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Controlling Infection: Reducing Hospital-Acquired MRSA
What are we looking to improve?
Hospital-acquired MRSA (methicillin-resistant Staphylococcus Aureus) is the most common health care-associated infection. Its occurrence has risen dramatically across the country over the past 10 years. MRSA infection prolongs length of stay by nine days and increases the risk of both infection at the surgical site and mortality. Through our initiative, we want to decrease the incidence of MRSA infection and its associated risks.

What strategies/measures have we implemented for improvement?
In 2004 we implemented a MRSA infection-prevention bundle to reduce the occurrence of MRSA infection. A bundle is a series of interventions proven to improve patient care. Front-line staff and management collaborated on this quality initiative, which includes:

  • Practicing hand hygiene
  • Following device bundles
  • Adhering to precautionary measures
  • Decontaminating equipment and the hospital environment
  • Screening inpatients for MRSA

What have we accomplished to date?
Our staff's compliance with this infection-prevention bundle has ranged from 94% to 100% across Mount Sinai St. Luke's Roosevelt and other Mount Sinai Health System hospitals, resulting in an 86% decrease in hospital-acquired MRSA. We have since applied these practices to other hospital-acquired infections stemming from drug-resistant bacteria, and have been able to lower the incidence of these infections as well.

What are our future plans?
We will continue to apply these practices to other hospital-acquired infections stemming from drug-resistant bacteria.

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