Background
In 2008, hospitals were selected to participate in the California Healthcare-Associated
Infection Prevention Initiative (CHAIPI). This research evaluates the impact of CHAIPI
on hospital adoption and implementation of evidence-based patient safety practices
and reduction of health care–associated infection (HAI) rates.
Methods
Statewide computer-assisted telephone surveys of California's general acute care hospitals
were conducted in 2008 and 2010 (response rates, 80% and 76%, respectively). Difference-in-difference
analyses were used to compare changes in process and HAI rate outcomes in CHAIPI hospitals
(n = 34) and non-CHAIPI hospitals (n = 149) that responded to both waves of the survey.
Results
Compared with non-CHAIPI hospitals, CHAIPI hospitals demonstrated greater improvements
between 2008 and 2010 in adoption (P = .021) and implementation (P = .012) of written evidence-based practices for overall patient safety and prevention
of HAIs and in assessing their compliance (P = .033) with these practices. However, there were no significant differences in the
changes in HAI rates between CHAIPI and non-CHAIPI hospitals over this time period.
Conclusions
Participation in the CHAIPI collaborative was associated with significant improvements
in evidence-based patient safety practices in hospitals. However, determining how
evidence-based practices translate into changes in HAI rates may take more time. Our
results suggest that all hospitals be offered the opportunity to participate in an
active learning collaborative to improve patient safety.
Key Words
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Article info
Publication history
Published online: August 27, 2012
Footnotes
Conflict of interest: None to report.
Identification
Copyright
© 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
