Heroes of APIC: Increasing Patient Safety and Containing Outbreak
Heroes of APIC: Increasing Patient Safety and Containing Outbreak is organized by Association for Professionals in Infection Control and Epidemiology (APIC).
Available through: 12/31/2021
Presentation #1: Containing an Outbreak Through Preparation and Collaboration
The infection prevention and control (IPC) team at Children’s Hospital and Clinics of Minnesota effectively employed their experience and relationships to rapidly contain the largest state measles outbreak in 30 years.
When Children’s identified the first measles case in April 2017, established IPC processes and systems gave the team a head start on containment. These included an “empty and ready” spreadsheet to track individual patient details, an electronic medical record that generated reports detailing potential in-hospital exposures, and the knowledge that Children’s staff was MMR-vaccinated. The organization mobilized by using the Hospital Incident Command System (HICS). “We designated a single process of communication and emphasized that HICS only works if everyone follows it,” Stinchfield said.
The Children’s team also helped contain the outbreak statewide by partnering with the Minnesota Department of Health to assist with at-home patient management and sharing information about their interventions in statewide clinicians’ conference calls. Ultimately, the Children’s IPC team helped end the measles transmission within five months and a total of 75 cases, while also improving patient management and fostering IPC relationships statewide.
Presentation #2: Making Patients Safer Through Leadership and Innovation
Dr. Cindy Hou has systematically created and sustained programs that reduced rates of multiple healthcare-associated infections (HAIs) while improving collaboration around patient safety at her hospital system.
Named physician chair of infection control for Jefferson Health New Jersey in 2012, Hou quickly determined that she wanted to expand beyond the Infection Control Committee to reduce HAIs. She established a task force to address rising Clostridium difficile (C. diff) rates that same year and followed annually with new task forces addressing central line-associated bloodstream infections (CLABSI; 2013), Sepsis on the Floors (2014) and catheter-associated urinary tract infections (CAUTI; 2015).
Hou’s multi-disciplinary approach emphasizes leadership involvement and mutual respect to ensure task-force members’ engagement and long-term participation. The approach has generated impressive results: CLABSI rates at Jefferson Health have decreased from 1.8 in 2016 to 0.4 in 2017. CAUTI cases declined from 27 in 2013 to 17 in 2016. Antibiotic use decreased while the hospital-acquired C. diff rate declined from 5.1 to 3.0 in two years. A unique “Sepsis on the Floors” program—emphasizing recognition and management of hospital-onset sepsis—helped to decrease sepsis-associated mortality by 10 percent.
Additional details will be posted as soon as they are available.
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