August 12, 2011
Common Themes Emerge In Hospitals’ Anti-MRSA Efforts
Researchers from the Indiana University have identified common barriers and strategies for successfully implementing practice changes in Intensive Care Units (ICUs). The study, published in the August issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, reveals shared lessons learned from six ICUs as they implemented evidence-based practices to reduce Methicillin Resistant Staphylococcus aureus (MRSA) infections.
"Our research found that while implementation plans should be locally-derived, reducing and preventing the spread of infections in ICUs entails overcoming common barriers," said Amber Welsh, PhD of the Indiana University Center for Health Services & Research Outcomes.
The interviews produced five core themes common to all hospitals:
* Engage front line staff in implementation.
* Build a multi-disciplinary implementation team.
* Commit to data collection, management, and feedback.
* Acquire support of top management.
* Use process mapping and other problem-solving tools.
"The tendency for any organization unit is to say, 'We're different,' implying that change efforts must be tailor-made for each unique group or culture," Dr. Welsh said. "But our research shows that while units are unique, there are commonalities that can guide consideration and planning efforts to implement new practices. We hope that this study will help hospitals realize that change implementation is both a unique and universal activity."
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