Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals
Abstract Background The effect of leadership support for adherence to infection control and prevention (IPC) measures has been demonstrated. To expand this support, a target group-specific educational study for chief medical officers (CMO) was implemented and its influence on IPC indicators was inve...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04709-z |
| _version_ | 1797452271376662528 |
|---|---|
| author | Sonja Hansen Cornelius Remschmidt Christin Schröder Michael Behnke Petra Gastmeier |
| author_facet | Sonja Hansen Cornelius Remschmidt Christin Schröder Michael Behnke Petra Gastmeier |
| author_sort | Sonja Hansen |
| collection | DOAJ |
| description | Abstract Background The effect of leadership support for adherence to infection control and prevention (IPC) measures has been demonstrated. To expand this support, a target group-specific educational study for chief medical officers (CMO) was implemented and its influence on IPC indicators was investigated. Methods A controlled cohort study was conducted between 2018 and 2019. The intervention based on an initial workshop, an e-learning course, and a final meeting. Participants’ activities involving IPC management were surveyed. Consumption of alcohol hand rub (AHR) and incidence density of hospital-associated (HA) Clostridioides difficile-associated infections (CDI) were analyzed. Results Eight percent of 360 CMOs invited participated in the initial workshop; 70% of those participants registered for the online course. Overall, 43% completed the post-intervention questionnaire, in which 85% of respondents reported increased collaboration with relevant stakeholders. The pre-intervention median AHR consumption was higher in the intervention group than in the control group. Both groups showed an increase (38.6 (interquartile range (IQR) 33.6; 45.0) to 41.9 ml/patient day (PD) (IQR 35.0; 56.6) and 33.4 (IQR 28.3; 40.8) to 35.8 ml/ PD (IQR 31.6; 43.2), respectively). Pre-intervention median HA CDI cases were lower in the intervention group than in the control group. Both groups reported a decrease (0.22 (IQR 0.17; 0.33) to 0.19 cases/1000 PD (IQR 0.15; 0.26) and 0.32 (IQR 0.2; 0.48) to 0.22 cases/1000 PD (IQR 0.11; 0.33), respectively). Conclusion Multimodal IPC training of CMOs is worthwhile and can lead to changes in IPC-relevant cooperation in hospitals. IPC training of hospital management should be further intensified. |
| first_indexed | 2024-03-09T15:06:24Z |
| format | Article |
| id | doaj.art-e21d2753278f42ee90ee148927437878 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-09T15:06:24Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-e21d2753278f42ee90ee1489274378782023-11-26T13:40:23ZengBMCBMC Medical Education1472-69202023-10-012311910.1186/s12909-023-04709-zStrengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitalsSonja Hansen0Cornelius Remschmidt1Christin Schröder2Michael Behnke3Petra Gastmeier4Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Hygiene and Environmental MedicineCharité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Hygiene and Environmental MedicineCharité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Hygiene and Environmental MedicineCharité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Hygiene and Environmental MedicineCharité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Institute of Hygiene and Environmental MedicineAbstract Background The effect of leadership support for adherence to infection control and prevention (IPC) measures has been demonstrated. To expand this support, a target group-specific educational study for chief medical officers (CMO) was implemented and its influence on IPC indicators was investigated. Methods A controlled cohort study was conducted between 2018 and 2019. The intervention based on an initial workshop, an e-learning course, and a final meeting. Participants’ activities involving IPC management were surveyed. Consumption of alcohol hand rub (AHR) and incidence density of hospital-associated (HA) Clostridioides difficile-associated infections (CDI) were analyzed. Results Eight percent of 360 CMOs invited participated in the initial workshop; 70% of those participants registered for the online course. Overall, 43% completed the post-intervention questionnaire, in which 85% of respondents reported increased collaboration with relevant stakeholders. The pre-intervention median AHR consumption was higher in the intervention group than in the control group. Both groups showed an increase (38.6 (interquartile range (IQR) 33.6; 45.0) to 41.9 ml/patient day (PD) (IQR 35.0; 56.6) and 33.4 (IQR 28.3; 40.8) to 35.8 ml/ PD (IQR 31.6; 43.2), respectively). Pre-intervention median HA CDI cases were lower in the intervention group than in the control group. Both groups reported a decrease (0.22 (IQR 0.17; 0.33) to 0.19 cases/1000 PD (IQR 0.15; 0.26) and 0.32 (IQR 0.2; 0.48) to 0.22 cases/1000 PD (IQR 0.11; 0.33), respectively). Conclusion Multimodal IPC training of CMOs is worthwhile and can lead to changes in IPC-relevant cooperation in hospitals. IPC training of hospital management should be further intensified.https://doi.org/10.1186/s12909-023-04709-zInfection prevention and controlTraining and educationLeadershipHospital managementPatient safety |
| spellingShingle | Sonja Hansen Cornelius Remschmidt Christin Schröder Michael Behnke Petra Gastmeier Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals BMC Medical Education Infection prevention and control Training and education Leadership Hospital management Patient safety |
| title | Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals |
| title_full | Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals |
| title_fullStr | Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals |
| title_full_unstemmed | Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals |
| title_short | Strengthening the role of hospital leadership in infection control (LEAD-IC) – a multimodal educational intervention in German acute care hospitals |
| title_sort | strengthening the role of hospital leadership in infection control lead ic a multimodal educational intervention in german acute care hospitals |
| topic | Infection prevention and control Training and education Leadership Hospital management Patient safety |
| url | https://doi.org/10.1186/s12909-023-04709-z |
| work_keys_str_mv | AT sonjahansen strengtheningtheroleofhospitalleadershipininfectioncontrolleadicamultimodaleducationalinterventioningermanacutecarehospitals AT corneliusremschmidt strengtheningtheroleofhospitalleadershipininfectioncontrolleadicamultimodaleducationalinterventioningermanacutecarehospitals AT christinschroder strengtheningtheroleofhospitalleadershipininfectioncontrolleadicamultimodaleducationalinterventioningermanacutecarehospitals AT michaelbehnke strengtheningtheroleofhospitalleadershipininfectioncontrolleadicamultimodaleducationalinterventioningermanacutecarehospitals AT petragastmeier strengtheningtheroleofhospitalleadershipininfectioncontrolleadicamultimodaleducationalinterventioningermanacutecarehospitals |