Technology Assessment: Nosocomial Infection Solutions

This study presents a technology assessment for reducing nosocomial infections. Nosocomial infections (also known as hospital-acquired infection or HAI) present numerous problems for healthcare institutions including increased costs, increased use of hazardous cleaners, and patient reluctance toward treatment. The goal is to incorporate more than the traditional economic point of view in evaluating alternatives for reducing infections. The Analytical Hierarchy Process is used to assess the feasibility of candidate technologies. Traditional criteria such as infection reduction and cost are used in addition compatibility with existing procedures, and staff acceptance was used for evaluating technologies. Infection reduction and staff acceptance were determined to be the most important criterion through expert interviews. The analysis established that utilizing RFID for handwashing compliance was the superior technology given its superior reduction in HAIs and good staff and patent acceptance.

[1]  Q. B. Chung,et al.  Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment , 2003, Comput. Oper. Res..

[2]  L. Sehulster,et al.  Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). , 2003, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[3]  Alan C. Brent,et al.  Application of the analytical hierarchy process to establish health care waste management systems that minimise infection risks in developing countries , 2007, Eur. J. Oper. Res..

[4]  S. Saint,et al.  The potential clinical and economic benefits of silver alloy urinary catheters in preventing urinary tract infection. , 2000, Archives of internal medicine.

[5]  M. Singer,et al.  The impact of enhanced cleaning within the intensive care unit on contamination of the near-patient environment with hospital pathogens: A randomized crossover study in critical care units in two hospitals* , 2011, Critical care medicine.

[6]  S. Cosgrove,et al.  The impact of antimicrobial resistance on health and economic outcomes. , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[7]  S. Hariharan,et al.  Performance measurement of intensive care services in hospitals: the case of Barbados , 2004, Int. J. Serv. Technol. Manag..

[8]  Dundar F. Kocaoglu,et al.  A decision model for energy resource selection in China , 2009, PICMET '09 - 2009 Portland International Conference on Management of Engineering & Technology.

[9]  Antti Lahtela,et al.  A Short Overview of the RFID Technology in Healthcare , 2009, 2009 Fourth International Conference on Systems and Networks Communications.

[10]  Sarah Cope,et al.  Using silver to reduce catheter-associated urinary tract infections. , 2005, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[11]  R. Oláh,et al.  Silver Coated Foley Catheters – Initial Cost Is Not the Only Thing To Consider , 2006 .

[12]  Tugrul U. Daim,et al.  A taxonomic review of methods and tools applied in technology assessment , 2008 .

[13]  Dundar F. Kocaoglu,et al.  A participative approach to program evaluation , 1983, IEEE Transactions on Engineering Management.

[14]  Claude D Martin,et al.  Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit , 2003, Intensive Care Medicine.

[15]  E. Moretti,et al.  Impact of central venous catheter type and methods on catheter-related colonization and bacteraemia. , 2005, The Journal of hospital infection.

[16]  D. Oleynikov,et al.  Radio frequency identification (RFID) applied to surgical sponges , 2007, Surgical Endoscopy.

[17]  Li Liu,et al.  RFID Application in Hospitals: A Case Study on a Demonstration RFID Project in a Taiwan Hospital , 2006, Proceedings of the 39th Annual Hawaii International Conference on System Sciences (HICSS'06).

[18]  S. Park Management of multi-drug resistant organisms in healthcare settings , 2018 .

[19]  Janna Marchien Hummel,et al.  Supporting medical technology development with the analytic hierarchy process , 2001 .

[20]  Jerry Lopez,et al.  A low-cost custom HF RFID system for hand washing compliance monitoring , 2009, 2009 IEEE 8th International Conference on ASIC.

[21]  Zang Li,et al.  The use of RFID in healthcare: Benefits and barriers , 2010, 2010 IEEE International Conference on RFID-Technology and Applications.

[22]  Brenda Edwards Brazzell,et al.  Efficacy of an Electronic Hand Hygiene Surveillance and Feedback Monitoring Device Against Healthcare Associated Infections , 2011 .

[23]  P. Carling,et al.  Identifying Opportunities to Enhance Environmental Cleaning in 23 Acute Care Hospitals , 2008, Infection Control & Hospital Epidemiology.

[24]  Tugrul U. Daim,et al.  Technology assessment for clean energy technologies: The case of the Pacific Northwest , 2009 .

[25]  Janine M. Benyus,et al.  Biomimicry: Innovation Inspired by Nature , 1997 .

[26]  T. L. Saaty A Scaling Method for Priorities in Hierarchical Structures , 1977 .

[27]  Prasanta Kumar Dey,et al.  Measuring the operational performance of intensive care units using the analytic hierarchy process approach , 2006 .

[28]  J. Bartley,et al.  Evaluating hygienic cleaning in health care settings: what you do not know can harm your patients. , 2010, American journal of infection control.

[29]  Matthew J. Liberatore,et al.  The analytic hierarchy process in medical and health care decision making: A literature review , 2008, Eur. J. Oper. Res..

[30]  Johan Decruyenaere,et al.  Clinical and economic outcomes in critically ill patients with nosocomial catheter-related bloodstream infections. , 2005, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[31]  J. Guggenbichler,et al.  Prevention of catheter-related infections: the potential of a new nano-silver impregnated catheter. , 2004, International journal of antimicrobial agents.

[32]  T. Wilt,et al.  Systematic Review: Antimicrobial Urinary Catheters To Prevent Catheter-Associated Urinary Tract Infection in Hospitalized Patients , 2006, Annals of Internal Medicine.

[33]  Bassel S. Tawfik,et al.  Appropriate Medical Technologies for Developing Countries: Application to Cardiovascular Disorders , 2008, 2008 Cairo International Biomedical Engineering Conference.

[34]  Amory B. Lovins,et al.  Natural Capitalism: Creating the Next Industrial Revolution , 1999 .

[35]  Seetharaman Hariharan,et al.  Managing healthcare performance in analytical framework , 2008 .

[36]  G. J. Verkerke,et al.  ASSESSING MEDICAL TECHNOLOGIES IN DEVELOPMENT , 2000, International Journal of Technology Assessment in Health Care.

[37]  Dennis Maki,et al.  Effect of a Second-Generation Venous Catheter Impregnated with Chlorhexidine and Silver Sulfadiazine on Central CatheterRelated Infections , 2005, Annals of Internal Medicine.