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Hospital Infection Prevention and Control: A Model for Improving the Quality of Hospital Care in Low- and Middle-Income Countries

Published online by Cambridge University Press:  02 January 2015

W. Charles Huskins ,
Barbara M. Soule ,
Carol O'Boyle ,
László Gulácsi ,
Edward J. O'Rourke  and
Donald A. Goldmann
W. Charles Huskins*
Affiliation:
Department of Pediatrics, Harvard Medical School, Bostom, Massachusetts Dwmom of Infectious Diseases, Children's Hospital, Boston, Massachusetts
Barbara M. Soule
Affiliation:
Sisters of Providence Health System, Providence St Peter Hospital, Olympia, Washington
Carol O'Boyle
Affiliation:
Acute Disease Epidemiology, Minnesota Department of Health, Minneapolis, Minnesota
László Gulácsi
Affiliation:
Hungarian Society for Quality Assurance in Health Care, Debrecen, Hungary
Edward J. O'Rourke
Affiliation:
Department of Pediatrics, Harvard Medical School, Bostom, Massachusetts Dwmom of Infectious Diseases, Children's Hospital, Boston, Massachusetts
Donald A. Goldmann
Affiliation:
Department of Pediatrics, Harvard Medical School, Bostom, Massachusetts Dwmom of Infectious Diseases, Children's Hospital, Boston, Massachusetts
*
International Hospital Infection Prevention and Quality Assessment Program, Division of Infectious Diseases, Children's Hospital, 300 Longwood Ave, Boston, MA 02115
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Abstract

Continuous quality improvement (CQI) is a powerful methodology for improving clinical outcomes and patient satisfaction while reducing inefficiency and costs. However, most hospitals in low- and middle-income countries have little experience with CQI methods. Hospital infection prevention is an ideal model for nascent efforts to improve the quality of hospital care because of its proven efficacy in reducing the occurrence of infections that compromise patient outcomes and increase costs. This article describes the design and implementation of a demonstration project to reduce the incidence of surgical-site infections (SSIs) for hospitals with little experience with quality-improvement methods. The project has a high likelihood of producing measurable reductions in SSI rates and hospital costs related to inefficient use of perioperative antimicrobial prophylaxis. Moreover, participating staff will gain experience that can be applied to efforts to improve the quality of other aspects of hospital care.

Type
Beyond Infection Control: The New Hospital Epidemiology
Information
Infection Control & Hospital Epidemiology , Volume 19 , Issue 2 , February 1998 , pp. 125 - 135
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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