Sepa lo que dicen las recetas. EHC Program National Partnership Network. After funding decisions are made and funding approval is documented. Public Listing of Comments - Request for Information (RFI): Input into the Deliberations of the Advisory Committee to the NIH Director Working Group on Diversity in. Central tender board award summary report 2015. AHRQ's 2. 00. 9 Funded Projects to Prevent Health Care- Associated Infections. In October 2. 00. Congress appropriated $1. Agency for Healthcare Research and Quality (AHRQ) for projects to help further reduce and eliminate healthcare- associated infections (HAIs). This fact sheet provides brief descriptions of each project. Introduction. Acronyms. Addressing Healthcare- Associated Infections. Addressing Central Line- Associated Blood Stream Infections. Addressing Methicillin- Resistant Staphylococcus aureus Infections. Addressing Clostridium Difficile Infections. Addressing Surgical Site Infections. Addressing Carbapenem- Resistant Enterobacteriaceae Infections. Addressing Catheter- Associated Urinary Tract Infections. For More Information. Introduction. Healthcare- associated infections (HAIs) are infections that patients get while receiving treatment for another condition in a health care facility. A study of patients in 2. HAIs account for an estimated 1. The added financial burden attributable to HAIs is estimated to be between $2. To address this growing problem, AHRQ has funded and collaborated with other Federal agencies, including the Centers for Disease Control and Prevention (CDC), to develop and launch projects that prevent and reduce HAIs. These projects are primarily funded through existing AHRQ mechanisms. In October 2. 00. Congress appropriated $1. Agency for Healthcare Research and Quality (AHRQ) for projects to help further reduce and eliminate HAIs. This fact sheet features details of projects that AHRQ funded in fiscal year 2. CLABSIs), methicillin- resistant Staphylococcus aureus (MRSA) infections, Clostridium difficile infections (CDIs), surgical site infections (SSIs), Carbapenem- resistant enterobacteriaceae (CRE) infections, catheter- associated urinary tract infections (CAUTIs), and blood stream infections (BSIs). Top of Page. Acronyms. ACTION. Department of Health and Human Services. HCUP. Many of these infections are caused by antimicrobial- resistant pathogens, such as MRSA or CRE, which are related to overuse of antibiotics and frequent patient- to- patient transmission of microorganisms. Although not related to a medical device or surgical procedure, Clostridium difficile (C. Preventing and reducing these infections can be a challenge for individuals who provide patient care. To address this issue, AHRQ supports many activities focused on preventing and reducing HAIs. They are summarized below. Reducing the Overuse of Antibiotics by Primary Care Clinicians in Ambulatory and Long- Term Care Settings. A critical step in limiting the number of infections caused by the multidrug- resistant bacteria present in health care settings is to reduce the overuse of antibiotics. This project will design and test interventions aimed at reducing inappropriate use of antibiotics in primary care settings and disseminate findings widely. It also will define modifiable factors that appear to contribute to primary care clinicians' overuse of antibiotics when caring for residents of long- term care facilities. AHRQ Program: Practice- Based Research Networks. Institutions: Medical University of South Carolina, Charleston, SC; Children's Hospital of Philadelphia, PA; University of Colorado Health Sciences Center, Denver, CO; and University of North Carolina at Chapel Hill, NCProject Nos.: HHSA- 2. HHSA- 2. 90- 2. 00. HHSA- 2. 90- 2. 00. HHSA- 2. 90- 2. 00. Project Period: 8/0. Total Funding: $2,0.
Standardizing Antibiotic Use in Long- Term Care Settings. Antibiotics are commonly prescribed in long- term care facilities, and the proportion of inappropriate antibiotic prescriptions can be as high as 7. Optimizing use of antibiotics in long- term care facilities will reduce the incidence of C. This effort, called SAUL, for standardizing antibiotic use in long- term care settings, includes two projects that will first assess current antibiotic utilization practices in a group of long- term care facilities using the Loeb . Researchers will establish a baseline and subsequent rates of HAIs in the acute care setting following interventions funded through this and earlier initiatives. AHRQ Program: Healthcare Cost and Utilization Project (HCUP)Institution: Thomson Reuters, Santa Barbara, CAProject No.: HHSA- 2. CProject Period: 9/0. Total Funding: $5. Implementing Teamwork Principles for Frontline Health Care Providers. This project will use a national training and support network called the National Implementation of Team Strategies and Tools to Enhance Performance and Patient Safety (Team. STEPPS. Researchers will use an evidence- based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. The project will focus on high- risk areas, such as hospital surgery centers, ambulatory care centers, emergency departments, labor and delivery units, and other health care settings. Researchers will work to reduce MRSA, CAUTIs, CLABSIs, and other HAIs by using resources at five Team Resource Centers located at Duke Medical Center, Durham, NC; Carilion Clinic, Roanoke, VA; University of Minnesota Fairview Medical Center, Minneapolis, MN; Creighton University Medical Center, Omaha, NE; and University of Washington Medical Center, Seattle, WA. AHRQ Program: Patient Safety. Institution: American Institutes for Research, Washington, DCProject No.: HHSA- 2. Project Period: 9/0. Total Funding: $1,0. Top of Page. Addressing Central Line- Associated Blood Stream Infections. Often referred to as a central venous catheter, a central line is a tube placed in a large vein in a patient's neck, chest, or groin to administer medication or fluids or to collect blood samples. According to CDC, each year, an estimated 2. CLABSI occur in U. S. AHRQ's latest projects to address CLABSIs are summarized below. Expanding the Comprehensive Unit- Based Patient Safety Program to Reduce Central Line- Associated Blood Stream Infections. The following projects build on the national implementation of the 3- year- long Comprehensive Unit- based Safety Program (CUSP) to reduce CLABSIs in intensive care units (ICUs) that began in 1. States in 2. 00. 8. The program includes tools to help health care professionals identify opportunities to reduce potential HAIs and implement policies to make care safer in the ICU. Since the initial implementation of the CUSP- CLABSI initiative in 1. States, additional hospitals in those States have expressed interest in participating in the program. This project will increase the number of participating hospitals. Total Funding: $1,0. This project expands the CUSP- CLABSI initiative to 2. States, the District of Columbia, and Puerto Rico. As a result of this additional funding from AHRQ and a private foundation, all 5. States, Puerto Rico, and the District of Columbia are now participating in the Keystone Project. In an 1. 8- month period, the Keystone Project reduced the rate of BSIs from intravenous lines by two- thirds within 3 months in more than 1. ICUs in Michigan and helped the average ICU decrease its infection rate from 4 percent to 0. Total Funding: $3,0. Because CLABSI is a significant problem in hospitals and in settings other than the ICU, this project expands the CUSP- CLABSI initiative to general medical and surgical hospital units. Current CUSP resources will be modified so they are applicable to a non- ICU environment. Total Funding: $2,0. AHRQ Program: ACTIONInstitution: Health Research & Educational Trust. Project No.: HHSA- 2. I task order 7. Project Period: 9/0. Top of Page. Addressing Methicillin- Resistant Staphylococcus aureus Infections. Although there is evidence to suggest that the number of CLABSIs caused by MRSA, specifically, as well as CLABSIs, overall, are decreasing, MRSA remains one of the most common pathogens responsible for HAIs. Moreover, according to the AHRQ- sponsored HCUP database (http: //www. MRSA- associated hospital stays more than tripled after 2. Patients hospitalized for MRSA infections have longer hospital stays and are more likely to die than patients who do not have MRSA infections. These HAIs are especially common in hospital ICUs. AHRQ's latest project that addresses MRSA infections is summarized below. Evaluation of. Strategies to Eliminate MRSA in Intensive Care. Units. Recent interest in preventing MRSA infections has led to the widespread practice of screening patients in ICUs for MRSA to guide additional infection control practices, such as isolation and application of MRSA- decolonization regimens. Screening patients for MRSA is labor intensive, costly, and may have limited impact on other important pathogens. In contrast, universally bathing ICU patients with chlorhexidine, a practice increasingly employed in U. S. This project proposes a large, simple, cluster- randomized trial to compare the relative effectiveness of screening and isolation with two novel approaches: 1) screening plus decolonization regimens for MRSA carriers and 2) universal decolonization regimens for all ICU admissions in the absence of screening. The study may help identify a more cost- efficient and effective alternative to what has become a very popular approach to preventing hospital- associated MRSA infections. The project also will answer quality improvement questions through the use of practical, pragmatic, cluster- randomized trials that take advantage of the existing clinical care infrastructure. AHRQ Program: Developing Evidence to Inform Decisions about Effectiveness. Institution: Harvard Pilgrim Health Care, Harvard Medical School, Boston, MAProject No.: HHSA- 2. I task order 1. 1Project Period: 9/0. Total Funding: $1,5. Top of Page. Addressing Clostridium Difficile Infections. C. According to AHRQ's HCUP database (http: //www. C. On average, patients with C. A summary of AHRQ's latest project that addresses C.
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