Optimizing Prevention of Healthcare-Acquired Infections After Cardiac Surgery (HAI)_2

University of Michigan

Status: Completed

Conditions: Mediastinitis; Sternal Superficial Wound Infection; Thoracotomy; Deep Sternal Infection; Pneumonia; Healthcare Associated Infectious Disease; Conduit Harvest or Cannulation Site; Sepsis; Cardiovascular Disease

Treatments: Other: There is no intervention. The investigators are interviewing cardiac surgery staff with knowledge of infection prevention.

Study type: Observational

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT02073760

HAI_Umich_2

2004-0428

Details and patient eligibility

About

The investigators will conduct qualitative interviews of hospital personnel regarding HAI prevention practices, and use coded data from these interviews to assist in developing standardized practices.

Full description

More than 400,000 coronary artery bypass grafting (CABG) procedures are performed every year in the United States (U.S.). Patients undergoing CABG surgery are at risk for a number of adverse sequelae, many of which impact survival and contribute to overall health-care costs. Healthcare-acquired infections (HAIs), including pneumonia and superficial and deep sternal wound infections, occur among 16% of CABG patients and elevate a patient's risk of mortality and add excess upfront and long-term expenditures to the health care system.

A number of barriers prevent wide-scale improvements in HAl rates within the setting of CABG surgery. While a number of HAl prophylaxis measures have been developed, these measures do not fully encompass the set of practices that may impact a patient's risk of HAl. Identifying cardiac surgery specific risk factors would serve as the foundation for targeted quality improvement strategies. In the absence of definitive data concerning best practices, HAl prophylaxis is variable across surgeons and institutions, resulting in unnecessary morbidity and cost. Prior work has shown the value of implementing evidence-based protocols in the general intensive care unit setting. To what extent the implementation of cardiac surgery specific standardized practices results in lower HAl rates is uncertain. An understanding of the effectiveness of this approach would certainly assist surgeons and institutions in providing safer care to their patient populations.

Rates of HAIs vary from 0-26% across the 33 institutions performing CABG surgery in Michigan. This application seeks to reduce this rate by identifying and subsequently implementing standardized practices, and evaluating their impact on HAl rates. This study will be based on the prospective data and regional quality improvement activities and infrastructure of the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative (MSTCVS-QC). The investigators will evaluate the effectiveness of these standardized practices in reducing HAIs regionally and relative to national rates during the same time period.

The investigators will conduct qualitative interviews of hospital personnel regarding HAI prevention practices, and use coded data from these interviews to assist in developing standardized practices.

Enrollment: 79 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Clinical providers or
• Administrators
• Must work at any of 33 institutions performing cardiac surgery in the state of Michigan

Exclusion Criteria: Under 18 years of age

Trial design

79 participants in 1 patient group

Infection Prevention Experts

Description:

Adult caregivers of cardiac surgery patients (e.g. surgeons, nurses, infection preventionists) and administrators

Treatment:

Other: There is no intervention. The investigators are interviewing cardiac surgery staff with knowledge of infection prevention.