Snyder Graham M, Wagester Suzanne, Harris Patricia L, Valek Abby L, Hodges Jacob C, Bilderback Andrew L, Kader Fazrina, Tanner Colleen A, Metzger Amy P, DiNucci Susan E, Colaianne Bonnie V, Chung Ashley, Zapf Rachel L, Kip Paula L, Minnier Tamra E
Department of Infection Prevention and Control, UPMC Presbyterian/Shadyside, Pittsburgh, Pennsylvania.
Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Antimicrob Steward Healthc Epidemiol. 2023 Mar 22;3(1):e56. doi: 10.1017/ash.2023.126. eCollection 2023.
To develop, implement, and evaluate the effectiveness of a unique centralized surveillance infection prevention (CSIP) program.
Observational quality improvement project.
An integrated academic healthcare system.
The CSIP program comprises senior infection preventionists who are responsible for healthcare-associated infection (HAI) surveillance and reporting, allowing local infection preventionists (LIPs) a greater portion of their time to non-surveillance patient safety activities. Four CSIP team members accrued HAI responsibilities at 8 facilities.
We evaluated the effectiveness of the CSIP program using 4 measures: recovery of LIP time, efficiency of surveillance activities by LIPs and CSIP staff, surveys characterizing LIP perception of their effectiveness in HAI reduction, and nursing leaders' perception of LIP effectiveness.
The amount of time spent by LIP teams on HAI surveillance was highly variable, while CSIP time commitment and efficiency was steady. Post-CSIP implementation, 76.9% of LIPs agreed that they spend adequate time on inpatient units, compared to 15.4% pre-CSIP; LIPs also reported more time to allot to non-surveillance activities. Nursing leaders reported greater satisfaction with LIP involvement with HAI reduction practices.
CSIP programs are a little-reported strategy to ease burden on LIPs with reallocation of HAI surveillance. The analyses presented here will aid health systems in anticipating the benefit of CSIP programs.
制定、实施并评估一项独特的集中式感染预防监测（CSIP）计划的有效性。
观察性质量改进项目。
一个综合性学术医疗系统。
CSIP计划由资深感染预防专家组成，他们负责医疗相关感染（HAI）的监测和报告，使当地感染预防专家（LIPs）有更多时间投入非监测性患者安全活动。四名CSIP团队成员在8个机构承担了HAI相关职责。
我们使用四项指标评估CSIP计划的有效性：LIP时间的恢复情况、LIP和CSIP工作人员监测活动的效率、关于LIP对其在减少HAI方面有效性认知的调查，以及护理领导者对LIP有效性的认知。
LIP团队在HAI监测上花费的时间差异很大，而CSIP的时间投入和效率较为稳定。CSIP实施后，76.9%的LIP认为他们在住院病房有足够时间，而CSIP实施前这一比例为15.4%；LIP还报告有更多时间可用于非监测活动。护理领导者对LIP参与减少HAI实践的满意度更高。
CSIP计划是一种鲜少被报道的策略，通过重新分配HAI监测工作来减轻LIP的负担。本文所呈现的分析将有助于卫生系统预估CSIP计划的益处。
