The role of leadership in eliminating health careassociated infections: A qualitative study of eight hospitals

Advances in Health Care Management

Volumn 14, Issue , 2013, Pages 69-94

  McAlearney, Ann Scheck ^a   Hefner, Jennifer ^b   Robbins, Julie ^a   Garman, Andrew N ^c  

^a THE OHIO STATE UNIVERSITY COLLEGE OF MEDICINE   (United States)

^b OHIO STATE UNIVERSITY   (United States)

^c RUSH UNIVERSITY   (United States)

Author keywords

Error management; Espoused and enacted priority of safety; Incident reporting; Leadership; Patient safety

Indexed keywords

ARTICLE; CATHETER INFECTION; CROSS INFECTION; HEALTH CARE QUALITY; HOSPITAL MANAGEMENT; HUMAN; LEADERSHIP; METHODOLOGY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; QUALITATIVE RESEARCH;

CATHETER-RELATED INFECTIONS; CROSS INFECTION; HOSPITAL ADMINISTRATION; HUMANS; LEADERSHIP; ORGANIZATIONAL CULTURE; QUALITATIVE RESEARCH; QUALITY INDICATORS, HEALTH CARE; QUALITY OF HEALTH CARE;

EID: 84886058389     PISSN: 14748231     EISSN: None     Source Type: Book Series    
DOI: 10.1108/s1474-8231(2013)0000014008     Document Type: Article

References (32)

1. Aveling, E., Martin, G., Armstrong, N., Banerjee, J., & Dixon-Woods, M. (2012). Quality improvement through clinical communities: Eight lessons for practice. Journal of Health Organization and Management, 26(2), 158-174.
2. Bernd, D. L., & Fine, P. S. (2011). Electronic medical records: A path forward. Frontiers of Health Services Management, 28(1), 3-13.
3. Bradley, E. H., Curry, L. A., Spatz, E. S., Herrin, J., Cherlin, E. J., Curtis, J. P.,y, Krumholz, H. M. (2012). Hospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction. Annals of Internal Medicine, 156(9), 618-626. doi: 10.1059/0003-4819-156-9-201205010-00003
4. Calfee, D. P. (2012). Crisis in hospital-acquired, healthcare-associated infections. Annual Review of Medicine, 63, 359-371.
5. Damschroder, L. J., Banaszak-Holl, J., Kowalski, C. P., Forman, J., Saint, S., & Krein, S. L. (2009). The role of the champion in infection prevention: Results from a multisite qualitative study. Quality & Safety in Health Care, 18(6), 434-440. doi: 10.1136/ qshc.2009.034199
6. Devon, H. A., Patmon, F. L., Rosenfeld, A. G., Fennessy, M. M., & Francis, D. (2012). Implementing clinical research in the high acuity setting of the emergency department. Journal of Emergency Nursing: Official Publication of the Emergency Department Nurses Association, 39(1), 6-12. doi: 10.1016/j.jen.2012.08.012
7. Garman, A. N., McAlearney, A. S., Harrison, M. I., Song, P. H., & McHugh, M. (2011). Highperformance work systems in health care management, Part 1: Development of an evidence-informed model. Health Care Management Review, 36(3), 201-213.
8. Gavriloff, C. (2012). A performance improvement plan to increase nurse adherence to use of medication safety software. Journal of Pediatric Nursing, 27(4), 375-382. doi: 10.1016/ j.pedn.2011.06.004
9. Health Research & Educational Trust, Johns Hopkins University Quality and Safety Research Group, & Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality. (April 2011). Eliminating CLABSI, a national patient safety imperative: A progress report on the national on the CUSP: Stop BSI project. No. 11-0037-EF. Rockville, MD: Agency for Healthcare Reserach and Quality (AHRQ).
10. Kaplan, H. C., Brady, P. W., Dritz, M. C., Hooper, D. K., Linam, W. M., Froehle, C. M., & Margolis, P. (2010). The influence of context on quality improvement success in health care: A systematic review of the literature. The Milbank Quarterly, 88(4), 500-559. doi: 10.1111/j.1468-0009.2010.00611.x
11. Kaplan, H. C., Provost, L. P., Froehle, C. M., & Margolis, P. A. (2012). The model for understanding success in quality (MUSIQ): Building a theory of context in healthcare quality improvement. BMJ Quality & Safety, 21(1), 13-20. doi: 10.1136/bmjqs-2011-000010
12. Karmali, K., Grobovsky, L., Levy, J., & Keatings, M. (2011). Enhancing cultural competence for improved access to quality care. Healthcare Quarterly, 14(Spec No. 3), 52-57.
13. Kelly, D. (2012). ACHE CME: Creating and leading error-free management systems. American College of Healthcare Executives, Educational Programs. Retrieved from
14. Kim, C. S., Spahlinger, D. A., Kin, J. M., Coffey, R. J., & Billi, J. E. (2009). Implementation of lean thinking: One health system's journey. Joint Commission Journal on Quality and Patient Safety/Joint Commission Resources, 35(8), 406-413.
15. Lewis, T., & Edwards, C. (2008). How clinical champions can improve quality. Nursing Management, 14(10), 24-27.
16. Maynard, G. A., Budnitz, T. L., Nickel, W. K., Greenwald, J. L., Kerr, K. M., Miller, J. A.,y, Williams, M. V. (2012). 2011 John M. eisenberg patient safety and quality awards. Mentored implementation: Building leaders and achieving results through a collaborative improvement model. Innovation in patient safety and quality at the national level. Joint Commission Journal on Quality and Patient Safety/Joint Commission Resources, 38(7), 301-310.
17. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Thousand Oaks, CA: Sage.
18. Miller, M. R., Niedner, M. F., Huskins, W. C., Colantuoni, E., Yenokyan, G., Moss, M., y, Brilli, R. J. (2011). Reducing PICU central line-associated bloodstream infections: 3-year results. Pediatrics, 128(5), e1077-e1083.
19. Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S.,y, Goeschel, C. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. The New England Journal of Medicine, 355(26), 2725-2732. (Pubitemid 46021509)
20. Pronovost, P. J., Goeschel, C. A., Colantuoni, E., Watson, S., Lubomski, L. H., Berenholtz, S. M., y, Needham, D. (2010). Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: Observational study. British Medical Journal, 340, c309-c309. doi: 10.1136/bmj.c309
21. Render, M. L., Hasselbeck, R., Freyberg, R. W., Hofer, T. P., Sales, A. E., & Almenoff, P. L. (2011). Reduction of central line infections in veterans administration intensive care units: An observational cohort using a central infrastructure to support learning and improvement. BMJ Quality & Safety, 20(8), 725-732.
22. Saint, S., Kowalski, C. P., Banaszak-Holl, J., Forman, J., Damschroder, L., & Krein, S. L. (2010). The importance of leadership in preventing healthcare-associated infection: Results of a multisite qualitative study. Infection Control and Hospital Epidemiology: The Official Journal of the Society of Hospital Epidemiologists of America, 31(9), 901-907. doi: 10.1086/655459; 10.1086/655459.
23. Schorr, C. (2011). Performance improvement in the management of sepsis. Critical Care Nursing Clinics of North America, 23(1), 203-213. doi: 10.1016/j.ccell.2010.12.012
24. Scott, R. (2009). The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Atlanta, GA: The Centers for Disease Control and Prevention.
25. Silow-Carroll, S., & Edwards, J. N. (2011). Eliminating central line infections and spreading success at high-performing hospitals. Synthesis report no. 1559.The Commonwealth Fund.
26. Stevens, T. P., & Schulman, J. (2012). Evidence-based approach to preventing central line-associated bloodstream infection in the NICU. Acta Paediatrica, 101(Suppl., 464), 11-16. doi: 10.1111/j.1651-2227.2011.02547.x
27. Stille, C. J., Savageau, J. A., McBride, J., & Alper, E. J. (2012). Quality improvement "201": Context-relevant quality improvement leadership training for the busy clinicianeducator. American Journal of Medical Quality: The Official Journal of the American College of Medical Quality, 27(2), 98-105.
28. Strauss, A., & Corbin, J. M. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.
29. Weeks, K. R., Goeschel, C. A., Cosgrove, S. E., Romig, M., & Berenholtz, S. M. (2011). Prevention of central line-associated bloodstream infections: A journey toward eliminating preventable harm. Current Infectious Disease Reports, 13(4), 343-349.
30. Weiner, B. J., Shortell, S. M., & Alexander, J. (1997). Promoting clinical involvement in hospital quality improvement efforts: The effects of top management, board, and physician leadership. Health Services Research, 32(4), 491-510. (Pubitemid 27419313)
31. Welsh, C. A., Flanagan, M. E., Hoke, S. C., Doebbeling, B. N., & Herwaldt, L. (2012). Reducing health care-associated infections (HAIs): Lessons learned from a national collaborative of regional HAI programs. American Journal of Infection Control, 40(1), 29-34.
32. Young, B. C., Hacker, M. R., Dodge, L. E., & Golen, T. H. (2012). Timing of antibiotic administration and infectious morbidity following cesarean delivery: Incorporating policy change into workflow. Archives of Gynecology and Obstetrics, 285(5), 1219-1224. doi: 10.1007/s00404-011-2133-1