Blood Stream Infections, MRSA Infections
Conditions
Keywords
MRSA, bloodstream infections, hemodialysis
Brief summary
The purpose of this study is to implement strategies for improved efficiency and waste reduction (Toyota Lean) and positive deviance, a social behavioral change process, utilizing frontline healthcare personnel to reduce infection bloodstream infection and MRSA infection in outpatient dialysis care. In two outpatient dialysis units, dialysis unit healthcare staff will be educated in Toyota lean techniques and conduct periodic discovery and action dialogues to identify and implement care process changes to reduce infection. Outcomes to be monitored will include incidence of bloodstream infections and MRSA infections of all types. Data will be assessed at quarterly intervals using interrupted time series analysis.
Interventions
BEHAVIORALhealthcare staff processes for infection prevention
Toyota lean and positive deviance discovery and action dialogues to facilitate process improvement
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
Indiana University School of Medicine
MaineHealth
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
all hemodialysis patients at two outpatient dialysis units
Exclusion criteria
peritoneal dialysis patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of bloodstream infections | 14 months |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of MRSA infections | 14 months |
Countries
United States
Outcome results
None listed