- 1. Department of Infection Control, Peking University First Hospital / Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing 100034, P. R. China;
- 2. Healthcare-associated Infection Control Department, Wuhan No.1 Hospital, Wuhan, Hubei 430022, P. R. China;
- 3. Department of Dermatology and Venereology, Peking University First Hospital / National Clinical Research Center for Skin and lmmune Diseases, Beijing 100034, P. R. China;
This article provides a thorough interpretation of the recommendations for implementation research in healthcare-associated infection (HAI) prevention and control, jointly issued by the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, and the Association of Professionals in Infection Control and Epidemiology. The recommendations elaborate on the concepts, strategies, determinants, and evaluation methods of implementation research, as well as the commonly used theories, models, and frameworks (TMF) in the field of HAI prevention and control. By expounding on these TMF, this article aims to guide readers in deeply considering the scientific issues related to the implementation of hospital infection prevention and control, and to provide guidance on selecting and applying appropriate resources in specific environments and situations. The release of these recommendations aims to promote the implementation of evidence-based guidelines in medical institutions and ultimately achieve the goal of reducing the incidence of hospital infections by promoting and guiding the conduct of implementation research in the field of HAI prevention and control.
Citation: YAO Xi, HUANG Bowen, LI Hang. Interpretation of practice recommendation: Implementing Strategies to Prevent Infections in Acute-care Settings of the United States. West China Medical Journal, 2024, 39(3): 353-361. doi: 10.7507/1002-0179.202403021 Copy
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2. | Trivedi KK, Schaffzin JK, Deloney VM, et al. Implementing strategies to prevent infections in acute-care settings. Infect Control Hosp Epidemiol, 2023, 44(8): 1232-1246. |
3. | Eccles MP, Mittman BS. Welcome to Implementation Science. Implement Sci, 2006, 1(1): 1. |
4. | Neta G, Brownson RC, Chambers DA. Opportunities for epidemiologists in implementation science: a primer. Am J Epidemiol, 2018, 187(5): 899-910. |
5. | Livorsi DJ, Drainoni ML, Reisinger HS, et al. Leveraging implementation science to advance antibiotic stewardship practice and research. Infect Control Hosp Epidemiol, 2022, 43(2): 139-146. |
6. | Schultes MT, Aijaz M, Klug J, et al. Competences for implementation science: what trainees need to learn and where they learn it. Adv Health Sci Educ Theory Pract, 2021, 26(1): 19-35. |
7. | Leeman J, Rohweder C, Lee M, et al. Aligning implementation science with improvement practice: a call to action. Implement Sci Commun, 2021, 2(1): 99. |
8. | Curran GM, Bauer M, Mittman B, et al. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care, 2012, 50(3): 217-226. |
9. | Leeman J, Birken SA, Powell BJ, et al. Beyond “implementation strategies”: classifying the full range of strategies used in implementation science and practice. Implement Sci, 2017, 12(1): 125. |
10. | Powell BJ, McMillen JC, Proctor EK, et al. A compilation of strategies for implementing clinical innovations in health and mental health. Med Care Res Rev, 2012, 69(2): 123-157. |
11. | Spoon D, Rietbergen T, Huis A, et al. Implementation strategies used to implement nursing guidelines in daily practice: a systematic review. Int J Nurs Stud, 2020, 111: 103748. |
12. | Jones LK, Tilberry S, Gregor C, et al. Implementation strategies to improve statin utilization in individuals with hypercholesterolemia: a systematic review and meta-analysis. Implement Sci, 2021, 16(1): 40. |
13. | Rogal SS, Yakovchenko V, Waltz TJ, et al. The association between implementation strategy use and the uptake of hepatitis C treatment in a national sample. Implement Sci, 2017, 12(1): 60. |
14. | Ritchie MJ, Kirchner JE, Parker LE, et al. Evaluation of an implementation facilitation strategy for settings that experience significant implementation barriers. Implement Sci, 2015, 10(Suppl 1): A45. |
15. | Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adm Policy Ment Health, 2011, 38(1): 4-23. |
16. | Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study. Infect Control Hosp Epidemiol, 2010, 31(9): 901-907. |
17. | Saint S, Kowalski CP, Banaszak-Holl J, et al. How active resisters and organizational constipators affect health care-acquired infection prevention efforts. Jt Comm J Qual Patient Saf, 2009, 35(5): 239-246. |
18. | Cabana MD, Rand CS, Powe NR, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA, 1999, 282(15): 1458-1465. |
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20. | Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci, 2015, 10: 21. |
21. | Silver SA, Harel Z, McQuillan R, et al. How to begin a quality improvement project. Clin J Am Soc Nephrol, 2016, 11(5): 893-900. |
22. | Boyce JM. Hand hygiene, an update. Infect Dis Clin North Am, 2021, 35(3): 553-573. |
23. | Jamtvedt G, Young JM, Kristoffersen DT, et al. Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Qual Saf Health Care, 2006, 15(6): 433-436. |
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28. | Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med, 2006, 355(26): 2725-2732. |
29. | Pronovost PJ, Watson SR, Goeschel CA, et al. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Am J Med Qual, 2016, 31(3): 197-202. |
30. | Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. BMJ, 2011, 342: d219. |
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39. | Tomsic I, Ebadi E, Gossé F, et al. Determinants of orthopedic physicians’ self-reported compliance with surgical site infection prevention: results of the WACH-trial’s pilot survey on COM-B factors in a German university hospital. Antimicrob Resist Infect Control, 2021, 10(1): 67. |
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- 1. Yokoe DS, Advani SD, Anderson DJ, et al. Introduction to a compendium of strategies to prevent healthcare-associated infections in acute-care hospitals: 2022 updates. Infect Control Hosp Epidemiol, 2023, 44(10): 1533-1539.
- 2. Trivedi KK, Schaffzin JK, Deloney VM, et al. Implementing strategies to prevent infections in acute-care settings. Infect Control Hosp Epidemiol, 2023, 44(8): 1232-1246.
- 3. Eccles MP, Mittman BS. Welcome to Implementation Science. Implement Sci, 2006, 1(1): 1.
- 4. Neta G, Brownson RC, Chambers DA. Opportunities for epidemiologists in implementation science: a primer. Am J Epidemiol, 2018, 187(5): 899-910.
- 5. Livorsi DJ, Drainoni ML, Reisinger HS, et al. Leveraging implementation science to advance antibiotic stewardship practice and research. Infect Control Hosp Epidemiol, 2022, 43(2): 139-146.
- 6. Schultes MT, Aijaz M, Klug J, et al. Competences for implementation science: what trainees need to learn and where they learn it. Adv Health Sci Educ Theory Pract, 2021, 26(1): 19-35.
- 7. Leeman J, Rohweder C, Lee M, et al. Aligning implementation science with improvement practice: a call to action. Implement Sci Commun, 2021, 2(1): 99.
- 8. Curran GM, Bauer M, Mittman B, et al. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care, 2012, 50(3): 217-226.
- 9. Leeman J, Birken SA, Powell BJ, et al. Beyond “implementation strategies”: classifying the full range of strategies used in implementation science and practice. Implement Sci, 2017, 12(1): 125.
- 10. Powell BJ, McMillen JC, Proctor EK, et al. A compilation of strategies for implementing clinical innovations in health and mental health. Med Care Res Rev, 2012, 69(2): 123-157.
- 11. Spoon D, Rietbergen T, Huis A, et al. Implementation strategies used to implement nursing guidelines in daily practice: a systematic review. Int J Nurs Stud, 2020, 111: 103748.
- 12. Jones LK, Tilberry S, Gregor C, et al. Implementation strategies to improve statin utilization in individuals with hypercholesterolemia: a systematic review and meta-analysis. Implement Sci, 2021, 16(1): 40.
- 13. Rogal SS, Yakovchenko V, Waltz TJ, et al. The association between implementation strategy use and the uptake of hepatitis C treatment in a national sample. Implement Sci, 2017, 12(1): 60.
- 14. Ritchie MJ, Kirchner JE, Parker LE, et al. Evaluation of an implementation facilitation strategy for settings that experience significant implementation barriers. Implement Sci, 2015, 10(Suppl 1): A45.
- 15. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adm Policy Ment Health, 2011, 38(1): 4-23.
- 16. Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study. Infect Control Hosp Epidemiol, 2010, 31(9): 901-907.
- 17. Saint S, Kowalski CP, Banaszak-Holl J, et al. How active resisters and organizational constipators affect health care-acquired infection prevention efforts. Jt Comm J Qual Patient Saf, 2009, 35(5): 239-246.
- 18. Cabana MD, Rand CS, Powe NR, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA, 1999, 282(15): 1458-1465.
- 19. Damschroder LJ, Reardon CM, Widerquist MAO, et al. The updated Consolidated Framework for Implementation Research based on user feedback. Implement Sci, 2022, 17(1): 75.
- 20. Powell BJ, Waltz TJ, Chinman MJ, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci, 2015, 10: 21.
- 21. Silver SA, Harel Z, McQuillan R, et al. How to begin a quality improvement project. Clin J Am Soc Nephrol, 2016, 11(5): 893-900.
- 22. Boyce JM. Hand hygiene, an update. Infect Dis Clin North Am, 2021, 35(3): 553-573.
- 23. Jamtvedt G, Young JM, Kristoffersen DT, et al. Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Qual Saf Health Care, 2006, 15(6): 433-436.
- 24. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 2009, 4: 50.
- 25. Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ, 2008, 337: a1714.
- 26. Sexton JB, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med, 2011, 39(5): 934-939.
- 27. Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidemiol, 2014, 35(1): 56-62.
- 28. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med, 2006, 355(26): 2725-2732.
- 29. Pronovost PJ, Watson SR, Goeschel CA, et al. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Am J Med Qual, 2016, 31(3): 197-202.
- 30. Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. BMJ, 2011, 342: d219.
- 31. Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Am J Med Qual, 2011, 26(5): 333-339.
- 32. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci, 2011, 6: 42.
- 33. Gould GS, Bar-Zeev Y, Bovill M, et al. Designing an implementation intervention with the Behaviour Change Wheel for health provider smoking cessation care for Australian Indigenous pregnant women. Implement Sci, 2017, 12(1): 114.
- 34. Ojo SO, Bailey DP, Brierley ML, et al. Breaking barriers: using the behavior change wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time. BMC Public Health, 2019, 19(1): 1126.
- 35. Atkins L, Michie S. Designing interventions to change eating behaviours. Proc Nutr Soc, 2015, 74(2): 164-170.
- 36. Munir F, Biddle SJH, Davies MJ, et al. Stand More AT Work (SMArT Work): using the behaviour change wheel to develop an intervention to reduce sitting time in the workplace. BMC Public Health, 2018, 18(1): 319.
- 37. Schmidtke KA, Drinkwater KG. A cross-sectional survey assessing the influence of theoretically informed behavioural factors on hand hygiene across seven countries during the COVID-19 pandemic. BMC Public Health, 2021, 21(1): 1432.
- 38. Lambe K, Lydon S, Madden C, et al. Understanding hand hygiene behaviour in the intensive care unit to inform interventions: an interview study. BMC Health Serv Res, 2020, 20(1): 353.
- 39. Tomsic I, Ebadi E, Gossé F, et al. Determinants of orthopedic physicians’ self-reported compliance with surgical site infection prevention: results of the WACH-trial’s pilot survey on COM-B factors in a German university hospital. Antimicrob Resist Infect Control, 2021, 10(1): 67.
- 40. Courtenay M, Rowbotham S, Lim R, et al. Examining influences on antibiotic prescribing by nurse and pharmacist prescribers: a qualitative study using the Theoretical Domains Framework and COM-B. BMJ Open, 2019, 9(6): e029177.
- 41. Pronovost P, Weast B, Rosenstein B, et al. Implementing and validating a comprehensive unit-based safety program. J Patient Saf, 2005, 1(1): 33-40.
- 42. Fakih MG, George C, Edson BS, et al. Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. Infect Control Hosp Epidemiol, 2013, 34(10): 1048-1054.
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