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Getting to Zero: Goal Commitment to Reduce Blood Stream Infections.

Ann Scheck McAlearney1, Jennifer L Hefner2

  • 1The Ohio State University, Columbus, OH, USA Ann.McAlearney@osumc.edu.

Medical Care Research and Review : MCRR
|November 22, 2015
PubMed
Summary

Effective goal commitment strategies are key to reducing health care-associated infections (HAIs), specifically central line-associated bloodstream infections (CLABSIs). Understanding moderators and goal characteristics improves HAI prevention program outcomes.

Keywords:
CLABSIHAI preventionblood stream infectionscase study methodsgoal-setting theoryhealth services researchqualitative methods

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Area of Science:

  • Healthcare Management
  • Infectious Disease Prevention
  • Organizational Behavior

Background:

  • Health care-associated infections (HAIs) present significant challenges, impacting patient safety and healthcare costs.
  • Despite numerous interventions, consistent success in eliminating HAIs remains elusive, with contextual factors like work culture and management practices implicated.

Purpose of the Study:

  • To investigate the role of goal-setting in the success of programs aimed at preventing central line-associated bloodstream infections (CLABSIs).
  • To identify contextual factors that differentiate high-performing from low-performing hospitals in CLABSI prevention efforts.

Main Methods:

  • Qualitative case studies were conducted across eight hospitals with varying CLABSI prevention program performance.
  • 194 key informant interviews were analyzed to explore differences in contextual factors and goal commitment.

Main Results:

  • A goal commitment framework was developed, highlighting factors associated with successful CLABSI prevention outcomes.
  • Internal and external moderators, along with goal characteristics, significantly differentiated goal commitment levels between high- and low-performing hospitals.

Conclusions:

  • Goal commitment is a critical factor influencing the effectiveness of HAI prevention programs.
  • Understanding and optimizing goal commitment through tailored strategies can improve organizational performance in reducing CLABSIs and other HAIs.