*RAND Corporation, Santa Monica †David Geffen School of Medicine at UCLA, Los Angeles, CA ‡Center for Quality Improvement and Patient Safety (CQuIPS), Agency for Healthcare Research & Quality (AHRQ), Rockville, MD.
Med Care. 2014 Feb;52(2 Suppl 1):S1-3. doi: 10.1097/MLR.0000000000000083.
The widespread prevalence and enormous cost of healthcare-associated infections (HAIs) constitute a major public health problem and patient safety concern.
In 2009, IMPAQ International and the RAND Corporation initiated an independent, outside evaluation of Health and Human Services' HAI prevention efforts as guided and driven by the Action Plan. The 3-year evaluation, whose findings are presented in this special issue, was intended to assess the outcomes of the US Department of Health and Human Services' (HHS's) past efforts, and also to provide ongoing, formative feedback to Action Plan leadership to guide their efforts.
This special issue presents results from the evaluation of the Action Plan, along with related articles intended to examine the issue of HAIs from many angles.
To address the national epidemic of HAIs, in 2009 HHS released the HHS National Action Plan to Prevent Healthcare-associated Infections, which was updated and expanded in 2012. The Action Plan established national goals for HAI prevention and identified key actions needed to reduce, prevent, and eventually eliminate the burden posed by HAIs.
Broad lessons learned from the Action Plan evaluation document changes in structures, processes, and outcomes pertinent to eradicating HAIs, and identify lessons that are applicable to other large federal implementation efforts.
医疗保健相关感染（HAIs）的广泛流行和巨大成本构成了一个主要的公共卫生问题和患者安全关注点。
2009 年，IMPACT 国际公司和兰德公司在行动计划的指导和推动下，对卫生与公众服务部的 HAI 预防工作进行了独立的外部评估。这项为期 3 年的评估，其研究结果在本期特刊中呈现，旨在评估美国卫生与公众服务部（HHS）过去努力的结果，并为行动计划的领导层提供持续的、形成性的反馈，以指导他们的工作。
本期特刊介绍了行动计划评估的结果，以及相关文章，旨在从多个角度探讨 HAI 问题。
为了解决全国性的 HAI 流行问题，HHS 在 2009 年发布了 HHS 国家行动计划，以预防医疗保健相关感染，该计划在 2012 年进行了更新和扩展。该行动计划为 HAI 预防制定了国家目标，并确定了减少、预防和最终消除 HAI 带来的负担所需的关键行动。
从行动计划评估文件中吸取的广泛经验教训涉及与消除 HAI 相关的结构、流程和结果的变化，并确定了适用于其他大型联邦实施工作的经验教训。
