colonization.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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.Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Am J Infect Control 2007;35(suppl): S65S164.Google Scholar
2.National Association of Healthcare Access Managers. http://www.naham.org. Accessed December 12, 2011.Google Scholar
3.Harris, PA, Taylor, R, Thielke, R, Payne, J, Gonzalez, N, Conde, JG. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377381.Google Scholar
4.Health Forum. AHA Hospital Statistics 2010: The Comprehensive Reference Source for Analysis and Comparison of Hospital Trends. 2009. Chicago: American Hospital Association.Google Scholar
5.Plunkett, PK, Byrne, DG, Breslin, T, Bennett, K, Silke, B. Increasing wait times predict increasing mortality for emergency medical admissions. Eur } Emerg Med 2011;18:192216.CrossRefGoogle ScholarPubMed
6.Mitra, B, Cameron, PA, Archer, P, et al. The association between time to disposition plan in the emergency department and inhospital mortality of general medical patients. Intern Med J 2011;42(4):444450.Google Scholar
7.Cooke, T, Watt, D, Wertzier, W, Quan, H. Patient expectations of emergency department care: phase II—a cross-sectional survey. Can J Emerg Med 2006;8:148157.Google Scholar
8.Ng, D, Vail, G, Thomas, S, Schmidt, N. Applying the Lean principles of the Toyota production system to reduce wait times in the emergency department. Can } Emerg Med 2010;12:5057.Google Scholar
9.Robicsek, A, Beaumont, JL, Peterson, LR. Duration of colonization with methicillin-resistant Staphylococcus aureus. Clin Infect Dis 2009;48:910913.Google Scholar