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Hospital staffing and health care-associated infections: a systematic review of the literature.


ABSTRACT: In the past 10 years, many researchers have examined relationships between hospital staffing and patients' risk of health care-associated infection (HAI). To gain understanding of this evidence base, a systematic review was conducted, and 42 articles were audited. The most common infection studied was bloodstream infection (n=18; 43%). The majority of researchers examined nurse staffing (n=38; 90%); of these, only 7 (18%) did not find a statistically significant association between nurse staffing variable(s) and HAI rates. Use of nonpermanent staff was associated with increased rates of HAI in 4 studies (P<.05). Three studies addressed infection control professional staffing with mixed results. Physician staffing was not found to be associated with patients' HAI risk (n=2). The methods employed and operational definitions used for both staffing and HAI varied; despite this variability, trends were apparent. Research characterizing effective staffing for infection control departments is needed.

SUBMITTER: Stone PW 

PROVIDER: S-EPMC2747253 | biostudies-literature | 2008 Oct

REPOSITORIES: biostudies-literature

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Hospital staffing and health care-associated infections: a systematic review of the literature.

Stone Patricia W PW   Pogorzelska Monika M   Kunches Laureen L   Hirschhorn Lisa R LR  

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20081001 7


In the past 10 years, many researchers have examined relationships between hospital staffing and patients' risk of health care-associated infection (HAI). To gain understanding of this evidence base, a systematic review was conducted, and 42 articles were audited. The most common infection studied was bloodstream infection (n=18; 43%). The majority of researchers examined nurse staffing (n=38; 90%); of these, only 7 (18%) did not find a statistically significant association between nurse staffin  ...[more]

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