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Enhancement of infection prevention case review process to optimize learning from defects
Staci S Reynolds1,2, Christopher Sova2, Halie Lozano2
1Duke University School of Nursing, Durham, NC, USA.
Abstract:
Hospitals continue to struggle with preventable healthcare-associated infections. Whereas the focus is generally on proactive prevention processes, performing retrospective case reviews of infections can identify opportunities for quality improvement and maximize learning from defects. This brief article provides practical information for structuring the case review process using readily available health system platforms. Using a structured approach for case reviews can help identify trends and opportunities for improvement.
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