Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-30T20:10:41.843Z Has data issue: false hasContentIssue false

Beyond ß: Lessons Learned from Implementation of the Department of Veterans Affairs Methicillin-Resistant Staphylococcus aureus Prevention Initiative

Published online by Cambridge University Press:  02 January 2015

Amanda G. Garcia-Williams
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
LaToya J. Miller
Affiliation:
Veterans Affairs Pittsburgh Healthcare System, University of Pittsburgh, Pittsburgh, Pennsylvania
Kelly H. Burkitt
Affiliation:
Center for Health Equity Research and Promotion, University of Pittsburgh, Pittsburgh, Pennsylvania
Timothy Cuerdon
Affiliation:
Office of Quality and Performance, Veterans Affairs Central Office, Washington, DC
Rajiv Jain
Affiliation:
Veterans Affairs Pittsburgh Healthcare System, University of Pittsburgh, Pittsburgh, Pennsylvania
Michael J. Fine
Affiliation:
Center for Health Equity Research and Promotion, University of Pittsburgh, Pittsburgh, Pennsylvania Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
John A. Jernigan
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Ronda L. Sinkowitz-Cochran*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Centers for Disease Control and Prevention, Division of Healthcare Quality Promotion, 1600 Clifton Road MS A-31, Atlanta, GA 30333 ([email protected])

Extract

To describe the key strategies and potential pitfalls involved with implementing the Department of Veterans Affairs (VA) Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention Initiative in a qualitative evaluation, we conducted in-depth interviews with MRSA Prevention Coordinators at 17 VA ß sites at 2 time points during program implementation.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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.United States Department of Veterans Affairs (VA). VA Pittsburgh Healthcare System: MRSA Prevention Initiative. http://www.pittsburgh .va.gov/MRSA/MRSA_Prevention_Initiative.asp. Updated November 9, 2009. Accessed May 5, 2009.Google Scholar
2.Brinsley, K, Sinkowitz-Cochran, R, Cardo, D. An assessment of issues surrounding implementation of the Campaign to Prevent Antimicrobial Resistance in Healthcare Settings. Am J Infect Control 2005;33(7): 402409.Google Scholar
3.Centers for Disease Control and Prevention (CDC). Reduction in central line-associated bloodstream infections among patients in intensive care units—Pennsylvania, April 2001-March 2005. MMWR Morb Mortal Wkly Rep 2005;54(40): 10131016.Google Scholar
4.Muder, R, Cunningham, C, McCray, E, et al. Implementation of an industrial systems-engineering approach to reduce the incidence of methicillin-resistant Staphylococcus aureus infection. Infect Control Hosp Epidemiol 2008;29(8): 702708.Google Scholar
5.Pronovost, P, Needham, D, Berenholtz, S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006; 355(26):27252732.Google Scholar
6.Warren, D, Zack, J, Mayfield, J, et al. The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Chest 2004;126(5): 16121618.CrossRefGoogle Scholar
7.Kidd, K, Sinkowitz-Cochran, R, Giblin, T, Tokars, J, Cardo, D, Solomon, S. Barriers to and facilitators of implementing an intervention to reduce the incidence of catheter-associated bloodstream infections. Infect Control Hosp Epidemiol 2007;28(1): 103105.Google Scholar
8.Goeschel, C, Bourgault, A, Palleschi, M, et al. Nursing lessons from the MHA keystone ICU project: developing and implementing an innovative approach to patient safety. Crit Care Nurs Clin North Am 2006;18(4): 481492.Google Scholar
9.Akins, R, Cole, B. Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. J Patient Saf 2005;1(1): 916.CrossRefGoogle Scholar
10.Alexander, J, Weiner, B, Shortell, S, Baker, L, Becker, M. The role of organizational infrastructure in implementation of hospitals' quality improvement. Hosp Top 2006;84(1):1120.CrossRefGoogle ScholarPubMed