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Quality/Cost/Disparities

Management research to provide operational advice on improving quality, reducing costs and eliminating disparities.

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STRIVE

Open Access Modules: Preventing HAIs

Clostridium difficile
Infection

Methicillin-Resistant
Staphylococcus aureus 
Bacteremia


Central Line-Associated
Bloodstream Infection

Catheter-Associated
Urinary Tract Infection

The STRIVE program offers a large catalog of short, on-demand learning modules that you can review at any time that best fits your schedule. The modules were developed with expert faculty to reflect up-to-date evidence and best practices in the field, and most modules run 20 minutes or less. A range of modules cover prevention of four specific types of healthcare-associated infections.

Choose which HAIs to focus on based on your HAI rates. Each course is broken into two to five shorter modules, to allow teams and hospitals to tailor their education based on gaps highlighted by their ICAR and/or PCA.

Clostridium Difficile Infection

 

 

 

 

 

Overview of Clostridium difficile Infection (CDI101)
Duration: 11 min
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Outline the impact Clostridium difficile Infection (CDI) has on patients, demonstrate knowledge of Clostridium difficile pathogenesis and describe a tiered approach to Clostridium difficile infection prevention. 

Antibiotic and Lab Stewardship to Prevent Clostridium difficile Infections (CDI102)
Duration: 20 min
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Understand the mechanisms by which antibiotic stewardship impacts CDI, describe examples of how implementing core elements of antibiotic stewardship impacts CDI and outline the role of diagnostic testing stewardship in preventing CDI. 

Clostridium difficile Infection: Preventing Transmission (CDI103)
Duration: 15 min
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Understand how CDI transmission occurs in health care settings and apply basic strategies to prevent CDI transmission in health care settings. 

Monitoring for Compliance and Improvement (CDI104)
Duration: 24 min
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Discuss ways to identify opportunities for improvement by analyzing National Healthcare Safety Network (NHSN) CDI data, use the Targeted Assessment for Prevention (TAP) strategy to prioritize improvement activities and identify how audit and feedback can be used to drive CDI prevention activities. 

CDI Needs Assessment and a CDI Guide to Patient Safety (CDI201)
Duration: 11 min
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Describe the components of the Guide to Patient Safety (GPS) tool, explain how the GPS assessment can be used to identify barriers to CDI prevention, and discuss approaches to address barriers and facilitate implement of enhanced CDI prevention strategies. 

Enhanced Interventions to Prevent CDI (CDI202)
Duration: 21 min
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Outline the Tier 2 enhanced interventions to prevent Clostridium difficile Infection (CDI), describe when implementation of Tier 2 CDI interventions may be necessary and identify strategies to overcome barriers associated with the additional CDI interventions.

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Methicillin-Reistant Staphylococcus Aureus

 

 

 

 

 

Overview of Methicillin-Resistant Staphylococcus aureus Bacteremia (MRSA101)
Duration: 16 min
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Understand methicillin-resistant Staphylococcus aureus (MRSA) bacteremia pathogenesis, outline the epidemiology of MRSA bacteremia and describe a tiered approach to MRSA bacteremia prevention.

MRSA Risk Assessment and Monitoring (MRSA102)
Duration: 19 min
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Discuss the importance of conducting a MRSA risk assessment to prioritize MRSA prevention strategies, identify data that can be used to conduct a MRSA risk assessment and describe a strategy to use data from hospital-onset MRSA bloodstream infections (MRSA BSI) to identify opportunities for future risk reduction.

Identification and Prevention of MRSA Transmission (MRSA103)
Duration: 11 min
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Identify strategies that can be used in acute care settings to reduce the transmission of methicillin-resistant Staphylococcus aureus (MRSA), recognize the advantages of horizontal infection control strategies and explain the importance of adherence to recommended infection control interventions.

Using the Guide to Patient Safety to Improve MRSA Bacteremia Prevention (MRSA201)
Duration: 12 min
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Describe the components of the MRSA Guide to Patient Safety (GPS) tool, explain how the GPS assessment can be used to identify barriers to MRSA prevention, and discuss approaches to address barriers and facilitate implementation of enhanced MRSA prevention strategies.

Enhanced Interventions to Prevent MRSA (MRSA202)
Duration: 14 min
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Outline the difference between difference between horizontal and vertical infection control strategies, identify the enhance Tier 2 strategies that can be used to reduce MRSA and recognize the importance of adherence to recommended infection control interventions.

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Central Line-Associated Bloodstream Infection

 

 

 

 

 

Central Line-Associated Bloodstream Infection (CLABSI): An Introduction (CLABSI101)
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CLABSI101 provides background information on the impact CLABSI has on patients, the pathogenesis of CLABSI and strategies to prevent CLABSI. This module sets the stage for the subsequent modules in this course. 

Central Venous Catheter Appropriateness (CLABSI102)
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CLABSI102 outlines the importance of only placing central venous catheters when necessary and shares strategies to determine catheter appropriateness. Additionally, this module highlights tools and strategies to ensure appropriate catheter use and placement.

Prevention of Central Line-Associated Bloodstream Infections: Aseptic Insertion and Site Selection (CLABSI103)
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CLABSI103 reviews the supplies necessary for aseptic insertion of central venous catheters and strategies to ensure supplies are assembled and readily available for staff. This module also highlights insertion checklists to guide decisions making to help prevent CLABSI.

Maintenance and Removal of Central Venous Catheters (CLABSI104)
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CLABSI104 discusses the interventions to include in a central venous catheter maintenance and removal bundles and highlights the importance of proper catheter care and removal as a means to prevent CLABSI.

Using the Guide to Patient Safety to Improve CLABSI Prevention (CLABSI201)
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CLABSI201 discusses how to conduct a needs assessment using a CLABSI Guide to Patient Safety to evaluate possible barriers to implementation of CLABSI prevention strategies. This module is a pivot point between the tier one, the basic CLABSI prevention strategies, and the tier 2, enhanced and intensive CLABSI prevention strategies.

Enhanced Interventions to Prevent CLABSI (CLABSI202)
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CLABSI202 outlines the tier 2, enhanced CLABSI prevention strategies and how to implement these more complex interventions. These strategies include conducting multidisciplinary rounds to audit necessity of catheter use, feeding back CLABSI and catheter utilization metrics to front-line staff in “real-time,” observing and documenting competency and compliance of catheter insertion and maintenance, using additional approaches as indicated by risk assessment and completing a full root cause analysis for every CLABSI.

Advanced Approaches to Prevent CLABSI (CLABSI203)
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CLABSI203 summarizes advanced CLABSI prevention strategies such as antibiotic impregnated catheters and antibiotic locks. The module reviews the existing literature and highlights the need to reassess CLABSI prevention measures before turning to these expensive strategies.

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Catheter-Associated Urinary Tract Infection

 

 

 

 

 

Overview of Catheter-Associated Urinary Tract Infection (CAUTI) Prevention (CAUTI101)
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After completion of this module, participants will be able to outline the impact, cost, morbidity and mortality of CAUTI, recognize the routes and risks of developing CAUTI and describe a tiered approach to CAUTI prevention. 

Appropriate Use and Prompt Removal of Indwelling Urinary Catheters (CAUTI102)
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After completion of this module, participants will be able to describe when it is appropriate to use indwelling urinary catheters for common clinical scenarios, use a daily checklist to reduce use of inappropriate indwelling urinary catheters in your unit, describe at least one reminder or stop order strategy for removing an unnecessary indwelling urinary catheter and describe at least two strategies to engage your staff in these CAUTI-prevention practices. 

Alternatives to the Indwelling Urinary Catheter (CAUTI103)
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After completion of this module, participants will be able to identify alternatives to the indwelling urinary catheter that can be used in various patient care settings, describe strategies to implement catheter alternatives and discuss methods to increase health care personnel awareness of when to consider alternatives to the indwelling urinary catheter. 

Indwelling Urinary Catheter Insertion and Maintenance (CAUTI104)
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After completion of this module, participants will be able to describe strategies for aseptic insertion of indwelling urinary catheters, identify approaches to overcome barriers to urinary catheter aseptic insertion and use checklists to aid in urinary catheter insertion and maintenance. 

A Culture of Stewardship: Antibiotic Stewardship Starts with the Urine Culture (CAUTI105)
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After completion of this module, participants will be able to discuss the role asymptomatic bacteriuria (ASB) plays in antibiotic stewardship, describe the downstream effect of urine cultures on antimicrobial resistance and identify how to introduce urine testing stewardship to your facility. 

Using the Guide to Patient Safety to Improve CAUTI Prevention (CAUTI201)
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After completion of this module, participants will be able to describe the components of the Guide to Patient Safety (GPS) tool, explain how the GPS assessment can be used to identify barriers to CAUTI prevention, and discuss strategies for addressing these barriers in order to implement prevention practices in your unit or hospital. 

Enhanced Interventions to Prevent CAUTI  (CAUTI202)
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After completion of this module, participants will be able to outline the Tier 2 enhanced interventions to prevent CAUTIs, describe when implementation of Tier 2 CAUTI interventions may be necessary, and identify strategies to overcome barriers associated with the additional CAUTI interventions.

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