Abstract
ObjectivesHealthcare-associated infection (HAI) prevention has been difficult for healthcare providers to maintain during the COVID-19 pandemic. This study summarises themes for maintaining infection prevention activities learnt from the implementation of a quality improvement (QI) programme during the pandemic.MethodsWe conducted qualitative analysis of participants’ semistructured exit interviews, self-assessments on HAI prevention activities, participant-created action plans, chat-box discussions during webinars and informal correspondence.SettingIntensive care units (ICUs) with elevated rates of central line-associated bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI) participating in the Agency for Healthcare Research and Quality Safety Programme for ICUs: Preventing CLABSI and CAUTI.ResultsForty-nine ICU teams who participated in the programme between December 2019 and April 2021 found ways to maintain activities such as daily huddles, multidisciplinary rounds, and central line and indwelling urinary catheter monitoring despite barriers, including staff turnover, a lack of time, staff fatigue and pandemic-related guidelines limiting providers’ time around patients. We use four themes to summarise the ICU teams’ adaptations that allowed them to sustain infection prevention activities: (1) Units had CLABSI and CAUTI prevention teams, policies and practices established prior to the pandemic; (2) Units were flexible in their implementation of those policies and practices; (3) Units maintained consistent buy-in for and engagement in HAI prevention activities among both leadership and care teams throughout the pandemic and (4) Units looked to learn from other units in their facility and beyond.ConclusionsFuture shocks such as the pandemic must be anticipated, and the healthcare system must be resilient to the resulting disruptions to HAI prevention activities. This study encountered four themes for successful maintenance of infection prevention activities during the current pandemic: the value of a pre-existing infection prevention infrastructure; a flexibility in approach; broad buy-in for maintaining QI programmes and the facilitation of idea-sharing.
Funder
Agency for Healthcare Research and Quality
Subject
Public Health, Environmental and Occupational Health,Health Policy,Leadership and Management
Reference25 articles.
1. Infection preventionists' experiences during the first nine months of the COVID-19 pandemic: Findings from focus groups conducted with Association of Professionals in Infection Control & Epidemiology (APIC) members;Rebmann;Am J Infect Control,2021
2. The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National healthcare safety network;Weiner-Lastinger;Infect Control Hosp Epidemiol,2022
3. Centers for Disease Control and Prevention . Central line-associated bloodstream infection (CLABSI). Available: https://www.cdc.gov/hai/bsi/bsi.html [Accessed 4 Feb 2022].
4. Centers for Disease Control and Prevention . Catheter-Associated urinary tract infections (CAUTI). Available: https://www.cdc.gov/hai/ca_uti/uti.html/ [Accessed 4 Feb 2022].
5. 95. CAUTI and CLABSI in hospitalized COVID-19 patients;Knepper;Open Forum Infect Dis,2020
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