TY - JOUR
T1 - A task analysis of central line-associated bloodstream infection (CLABSI) surveillance in home infusion therapy
AU - Hannum, Susan M.
AU - Oladapo-Shittu, Opeyemi
AU - Salinas, Alejandra B.
AU - Weems, Kimberly
AU - Marsteller, Jill
AU - Gurses, Ayse P.
AU - Cosgrove, Sara E.
AU - Keller, Sara C.
N1 - Publisher Copyright:
© 2022 Association for Professionals in Infection Control and Epidemiology, Inc.
PY - 2022/5
Y1 - 2022/5
N2 - Background: Barriers for home infusion therapy central line associated bloodstream infection (CLABSI) surveillance have not been elucidated and are needed to identify how to support home infusion CLABSI surveillance. We aimed to (1) perform a goal-directed task analysis of home infusion CLABSI surveillance, and (2) describe barriers to, facilitators for, and suggested strategies for successful home infusion CLABSI surveillance. Methods: We conducted semi-structured interviews with team members involved in CLABSI surveillance at 5 large home infusion agencies to explore work systems used by members of the agency for home infusion CLABSI surveillance. We analyzed the transcribed interviews qualitatively for themes. Results: Twenty-one interviews revealed 8 steps for performing CLABSI surveillance in home infusion therapy. Major barriers identified included the need for training of the surveillance staff, lack of a standardized definition, inadequate information technology support, struggles communicating with hospitals, inadequate time, and insufficient clinician engagement and leadership support. Discussion: Staff performing home infusion CLABSI surveillance need health system resources, particularly leadership and front-line engagement, access to data, information technology support, training, dedicated time, and reports to perform tasks.
AB - Background: Barriers for home infusion therapy central line associated bloodstream infection (CLABSI) surveillance have not been elucidated and are needed to identify how to support home infusion CLABSI surveillance. We aimed to (1) perform a goal-directed task analysis of home infusion CLABSI surveillance, and (2) describe barriers to, facilitators for, and suggested strategies for successful home infusion CLABSI surveillance. Methods: We conducted semi-structured interviews with team members involved in CLABSI surveillance at 5 large home infusion agencies to explore work systems used by members of the agency for home infusion CLABSI surveillance. We analyzed the transcribed interviews qualitatively for themes. Results: Twenty-one interviews revealed 8 steps for performing CLABSI surveillance in home infusion therapy. Major barriers identified included the need for training of the surveillance staff, lack of a standardized definition, inadequate information technology support, struggles communicating with hospitals, inadequate time, and insufficient clinician engagement and leadership support. Discussion: Staff performing home infusion CLABSI surveillance need health system resources, particularly leadership and front-line engagement, access to data, information technology support, training, dedicated time, and reports to perform tasks.
KW - Central venous catheter
KW - Health care associated infection
KW - ambulatory care
KW - human factors engineering
KW - infection preventionist
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U2 - 10.1016/j.ajic.2022.01.008
DO - 10.1016/j.ajic.2022.01.008
M3 - Article
C2 - 35341660
AN - SCOPUS:85129781314
SN - 0196-6553
VL - 50
SP - 555
EP - 562
JO - American Journal of Infection Control
JF - American Journal of Infection Control
IS - 5
ER -