{"id":"https://openalex.org/W7122575409","doi":"https://doi.org/10.1093/ofid/ofaf695.1290","title":"P-1095. Impact of QI Infection Prevention and Control (IPC) Interventions on Hand Hygiene compliance and Clostridioides difficile infections (CDI)","display_name":"P-1095. Impact of QI Infection Prevention and Control (IPC) Interventions on Hand Hygiene compliance and Clostridioides difficile infections (CDI)","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7122575409","doi":"https://doi.org/10.1093/ofid/ofaf695.1290"},"language":"en","primary_location":{"id":"doi:10.1093/ofid/ofaf695.1290","doi":"https://doi.org/10.1093/ofid/ofaf695.1290","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofaf695.1290","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/ofid/ofaf695.1290","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101753672","display_name":"Ashlesha Kaushik","orcid":"https://orcid.org/0000-0003-2698-4151","observed_orcids":["https://orcid.org/0000-0003-2698-4151"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I2802661869","display_name":"UnityPoint Health","ror":"https://ror.org/05ntqke24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802661869"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashlesha Kaushik","raw_affiliation_strings":["UnityPoint Health and University of Iowa Carver College of Medicine , Sioux City, IA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UnityPoint Health and University of Iowa Carver College of Medicine , Sioux City, IA","institution_ids":["https://openalex.org/I126307644","https://openalex.org/I2802661869"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122826916","display_name":"Erin Mothershead","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802661869","display_name":"UnityPoint Health","ror":"https://ror.org/05ntqke24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802661869"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Mothershead","raw_affiliation_strings":["Unity Point Health , Sioux City, Iowa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unity Point Health , Sioux City, Iowa","institution_ids":["https://openalex.org/I2802661869"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122813193","display_name":"Kendra Goeden","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802661869","display_name":"UnityPoint Health","ror":"https://ror.org/05ntqke24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802661869"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kendra Goeden","raw_affiliation_strings":["Unity Point Health , Sioux City, Iowa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unity Point Health , Sioux City, Iowa","institution_ids":["https://openalex.org/I2802661869"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064483500","display_name":"Sandeep Gupta","orcid":"https://orcid.org/0000-0003-4905-9655","observed_orcids":["https://orcid.org/0000-0003-4905-9655"]},"institutions":[{"id":"https://openalex.org/I2802661869","display_name":"UnityPoint Health","ror":"https://ror.org/05ntqke24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802661869"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sandeep Gupta","raw_affiliation_strings":["Pulmonary and Critical Care Medicine, Unity Point Health , Sioux City, Iowa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pulmonary and Critical Care Medicine, Unity Point Health , Sioux City, Iowa","institution_ids":["https://openalex.org/I2802661869"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058092770","display_name":"Corey Thieman","orcid":"https://orcid.org/0009-0009-6389-9715","observed_orcids":["https://orcid.org/0009-0009-6389-9715"]},"institutions":[{"id":"https://openalex.org/I2802661869","display_name":"UnityPoint Health","ror":"https://ror.org/05ntqke24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802661869"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Corey Thieman","raw_affiliation_strings":["Unity Point Health at St. Luke's Regional Medical Center , Sioux City, Iowa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unity Point Health at St. Luke's Regional Medical Center , Sioux City, Iowa","institution_ids":["https://openalex.org/I2802661869"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5116856659","display_name":"Debra Blyth-Wilk","orcid":"https://orcid.org/0009-0007-9209-7442","observed_orcids":["https://orcid.org/0009-0007-9209-7442"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Debra Blyth-Wilk","raw_affiliation_strings":["Spaulding Rehabilitation, MGB, Harvard Medical School , Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spaulding Rehabilitation, MGB, Harvard Medical School , Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4053,"currency":"USD","value_usd":4053},"apc_paid":{"value":4053,"currency":"USD","value_usd":4053},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.02543732,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11288","display_name":"Clostridium difficile and Clostridium perfringens research","score":0.005200000014156103,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11080","display_name":"Surgical site infection prevention","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clostridium-difficile-infection","display_name":"Clostridium difficile infection","score":0.9110000133514404},{"id":"https://openalex.org/keywords/hand-hygiene-compliance","display_name":"hand hygiene compliance","score":0.8709999918937683},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.9549999833106995},{"id":"https://openalex.org/keywords/quality-improvement-initiative","display_name":"quality improvement intervention","score":0.7429999709129333},{"id":"https://openalex.org/keywords/standardized-infection-ratio","display_name":"standardized infection ratio","score":0.7559999823570251},{"id":"https://openalex.org/keywords/intensive-care-unit-rehabilitation","display_name":"intensive care unit rehabilitation","score":0.6460000276565552},{"id":"https://openalex.org/keywords/antimicrobial-stewardship","display_name":"antimicrobial stewardship","score":0.8059999942779541},{"id":"https://openalex.org/keywords/nursing-education","display_name":"nursing education","score":0.4059999883174896}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9186000227928162},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.7677000164985657},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7652000188827515},{"id":"https://openalex.org/C166888038","wikidata":"https://www.wikidata.org/wiki/Q4118322","display_name":"Infection control","level":2,"score":0.6507999897003174},{"id":"https://openalex.org/C2781460075","wikidata":"https://www.wikidata.org/wiki/Q1399332","display_name":"Compliance (psychology)","level":2,"score":0.5997999906539917},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.5812000036239624},{"id":"https://openalex.org/C2776040555","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antimicrobial stewardship","level":4,"score":0.5389999747276306},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.37599998712539673},{"id":"https://openalex.org/C2910067853","wikidata":"https://www.wikidata.org/wiki/Q27438828","display_name":"Clostridioides","level":2,"score":0.3714999854564667},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.35749998688697815},{"id":"https://openalex.org/C143432726","wikidata":"https://www.wikidata.org/wiki/Q520181","display_name":"Hand sanitizer","level":2,"score":0.3571000099182129},{"id":"https://openalex.org/C2779363792","wikidata":"https://www.wikidata.org/wiki/Q1104185","display_name":"Coaching","level":2,"score":0.3564000129699707},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3301999866962433},{"id":"https://openalex.org/C2777919664","wikidata":"https://www.wikidata.org/wiki/Q552461","display_name":"Hand washing","level":3,"score":0.3192000091075897},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.31299999356269836},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28999999165534973},{"id":"https://openalex.org/C3019775288","wikidata":"https://www.wikidata.org/wiki/Q552461","display_name":"Washing hands","level":3,"score":0.2676999866962433},{"id":"https://openalex.org/C2777003073","wikidata":"https://www.wikidata.org/wiki/Q7309759","display_name":"Rehabilitation hospital","level":3,"score":0.2572000026702881},{"id":"https://openalex.org/C2777950569","wikidata":"https://www.wikidata.org/wiki/Q17021836","display_name":"Stewardship (theology)","level":3,"score":0.2531999945640564}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/ofid/ofaf695.1290","doi":"https://doi.org/10.1093/ofid/ofaf695.1290","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofaf695.1290","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12791344","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12791344/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Open Forum Infect Dis","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/ofid/ofaf695.1290","doi":"https://doi.org/10.1093/ofid/ofaf695.1290","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofaf695.1290","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.5324602127075195}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Despite":[2],"using":[3,109],"CDC":[4,123],"diagnostic":[5],"criteria":[6],"and":[7,54,75,86,227,249,260,276],"Antimicrobial":[8],"stewardship":[9],"interventions":[10],"we":[11,244],"witnessed":[12],"an":[13,266],"increase":[14],"in":[15,46,88,183,224,236],"local":[16],"CDI.":[17],"Methods":[18],"Multifaceted":[19],"IPC":[20,125],"QI-interventions":[21],"were":[22,263],"implemented":[23],"at":[24,252],"our":[25,89,225,237,253],"tertiary-care-center":[26],"ICU":[27],"Rehabilitation":[28,102,206],"serving":[29],"tristate-area":[30],"of":[31,70,217,231,280],"upper":[32],"Midwest:":[33],"manual-auditing,":[34],"real-time":[35],"observations":[36],"for":[37,82,132],"HCP":[38,133],"hand-hygiene":[39,44,84,99,111,119,210,214,247],"compliance;":[40],"soap/sanitizer":[41],"usage;":[42],"education,":[43],"reminders":[45],"medical":[47],"staff":[48],"lounge,":[49],"patient-rooms,":[50],"nursing-stations,":[51],"provider":[52],"coaching":[53],"huddles":[55],"focusing":[56],"on":[57],"nursing":[58],"education.":[59],"Pre-intervention-period":[60],"(P1:4/1/2023-":[61],"9/30/2023)":[62],"was":[63,80],"compared":[64,233],"with":[65,94,97,114,148,208,234,265],"Intervention-period":[66],"(P2:10/1/2023-3/31/2024).":[67],"Additionally,":[68],"*observation":[69],"automated":[71,98,110,209,267],"hand":[72],"hygiene":[73,258],"system":[74,112,211,238],"a":[76,95],"pilot":[77],"Cross-sectional":[78],"comparison":[79],"done":[81],"overall":[83,213],"compliance":[85,130,215,248,259],"CDI":[87,251],"health-system":[90,96],"(with":[91],"manual":[92],"auditing/monitoring)":[93],"monitoring":[100],"[Spaulding":[101],"Center":[103,207],"(Harvard":[104],"Medical":[105],"School,":[106],"Boston,":[107],"MA),":[108],"(Biovigil\u00ae)":[113],"inbuilt":[115],"signaling/recording":[116],"if":[117],"improper":[118],"performed]":[120],"(*supported":[121],"by":[122],"PFL":[124],"Ambassador":[126],"grant)":[127],"Results":[128],"Hand-hygiene":[129],"rates":[131,216],"increased":[134,178],"from":[135,151,179,194,219],"69%":[136,165],"[191/277":[137],"(compliant/observations)]":[138],"during":[139,144,196,200],"P1":[140,197],"to":[141,153,159,166,172,181,198,222,273],"91%":[142,223],"(463/510)":[143],"P2":[145,184,201],"(P<":[146],"0.0001);":[147],"physicians":[149],"increasing":[150],"70%":[152],"89%":[154],"(p<":[155,161,168,174,185,202,239],"0.05);":[156,169],"nurses":[157],"71%":[158],"93%":[160],"0.001);":[162],"midlevel-":[163],"providers":[164],"88%":[167],"ancillary-staff":[170],"61%":[171],"87%":[173],"0.01)].":[175],"Hand-soap":[176],"usage":[177],"43%":[180],"74%":[182],"0.05).":[186,203],"C.":[187,228],"difficile":[188,229],"SIR":[189,230,262],"(Standardized":[190],"Infection":[191],"Ratio)":[192],"decreased":[193,250],"1.6":[195],"0.4":[199,235],"Comparatively,":[204],"Spaulding":[205],"had":[212],"97%":[218],"10/1/2023-3/31/24":[220],"(compared":[221],"system)":[226],"0":[232],"0.0001).":[240],"Conclusion":[241],"With":[242],"interventions,":[243],"observed":[245],"improved":[246],"institution,":[254],"however,":[255],"greater":[256],"hand-":[257],"lower":[261],"noted":[264],"system.":[268],"Next":[269],"steps":[270],"would":[271],"be":[272],"continue":[274],"auditing/interventions":[275],"further":[277],"evaluate":[278],"applicability":[279],"automated-systems":[281],"including":[282],"cost-benefit":[283],"analysis":[284],"Disclosures":[285],"All":[286],"Authors:":[287],"No":[288],"reported":[289],"disclosures":[290]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-01-13T00:00:00"}
