Infection control in the intensive care unit: progress and challenges in systems and accountability.
Attention to the improvement of safety in healthcare lately has focused on healthcare-associated infections, including many that occur in the intensive care unit, such as catheter-related bloodstream infections and ventilator-associated pneumonias. Great strides have been made in decreasing the rates of intensive care unit hospital-acquired infections in the past decade. This is attributable to a number of factors, including standardization of care, technological advances, provider payment reform, and consumer activism. Teamwork and communication remain the most important facets in patient safety. The papers in this supplement examine the roles of human factors and process engineering, survey a spectrum of infection control and safety challenges encountered by critical care practitioners, and assess the future challenges for continued improvement in our systems of care.
Patterson
Jan E
JE
University of Texas Health Science Center at San Antonio and South Texas Veterans Health Care System, San Antonio, TX, USA. pattersonj@uthscsa.edu
Malani
Preeti N
PN
Maragakis
Lisa L
LL
D006801:Humans; D017053:Infection Control / Q000379:methods*; D007362:Intensive Care Units; D011785:Quality Assurance, Health Care; D012449:Safety; D014481:United States