Infection control consultation in a 150-bed acute care hospital: making this unobserved and unmeasured critical job function visible.
BACKGROUND
One qualified infection control director, reporting directly to administration, was responsible for the Infection Prevention and Control Program of a 150-bed acute care, non-teaching, for-profit hospital. To observe for potential trending, questions (consultations) and determinations related to infectious processes were documented.


OBJECTIVE
To explore the possibility of measuring the essential although "hidden" function of the infection control consultation (process), which is a role not formerly linked to infection rates (outcomes).


METHODS
A 7-year retrospective study was conducted of all infection control consultations requiring more than a 5-minute intervention, as part of routine job responsibilities. The XmR Statistical Process Control charts (XmR Charts) and Pearson's Correlation Coefficient were used to analyze the activity of infection control consultations.


RESULTS
From January 1, 1998 to December 31, 2004, there were 770 infection control consultations logged for 375.1 hours. Beginning with 2003, the variation in both the number and duration of infection control consultations in the XmR Charts become more standardized and has a smaller moving range between data points. The Pearson's Correlation Coefficient shows statistical significance (P <.05) between the number and duration of consultations.


CONCLUSIONS
Assessment of infection control consultations at this 150-bed hospital illustrates that this essential component can be measured, and should be formerly tracked to document overall assessment of infection prevention and control interdisciplinary interaction. The consultation process became more efficient over the 7-year study period because, as the number of questions increased, the duration required to achieve closure decreased.
Department of Infection Control & Epidemiology, RHD Memorial Medical Center, Dallas, TX, USA. sngsmart@comcast.net
Patti S
PS
Grant
Alex T
AT
Kim
D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D006744:Hospital Bed Capacity, 100 to 299; D006777:Hospitals, Proprietary / Q000706:statistics & numerical data / Q000639:trends; D006801:Humans; D017053:Infection Control / Q000706:statistics & numerical data*; D016357:Infection Control Practitioners; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies