Evidence-Based Strategies to Tackle the Three Most Common Sources of HAIs: Contaminated Hands, Environmental Surfaces, and Skin Cindy Winfrey, MSN, RN, CIC Senior Medical Science Liaison PDI Healthcare. Financial Disclosures. PDI Healthcare-Employee. Objectives.
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Evidence-Based Strategies to Tackle the Three Most Common Sources of HAIs: Contaminated Hands, Environmental Surfaces, and SkinCindy Winfrey, MSN, RN, CICSenior Medical Science LiaisonPDI Healthcare
Transmission of Infection Sources of HAIs: Contaminated Hands, Environmental Surfaces, and
Pathogens of Significance Sources of HAIs: Contaminated Hands, Environmental Surfaces, and
Examples of multidrug resistance in Sources of HAIs: Contaminated Hands, Environmental Surfaces, and
* Percent Acinetobacterbaumanniiand P. aeruginosa in ICUs that are multidrug-resistant, NNIS and NHSN, 2000-2008. Includes ICUs only (MICU, SICU, MSICU) and device-related infections only (CLABSI, CAUTI, VAP).
NHSN – CDC’s National Healthcare Safety Network EIP – CDC’s Emerging Infections Program
NHDS – CDC’s National Hospital Discharge Survey SCIP – CMS’s Surgical Care Improvement Project
HCUP – AHRQ’s Healthcare Cost and Utilization Project
Inherent risk with CVCs
Difficult to identify and treat
Prolonged & often frequent exposure to antibiotics
Major contributor of morbidity and mortality
Increased length of stay and hospital costs
Infants are especially vulnerable
Prepping the skin
Tamma, Aucott, & Milstone, 2010
Sharpe & Pettit 2009
Examples include surfaces in the environment and medical equipment used in patient care
Local success fuels national prevention Insertions
CDC knowledge and data fuels local to national CLABSI prevention
Pittsburgh Regional Healthcare Initiative
First successful, large-scale CLABSI prevention demonstration project
Prevention Research (e.g. chlorhexidine bathing)
The Insertions need for HAI prevention research
Prevention Approach Unknown
No touch technique
Injection cap/needleless connector
Safe Healthcare is Everyone’s Responsibility
If you knew……………………….
That you could do something simple, easy, cost effective, and that was
Evidence-Based, but took a little extra time…..
Would you do it?????