The Desirability of Shorter Hospital Lengths of Stay: A Comprehensive Analysis of Reduced Infections

Authors

  • SARIKA MULUKUNTLA
  • Mounika Gaddam

DOI:

https://doi.org/10.53555/eijmhs.v5i1.212

Keywords:

Shorter hospital stays, length of stay (LOS), infection control, urinary tract infections (UTIs), policy reforms

Abstract

This research paper explores the desirability of shorter lengths of stay (LOS) at hospitals, specifically focusing on the potential correlation between shorter stays and reduced infections. The paper investigates the implications, challenges, and benefits associated with shorter hospital stays, aiming to contribute to the ongoing discourse on healthcare efficiency and patient outcomes

Author Biographies

SARIKA MULUKUNTLA

Health IT Specialist

 

Mounika Gaddam

Performance Engineer

References

Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. New England Journal of Medicine. 2014; 370(13):1198-1208.

O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clinical Infectious Diseases. 2011; 52(9):e162-e193.

Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clinical Infectious Diseases. 2010; 50(5):625-663.

Marschall J, Mermel LA, Fakih M, et al. Strategies to prevent central line–associated bloodstream infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology. 2014; 35(7):753-771.

Zimlichman E, Henderson D, Tamir O, et al. Health care–associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Internal Medicine. 2013; 173(22):2039-2046.

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. American Journal of Infection Control. 1999; 27(2):97-132.

Saint S, Greene MT, Kowalski CP, Watson SR, Hofer TP, Krein SL. Preventing catheter-associated urinary tract infection in the United States: a national comparative study. JAMA Internal Medicine. 2013; 173(10):874-879.

Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. New England Journal of Medicine. 2006; 355(26):2725-2732.

Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. American Journal of Epidemiology. 1985; 121(2):182-205.

Krein SL, Kowalski CP, Hofer TP, Saint S. Preventing hospital-acquired infections: a national survey of practices reported by US hospitals in 2005 and 2009. Journal of General Internal Medicine. 2012; 27(7):773-779.

Lo E, Nicolle LE, Coffin SE, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology. 2014; 35(7):647-658.

Centers for Disease Control and Prevention (CDC). Bloodstream infection event (central line-associated bloodstream infection and non-central line-associated bloodstream infection). CDC/NHSN Surveillance Definitions. Accessed from https://www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf.

O’Grady NP, Alexander M, Burns LA, et al. Summary of recommendations: guidelines for the prevention of intravascular catheter-related infections. Clinical Infectious Diseases. 2011; 52(9):1087-1099.

Yebenes JC, Delgado M, Sauca G, et al. Efficacy of a multimodal intervention in preventing complications in patients with a central venous catheterization. Revista Española de Quimioterapia. 2016; 29(4):163-169.

Rupp ME, Yu S, Huerta T, et al. Adequate disinfection of a split-septum needleless intravascular connector with a 5-second alcohol scrub. Infection Control & Hospital Epidemiology. 2012; 33(7):661-665.

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Published

2018-03-09