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National Opportunity to Improve Infection Control in ESRD (End-Stage Renal Disease) (NOTICE). Phase Two Final Report.

机译:改善终末期肾病(终末期肾病)感染控制的国家机会(通知)。第二阶段最终报告。

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This final report from the first phase of the National Opportunity To Improve Infection Control in End-Stage Renal Disease Facilities (NOTICE) project gives an overview of all work performed thus far, including the literature review, checklist development, study design, analytic plan and analyses of results obtained from the review of 34 participating dialysis facilities by infection control evaluators (ICE) over a 4-month period (late October 2011 to early January 2012). The ICE implemented the infection control worksheet (ICWS) developed by the study team and assessed a number of facility practices associated with required and best practices in administering hemodialysis care. In the results section of this report we assess the overall variation between facilities with respect to the recommended practices in the ICWS with a view to identifying those areas where there is potential for improvement. We also assess whether there is evidence of a relationship between these observed practices from the administration of the ICWS and vascular access infection rates in the participating facilities. In addition, we assess the change in infection rates before versus after the site visits and administration of the ICWS and the size of these effects and perform an initial examination of the association between the various infection measures that could be used in the participating facilities. The report concludes with a discussion of lessons learned thus far that are relevant to future project phases and to related future initiatives of the Agency for Healthcare Research and Quality (AHRQ). Phase two of the NOTICE Initiative took place from September 2012 through September 2014.

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