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Testing Spread and Implementation of Novel Methicillin Resistant Staphylococcal Aureus (MRSA)-Reducing Practices

Completed
Conditions
Blood Stream Infections
MRSA Infections
Registration Number
NCT01255943
Lead Sponsor
MaineHealth
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
175
Inclusion Criteria

all hemodialysis patients at two outpatient dialysis units

Exclusion Criteria

peritoneal dialysis patients

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of bloodstream infections14 months
Secondary Outcome Measures
NameTimeMethod
Incidence of MRSA infections14 months

Trial Locations

Locations (1)

Maine Medical Center

🇺🇸

Portland, Maine, United States

Maine Medical Center
🇺🇸Portland, Maine, United States

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