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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
| Indiana University | OTHER |
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The purpose of this study is to implement strategies for improved efficiency and waste reduction ("Toyota Lean") and positive deviance, a social behavioral change process, utilizing frontline healthcare personnel to reduce infection bloodstream infection and MRSA infection in outpatient dialysis care. In two outpatient dialysis units, dialysis unit healthcare staff will be educated in Toyota lean techniques and conduct periodic "discovery and action" dialogues to identify and implement care process changes to reduce infection. Outcomes to be monitored will include incidence of bloodstream infections and MRSA infections of all types. Data will be assessed at quarterly intervals using interrupted time series analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| prevalent hemodialysis patients | These patients are observed in two outpatient dialysis units with a combined census of approximately 175 patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| healthcare staff processes for infection prevention | Behavioral | Toyota lean and positive deviance discovery and action dialogues to facilitate process improvement |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of bloodstream infections | 14 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of MRSA infections | 14 months |
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Inclusion Criteria: all hemodialysis patients at two outpatient dialysis units
Exclusion Criteria:peritoneal dialysis patients
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prevalent hemodialysis patients at two outpatient dialysis units
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| Name | Affiliation | Role |
|---|---|---|
| Mark G Parker, MD | MaineHealth | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maine Medical Center | Portland | Maine | 04102 | United States |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |