OBJECTIVE: Six neonatal intensive care units (NICUs) that are members of the Vermont Oxford National Evidence-Based Quality Improvement Collaborative for Neonatology collaborated to reduce infection rates. There were 7 centers in the original focus group, but 1 center left the collaborative after 1 year. The objective of this study was to develop strategies to decrease nosocomial infection rates in NICUs. METHODS: The process included a comprehensive literature review, internal practice analyses, benchmark studies, and development of practical experience through rapid-cycle changes, subsequent analysis, and feedback. This process led to 3 summary statements on potentially better practices in handwashing, approach to nosocomial sepsis evaluations, and central venous catheter management. RESULTS: These statements provide a basis for an evidence-based approach to lowering neonatal intensive care unit nosocomial infection rates. CONCLUSIONS: The 2-year process also led to changes in the culture and habits of the institutions involved, which should in turn have long-term effects on other aspects of quality improvement.
OBJECTIVE: Six neonatal intensive care units (NICUs) that are members of the Vermont Oxford National Evidence-Based Quality Improvement Collaborative for Neonatology collaborated to reduce infection rates. There were 7 centers in the original focus group, but 1 center left the collaborative after 1 year. The objective of this study was to develop strategies to decrease nosocomial infection rates in NICUs. METHODS: The process included a comprehensive literature review, internal practice analyses, benchmark studies, and development of practical experience through rapid-cycle changes, subsequent analysis, and feedback. This process led to 3 summary statements on potentially better practices in handwashing, approach to nosocomial sepsis evaluations, and central venous catheter management. RESULTS: These statements provide a basis for an evidence-based approach to lowering neonatal intensive care unit nosocomial infection rates. CONCLUSIONS: The 2-year process also led to changes in the culture and habits of the institutions involved, which should in turn have long-term effects on other aspects of quality improvement.
Authors: M Guembe; A Pérez-Parra; E Gómez; M Sánchez-Luna; A Bustinza; E Zamora; A Carrillo-Álvarez; A Cuenca; B Padilla; P Martín-Rabadán; E Bouza Journal: Eur J Clin Microbiol Infect Dis Date: 2012-05-09 Impact factor: 3.267
Authors: Jong Hee Hwang; Chang Won Choi; Yun Sil Chang; Yon Ho Choe; Won Soon Park; Son Moon Shin; Munhyang Lee; Sang Il Lee Journal: J Korean Med Sci Date: 2005-04 Impact factor: 2.153
Authors: David D Wirtschafter; Richard J Powers; Janet S Pettit; Henry C Lee; W John Boscardin; Mohammad Ahmad Subeh; Jeffrey B Gould Journal: Pediatrics Date: 2011-02-21 Impact factor: 7.124
Authors: Sofia Aliaga; Reese H Clark; Matthew Laughon; Thomas J Walsh; William W Hope; Daniel K Benjamin; David Kaufman; Antonio Arrieta; Daniel K Benjamin; P Brian Smith Journal: Pediatrics Date: 2014-01-20 Impact factor: 9.703