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Long-Term Outcome of Infection Control for Methicillin-Resistant Staphylococcus aureus and Kaizen Approach with Problem-Solving

DOI: 10.4236/ojsst.2020.101001, PP. 1-23

Keywords: MRSA, Alcohol, Hand Hygiene, Infection Control, Kaizen, Problem-Solving

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Abstract:

Background: Methicillin-resistant Staphylococcus aureus (MRSA) results in longer hospitalization, increased expenses, and poorer patient prognosis. The aim of this study is 1) to investigate the short-term outcome of MRSA outbreak and the prevention in our surgical ward, and 2) to evaluate the long-term outcome of a 7-year experience of infection control, and 3) to report the effectiveness of intervention of quality improvement by industry problem-solving method for the eradication of a new occurrence of MRSA patients. Methods: Between April 2009 and October 2019, we retrospectively studied the improvement activity for infection control and preventative measures in our surgical ward. The daily alcohol use for hand hygiene was measured (ml/patient/day) and the monthly number of occurrences of new MRAS patients was investigated. We used the industry problem-solving method as the Kaizen of

References

[1]  World Health Organization (2009) WHO Guidelines on Hand Hygiene in Healthcare: First Global Patient Safety Challenge Clean Care Is Safer Care. World Health Organization Press, Geneva, Switzerland.
[2]  Centers for Disease Control and Prevention (2014) Hand Hygiene Basics.
http://www.cdc.gov/handhygiene/Basic.html
[3]  Centers for Disease Control and Prevention (2016) Hand Hygiene in Healthcare Settings.
http://www.cdc.gov/handhygiene/
[4]  Grundmann, H., Aires-de-Sousa, M., Boyce, J. and Tiemersma, E. (2006) Emergence and Resurgence of Meticillin-Resistant Staphylococcus aureus as a Public-Health Threat. The Lancet, 368, 874-885.
https://doi.org/10.1016/S0140-6736(06)68853-3
[5]  McDanel, J.S., Ward, M.A., Leder, L., Schweizer, M.L., Dawson, J.D., Diekema, D.J., Smith, T.C., Chrischilles, E.A., Perencevich, E.N. and Herwaldt, L.A. (2014) Methicillin-Resistant Staphylococcus aureus Prevention Practices in Hospitals throughout a Rural State. American Journal of Infection Control, 42, 868-873.
https://doi.org/10.1016/j.ajic.2014.05.004
[6]  Boyce, J.M. (2001) MRSA Patients: Proven Methods to Treat Colonization and Infection. Journal of Hospital Infection, 48, S9-S14.
https://doi.org/10.1016/S0195-6701(01)90005-2
[7]  Reybrouck, G. (1986) Handwashing and Hand Disinfection. J Hosp Infect, 8, 5-23.
https://doi.org/10.1016/0195-6701(86)90100-3
[8]  Pittet, D., Hugonnet, S., Harbarth, S., Mourouga, P., Sauvan, V., Touveneau, S. and Perneger, T.V. (2000) Effectiveness of a Hospital-Wide Programme to Improve Compliance with Hand Hygiene. Infection Control Programme. The Lancet, 356, 1307-1312.
https://doi.org/10.1016/S0140-6736(00)02814-2
[9]  Whitby, R.M. and McLaws, M.L. (2005) Efficacy of an Alcohol/Chlorhexidine Hand Hygiene Program in a Hospital with High Rates of Nosocomial Methicillin-Resistant Staphylococcus aureus (MRSA) Infection. Medical Journal of Australia, 183, 509-519. (Medical Journal of Australia, 2006, 184, 253-254; author reply 254)
[10]  Albrich, W.C. and Harbarth, S. (2008) Health-Care Workers: Source, Vector, or Victim of MRSA? The Lancet Infectious Diseases, 8, 289-301.
https://doi.org/10.1016/S1473-3099(08)70097-5
[11]  Davis, C.R. (2010) Infection-Free Surgery: How to Improve Hand-Hygiene Compliance and Eradicate Methicillin-Resistant Staphylococcus aureus from Surgical Wards. Annals of the Royal College of Surgeons of England, 92, 316-319.
https://doi.org/10.1308/003588410X12628812459931
[12]  Jeffrey, L., (2003) The Toyota Way: 14 Management Principles from the World’s Greatest Manufacturer. McGraw-Hill Education, New York.
[13]  Katsuya, H. (2000) The QC Problem Solving Approach. Solving Workplace Problems the Japanese Way. JUSE Press, Tokyo, Japan.
[14]  Masaaki, I. (2012) Gemba Kaizen: A Commonsense Approach to a Continuous Improvement Strategy. 2nd Edition, McGraw-Hill Education, New York.
[15]  Jay, A. (2016) Lean Six Sigma for Hospitals: Improving Patient Safety, Patient Flow and the Bottom Line. 2nd Edition, McGraw-Hill Education, New York.
[16]  Zingg, W., Holmes, A., Dettenkofer, M., Goetting, T., Secci, F., Clack, L., Allegranzi, B., Magiorakos, A.P. and Pittet, D. (2015) Systematic Review and Evidence-Based Guidance on Organization of Hospital Infection Control Programmes (SIGHT) Study Group. Hospital Organisation, Management, and Structure for Prevention of Health-Care-Associated Infection: A Systematic Review and Expert Consensus. The Lancet Infectious Diseases, 15,212-224.
https://doi.org/10.1016/S1473-3099(14)70854-0
[17]  Klevens, R.M., Morrison, M.A., Nadle, J., Petit, S., Gershman, K., Ray, S., Harrison, L.H., Lynfield, R., Dumyati, G., Townes, J.M., Craig, A.S., Zell, E.R., Fosheim, G.E., McDougal, L.K., Carey, R.B. and Fridkin, S.K. (2007) Active Bacterial Core surveillance (ABCs) MRSA Investigators. Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States. JAMA, 298, 1763-1771.
https://doi.org/10.1001/jama.298.15.1763
[18]  Boucher, H.W. and Corey, G.R. (2008) Epidemiology of Methicillin-Resistant Staphylococcus aureus. Clinical Infectious Diseases, 46, S344-S3449.
https://doi.org/10.1086/533590
[19]  Siegel, J.D., Rhinehart, E., Jackson, M. and Chiarello, L. (2007) Healthcare Infection Control Practices Advisory Committee. Management of Multidrug-Resistant Organisms in Health Care Settings, 2006. American Journal of Infection Control, 35, S165-S193.
https://doi.org/10.1016/j.ajic.2007.10.006
[20]  Gould, F.K., Brindle, R., Chadwick, P.R., Fraise, A.P., Hill, S., Nathwani, D., Ridgway, G.L., Spry, M.J. and Warren, R.E., MRSA Working Party of the British Society for Antimicrobial Chemotherapy (2009) Guidelines (2008) for the Prophylaxis and Treatment of Methicillin-Resistant Staphylococcus aureus (MRSA) Infections in the United Kingdom. Journal of Antimicrobial Chemotherapy, 63, 849-861.
https://doi.org/10.1093/jac/dkp065
[21]  Zoabi, M., Keness, Y., Titler, N. and Bisharat, N. (2011) Compliance of Hospital Staff with Guidelines for the Active Surveillance of Methicillin-Resistant Staphylococcus aureus (MRSA) and Its Impact on Rates of Nosocomial MRSA Bacteremia. The Israel Medical Association Journal, 13, 740-744.
[22]  Ellingson, K., Haas, J.P., Aiello, A.E., Kusek, L., Maragakis, L.L., Olmsted, R.N., Perencevich, E., Polgreen, P.M., Schweizer, M.L., Trexler, P., VanAmringe, M. and Yokoe, D.S. (2014) Society for Healthcare Epidemiology of America (SHEA). Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene. Infection Control & Hospital Epidemiology, 35, 937-960.
https://doi.org/10.1086/651677
[23]  Schweizer, M.L., Reisinger, H.S., Ohl, M., Formanek, M.B., Blevins, A., Ward, M.A. and Perencevich, E.N. (2014) Searching for an Optimal Hand Hygiene Bundle: A Meta-Analysis. Clinical Infectious Diseases, 58, 248-259.
https://doi.org/10.1093/cid/cit670
[24]  Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M.L., Moro, M. L., Memish, Z., Urroz, O., Richet, H., Storr, J., Donaldson, L. and Pittet, D. (2013) Global Implementation of WHO’s Multimodal Strategy for Improvement of Hand Hygiene: A Quasi-Experimental Study. The Lancet Infectious Diseases, 13, 843-851.
https://doi.org/10.1016/S1473-3099(13)70163-4
[25]  Rosenthal, V.D., Pawar, M., Leblebicioglu, H., Navoa-Ng, J.A., Villamil-Gómez, W., Armas-Ruiz, A., Cuéllar, L.E., Medeiros, E.A., Mitrev, Z., Gikas, A., Yang, Y., Ahmed, A., Kanj, S.S., Duenas, L., Gurskis, V., Mapp, T., Guanche-Garcell, H., Fernández-Hidalgo, R. and Kübler, A. (2013) Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach over 13 Years in 51 Cities of 19 Limited-Resource Countries from Latin America, Asia, the Middle East, and Europe. Infection Control & Hospital Epidemiology, 34, 415-423.
https://doi.org/10.1086/669860
[26]  Luangasanatip, N., Hongsuwan, M., Limmathurotsakul, D., Lubell, Y., Lee, A.S., Harbarth, S., Day, N.P., Graves, N. and Cooper, B.S. (2015) Comparative Efficacy of Interventions to Promote Hand Hygiene in Hospital: Systematic Review and Network Meta-Analysis. BMJ, 351, h3728.
https://doi.org/10.1136/bmj.h3728
[27]  Haverstick, S., Goodrich, C., Freeman, R., James, S, Kullar, R. and Ahrens, M. (2017) Patients’ Hand Washing and Reducing Hospital-Acquired Infection. Critical Care Nurse, 37, e1-e8.
https://doi.org/10.4037/ccn2017694
[28]  Bischoff, W.E., Reynolds, T.M., Sessler, C.N., Edmond, M.B. and Wenzel, R.P. (2000) Handwashing Compliance by Health Care Workers: The Impact of Introducing an Accessible, Alcohol-Based Hand Antiseptic. Archives of Internal Medicine, 160, 1017-1021.
https://doi.org/10.1001/archinte.160.7.1017
[29]  Davies, H.T., Nutley, S.M. and Mannion, R. (2000) Organisational Culture and Quality of Health Care. BMJ Quality & Safety, 9, 111-119.
https://doi.org/10.1136/qhc.9.2.111
[30]  Pronovost, P. (2008) Interventions to Decrease Catheter-Related Bloodstream Infections in the ICU: The Keystone Intensive Care Unit Project. American Journal of Infection Control, 36, S171.e1-5.
https://doi.org/10.1016/j.ajic.2008.10.008
[31]  Pronovost, P.J., Berenholtz, S.M., Goeschel, C., Thom, I., Watson, S.R., Holzmueller, C.G., Lyon, J.S., Lubomski, L.H., Thompson, D.A., Needham, D., Hyzy, R., Welsh, R., Roth, G., Bander, J., Morlock, L. and Sexton, J.B. (2008) Improving Patient Safety in Intensive Care Units in Michigan. Journal of Critical Care, 23, 207-221.
https://doi.org/10.1016/j.jcrc.2007.09.002
[32]  Pronovost, P., Needham. D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., Sexton, B., Hyzy, R., Welsh, R., Roth, G., Bander, J., Kepros, J. and Goeschel, C. (2006) An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU. The New England Journal of Medicine, 355, 2725-2732.
https://doi.org/10.1056/NEJMoa061115
[33]  Alexander, J.A., Weiner, B.J., Shortell, S.M., Baker, L.C. and Becker, M.P. (2006) The Role of Organizational Infrastructure in Implementation of Hospitals’ Quality Improvement. Hospital Topics, 84, 11-20.
https://doi.org/10.3200/HTPS.84.1.11-21
[34]  Griffiths, P., Renz, A., Hughes, J. and Rafferty, A.M. (2009) Impact of Organisation and Management Factors on Infection Control in Hospitals: A Scoping Review. Journal of Hospital Infection, 73, 1-14.
https://doi.org/10.1016/j.jhin.2009.05.003
[35]  Scott, T., Mannion, R., Davies, H.T. and Marshall, M.N. (2003) Implementing Culture Change in Health Care: Theory and Practice. International Journal for Quality in Health Care, 15, 111-118.
https://doi.org/10.1093/intqhc/mzg021
[36]  Jain, M., Miller, L., Belt, D., King, D. and Berwick, D.M. (2006) Decline in ICU Adverse Events, Nosocomial Infections and Cost through a Quality Improvement Initiative Focusing on Teamwork and Culture Change. Quality and Safety in Health Care, 15, 235-239.
https://doi.org/10.1136/qshc.2005.016576
[37]  Ohman-Strickland, P.A., John Orzano, A., Nutting, P.A., Perry Dickinson, W., Scott-Cawiezell, J., Hahn, K., Gibel, M. and Crabtree, B.F. (2007) Measuring Organizational Attributes of Primary Care Practices: Development of a New Instrument. Health Services Research, 42, 1257-1273.
https://doi.org/10.1111/j.1475-6773.2006.00644.x
[38]  Wolf, R., Lewis, D., Cochran, R. and Richards, C. (2008) Nursing Staff Perceptions of Methicillin-Resistant Staphylococcus aureus and Infection Control in a Long-Term Care Facility. Journal of the American Medical Directors Association, 9, 342-346.
https://doi.org/10.1016/j.jamda.2008.02.003

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