PMID- 31703820
OWN - NLM
STAT- MEDLINE
DCOM- 20210129
LR  - 20210129
IS  - 1527-3296 (Electronic)
IS  - 0196-6553 (Linking)
VI  - 48
IP  - 4
DP  - 2020 Apr
TI  - Comparison of infection control practices in a Dutch and US hospital using the 
      infection risk scan (IRIS) method.
PG  - 391-397
LID - S0196-6553(19)30856-9 [pii]
LID - 10.1016/j.ajic.2019.09.020 [doi]
AB  - BACKGROUND: The infection risk scan (IRIS) is a tool to measure the quality of 
      infection control (IC) and antimicrobial use in a standardized way. We describe 
      the feasilibility of the IRIS in a Dutch hospital (the Netherlands, NL) and a 
      hospital in the United States (US). METHODS: Cross-sectional measurements were 
      performed. Variables included a hand hygiene indicator, environmental 
      contamination, IC preconditions, personal hygiene of health care workers, use of 
      indwelling medical devices, and use of antimicrobials. RESULTS: IRIS was 
      performed in 2 wards in a US hospital and 4 wards in a Dutch hospital. 
      Unjustified use of medical devices: none in the US hospital, 2.2% in the Dutch 
      hospital; inappropriate use of antibiotics: 11.7% (US), 19% (NL); items 
      considered not clean: 10% (US); 36% (NL); shortcomings preconditions: 6 of 20 
      (US), 6 of 40 (NL); health care workers with rings, watches, or long sleeves: 34 
      of 43 (US), none in the NL hospital; and hand hygiene actions per patient/day: 41 
      (US) and 10 (NL). US data judged against the Dutch guidelines and vice versa 
      revealed remarkable differences. CONCLUSIONS: We showed the feasibility of using 
      the IRIS in a US hospital. The method provided insight in IC local performance. 
      This method could be the first step to standardize the measurement of the quality 
      of IC and antimicrobial use. However, if the IRIS is used for benchmarking 
      between hospitals in different regions, this should be done in the context of 
      regional guidelines and policies.
CI  - Copyright (c) 2019 Association for Professionals in Infection Control and 
      Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
FAU - Willemsen, Ina
AU  - Willemsen I
AD  - Department of Microbiology and Infection Control, Amphia Hospital, Breda, the 
      Netherlands. Electronic address: iwillemsen@amphia.nl.
FAU - Jefferson, Julie
AU  - Jefferson J
AD  - Department of Epidemiology & Infection Control, Rhode Island Hospital, 
      Providence, RI, USA.
FAU - Mermel, Leonard
AU  - Mermel L
AD  - Department of Epidemiology & Infection Control, Rhode Island Hospital, 
      Providence, RI, USA; Department of Medicine, Warren Alpert Medial School of Brown 
      University, Providence, RI, USA.
FAU - Kluytmans, Jan
AU  - Kluytmans J
AD  - Department of Microbiology and Infection Control, Amphia Hospital, Breda, the 
      Netherlands; Julius Center for Health Sciences and Primary Care, UMC Utrecht, 
      Utrecht University, Utrecht, the Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20191106
PL  - United States
TA  - Am J Infect Control
JT  - American journal of infection control
JID - 8004854
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Benchmarking
MH  - Cross Infection/*prevention & control
MH  - Female
MH  - Health Policy
MH  - Hospitals/*standards
MH  - Humans
MH  - Infection Control/*methods/*organization & administration
MH  - Male
MH  - Middle Aged
MH  - Netherlands
MH  - Practice Guidelines as Topic
MH  - Risk Factors
MH  - United States
MH  - Young Adult
OTO - NOTNLM
OT  - Antimicrobial resistance
OT  - Benchmarking
OT  - Guidelines
OT  - Infection prevention
EDAT- 2019/11/11 06:00
MHDA- 2021/01/30 06:00
CRDT- 2019/11/10 06:00
PHST- 2019/04/29 00:00 [received]
PHST- 2019/09/23 00:00 [revised]
PHST- 2019/09/23 00:00 [accepted]
PHST- 2019/11/11 06:00 [pubmed]
PHST- 2021/01/30 06:00 [medline]
PHST- 2019/11/10 06:00 [entrez]
AID - S0196-6553(19)30856-9 [pii]
AID - 10.1016/j.ajic.2019.09.020 [doi]
PST - ppublish
SO  - Am J Infect Control. 2020 Apr;48(4):391-397. doi: 10.1016/j.ajic.2019.09.020. 
      Epub 2019 Nov 6.