Simulation shows hospitals that cooperate on infection control obtain better results than hospitals acting alone.

TitleSimulation shows hospitals that cooperate on infection control obtain better results than hospitals acting alone.
Publication TypeJournal Article
Year of Publication2012
AuthorsLee BY, Bartsch SM, Wong KF, S Yilmaz L, Avery TR, Singh A, Song Y, Kim DS, Brown ST, Potter MA, Platt R, Huang SS
JournalHealth Aff (Millwood)
Volume31
Issue10
Pagination2295-303
Date Published2012 Oct
ISSN1544-5208
KeywordsCalifornia, Computer Simulation, Cross Infection, Hospital Shared Services, Hospitals, Humans, Methicillin-Resistant Staphylococcus aureus, Patient Transfer, Staphylococcal Infections, United States
Abstract

Efforts to control life-threatening infections, such as with methicillin-resistant Staphylococcus aureus (MRSA), can be complicated when patients are transferred from one hospital to another. Using a detailed computer simulation model of all hospitals in Orange County, California, we explored the effects when combinations of hospitals tested all patients at admission for MRSA and adopted procedures to limit transmission among patients who tested positive. Called "contact isolation," these procedures specify precautions for health care workers interacting with an infected patient, such as wearing gloves and gowns. Our simulation demonstrated that each hospital's decision to test for MRSA and implement contact isolation procedures could affect the MRSA prevalence in all other hospitals. Thus, our study makes the case that further cooperation among hospitals--which is already reflected in a few limited collaborative infection control efforts under way--could help individual hospitals achieve better infection control than they could achieve on their own.

DOI10.1377/hlthaff.2011.0992
Alternate JournalHealth Aff (Millwood)
PubMed ID23048111
PubMed Central IDPMC3763190
Grant List1RC4A1092327-01 / RC / CCR NIH HHS / United States
1U01GM076672 / GM / NIGMS NIH HHS / United States
5U54GM088491-02 / GM / NIGMS NIH HHS / United States
RC4 AI092327 / AI / NIAID NIH HHS / United States
U01 GM076672 / GM / NIGMS NIH HHS / United States
U54 GM088491 / GM / NIGMS NIH HHS / United States
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