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. 2023 Aug;44(8):1232-1246.
doi: 10.1017/ice.2023.103. Epub 2023 Jul 11.

Implementing strategies to prevent infections in acute-care settings

Kavita K Trivedi #  1 , Joshua K Schaffzin #  2 , Valerie M Deloney  3 , Kathy Aureden  4 , Ruth Carrico  5 , Sylvia Garcia-Houchins  6 , J Hudson Garrett Jr  5 , Janet Glowicz  7 , Grace M Lee  8 , Lisa L Maragakis  9 , Julia Moody  10 , Ann Marie Pettis  11 , Sanjay Saint  12 , Marin L Schweizer  13 , Deborah S Yokoe  14 , Sean Berenholtz  10
Affiliations

Implementing strategies to prevent infections in acute-care settings

Kavita K Trivedi et al. Infect Control Hosp Epidemiol. 2023 Aug.

Abstract

This document introduces and explains common implementation concepts and frameworks relevant to healthcare epidemiology and infection prevention and control and can serve as a stand-alone guide or be paired with the "SHEA/IDSA/APIC Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2022 Updates," which contain technical implementation guidance for specific healthcare-associated infections. This Compendium article focuses on broad behavioral and socio-adaptive concepts and suggests ways that infection prevention and control teams, healthcare epidemiologists, infection preventionists, and specialty groups may utilize them to deliver high-quality care. Implementation concepts, frameworks, and models can help bridge the "knowing-doing" gap, a term used to describe why practices in healthcare may diverge from those recommended according to evidence. It aims to guide the reader to think about implementation and to find resources suited for a specific setting and circumstances by describing strategies for implementation, including determinants and measurement, as well as the conceptual models and frameworks: 4Es, Behavior Change Wheel, CUSP, European and Mixed Methods, Getting to Outcomes, Model for Improvement, RE-AIM, REP, and Theoretical Domains.

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Conflict of interest statement

The following disclosures reflect what has been reported to SHEA. To provide thorough transparency, SHEA requires full disclosure of all relationships, regardless of relevancy to the guideline topic. Such relationships as potential conflicts of interest are evaluated in a review process that includes assessment by the SHEA Conflict of Interest Committee and may include the Board of Trustees and Editor of Infection Control and Hospital Epidemiology. The assessment of disclosed relationships for possible conflicts of interest has been based on the relative weight of the financial relationship (ie, monetary amount) and the relevance of the relationship (ie, the degree to which an association might reasonably be interpreted by an independent observer as related to the topic or recommendation of consideration). K.K.T. is the owner of the consulting company Trivedi Consults. V.M.D. is the owner of the consulting company Youngtree Communications. R.C. has consulting relationships with Moderna, Novavax, and Pfizer (speakers bureau, research contract) and Sanofi (speakers bureau). M.L.S. has grant funding from 3M and PDI for nasal decolonization. All other authors report no conflicts of interest related to this article.

References

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