Becker's Clinical Quality & Infection Control

Infection Control & Clinical Quality May/June 2014 • Vol. 2014 No. 3 INDEX Table of Contents p. 6 Special Focus on Infection Prevention p. 14 Improving HCAHPS Scores p. 26 Patient Safety Toolkit: Hand Hygiene p. 30 7 Core Elements of Antimicrobial Stewardship Programs Critical considerations for any healthcare organization's infection control efforts p. 14 Healthcare Professionals' Definitions of 'Multidrug-Resistant' Vary Shared meaning foundational to response efforts p. 16 25 Most Common Causes for HAIs How is your organization combating these common triggers? pg. 19 How to Achieve Alignment Around Improving HCAHPS 6 steps toward better quality, patient experience p. 26 How a No-Nonsense Hospital CEO Reached the Target of Zero Infections By John Calderone, PhD, CEO, Olympia Medical Center My mother Mary, a little Italian woman as tall as she is wide, always used to tell me how she hated hospitals because they just made people sicker. Imagine her reaction when I told her that I was going into healthcare. Media reports about rampant infections in hospitals only fed her fears. Then, I was hit with a one-two punch: In 2011, my team clued me into our high rate of healthcare-associat- ed infections, and, in 2012, the media reported that my hos- pital — Olympia Medical Center in Los Angeles — had one of the highest rates of central-line associated blood stream infection in the nation. We had a CLABSI rate of 4.67 per 1,000 central venous catheter-days, which was about four times higher than the national rate. Was I running the type of hospital my mother always feared? Should Providers Be Obligated to Involve Patients in HAI Prevention? By Ellie Rizzo While the majority of healthcare-associated infection prevention is carried out by healthcare workers, it may be unethical to not present patients with enough information so they may participate in HAI-preven- tion efforts, should they choose to do so, according to an article published in Infection Control and Hospital Epidemiology. The article argues considering patient autonomy and empowering patients in HAI-prevention may lead to reductions in HAIs and improved outcomes. Researchers suggest keeping patients informed with publically available data, providing hospital-specific The following is a list of 50 experts leading the field of patient safety. The list includes individuals at healthcare organizations, national organiza- tions, universities and other institu- tions who are devoted to improving patient safety and quality of care. The leaders listed here include healthcare providers, advocates, administra- tors, researchers and professors who have demonstrated a commitment to patient safety through their body of work, personal accomplishments and organizational leadership. Note: Leaders are presented in alpha- betical order and could not pay for inclusion. James P. Bagian, MD, PE. Director for the Center for Health Engineer- ing and Patient Safety, University of Michigan (Ann Arbor). In his posi- tion with the University of Michigan, Dr. Bagian is focused on creating solutions for safety and efficiency in healthcare. He has previously served as chief patient safety officer and di- rector for Veterans Health's National Center for Patient Safety, a position he assumed in 1998. Dr. Baigan is also a former space shuttle astronaut, fly- ing on two shuttle missions and lead- ing the development of high-altitude pressure suits and space motion sick- ness treatment in his 15-year tenure with the National Air and Space Ad- ministration. He is a member of both the National Academy of Engineering and the Institute of Medicine and is a board member of the National Pa- tient Safety Foundation. David W. Bates, MD, MSc. Senior Vice President for Quality and Safety and Chief Quality Officer at Brigham and Women's Hospital and Brigham and Women's Physicians Organization (Boston). Dr. Bates has served in his current positions at BWH since 2011. He has performed important research on the epidemiol- ogy of drug-related injuries and has explored the contributions of evi- dence-based guidelines to healthcare continued on page 14 continued on page 8 continued on page 13 50 Experts Leading the Field of Patient Safety – 2014

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