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The Interdisciplinary Academy for Coaching and Teamwork (I-ACT): A novel approach for training faculty experts in preventing healthcare-associated infection - 18/09/14

Doi : 10.1016/j.ajic.2014.06.005 
Wendy Nickel, MPH a, , Sanjay Saint, MD, MPH b, c, Russell N. Olmsted, MPH, CIC d, Eugene Chu, MD e, Linda Greene, RN, MPS, CIC f, Barbara S. Edson, RN, MBA, MHA g, Scott A. Flanders, MD c
a Center for Patient Partnership in Healthcare, American College of Physicians, Philadelphia, PA 
b Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 
c Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 
d Infection Prevention and Control Services, Saint Joseph Mercy Health System, Ann Arbor, MI 
e Department of Medicine, Boulder Community Health and University of Colorado School of Medicine, Denver, CO 
f Infection Control and Epidemiology, Rochester General Health System, Rochester, NY 
g Health Research & Educational Trust, American Hospital Association, Chicago, IL 

Address correspondence to Wendy Nickel, MPH, Center for Patient Partnership in Healthcare, American College of Physicians, 190 North Independence Mall West, Philadelphia, PA 19106.

Abstract

Background

The Interdisciplinary Academy for Coaching and Teamwork (I-ACT) was an advanced course aimed at educating leaders of a quality improvement project on addressing clinical challenges associated with catheter-associated urinary tract infection (CAUTI), overcoming socioadaptive issues among a multidisciplinary team, and effective coaching.

Methods

The I-ACT course provided substantial opportunities for interaction among participants and faculty experts through role playing. Participants were grouped so that each discipline of a potential CAUTI improvement team was represented during interactive components of the training. Precourse and postcourse surveys were used to assess participants' comfort in addressing various challenges associated with implementation of interventions.

Results

After the course, participants expressed improved comfort with using the tools provided to address challenging socioadaptive issues. Written comments indicated that the participants valued being able to learn from experts and meet in a face-to-face setting.

Conclusions

The I-ACT course was successful in training faculty to serve as improvement experts for US hospitals working on CAUTI prevention. After completing the course, participants felt that their comfort and ability to address complex improvement problems had improved. This model may be effective for use in preparing improvement project leaders and participants to tackle other healthcare-associated infections and complex quality problems.

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Key Words : Catheter-associated infection, Urinary catheterization, Quality improvement, Mentors, Socioadaptive


Plan


 This project was supported by a contract from the Agency for Healthcare Research and Quality HHSA290201000025I/HHSA29032001T.
 Publication of this article was supported by the Agency for Healthcare Research and Quality (AHRQ).
 Conflicts of interest: S.A.F. discloses consultancies for the Institute for Healthcare Improvement and the Society of Hospital Medicine; royalties from Wiley Publishing; honoraria for various talks at hospitals as a visiting professor; grants from CDC Foundation, Blue Cross Blue Shield of Michigan, Michigan Health and Hospital Association; and expert witness testimony. S.S. has received numerous honoraria and speaking fees from academic medical centers, hospitals, group-purchasing organizations (eg, Premier, VHA), specialty societies, state-based hospital associations, and nonprofit foundations (eg, Michigan Health and Hospital Association, Institute for Healthcare Improvement) for lectures on catheter-associated urinary tract infection, implementing change, and leadership. R.N.O. serves as a member of Premier Safety Institute and is a member of speakers' bureaus for Ethicon and Avid Education Partners. No other potential conflicts of interest are noted.


© 2014  Association for Professionals in Infection Control and Epidemiology, Inc. Tous droits réservés.
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Vol 42 - N° 10S

P. S230-S235 - octobre 2014 Retour au numéro
Article précédent Article précédent
  • Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm
  • Mohamad G. Fakih, Sarah L. Krein, Barbara Edson, Sam R. Watson, James B. Battles, Sanjay Saint
| Article suivant Article suivant
  • Challenges and proposed improvements for reviewing symptoms and catheter use to identify National Healthcare Safety Network catheter-associated urinary tract infections
  • Jennifer Meddings, Heidi Reichert, Laurence F. McMahon

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