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Requirements for Infrastructure and Essential Activities of Infection Control and Epidemiology in Hospitals: A Consensus Panel Report

Published online by Cambridge University Press:  02 January 2015

William E. Scheckler ,
Dennis Brimhall ,
Alfred S. Buck ,
Barry M. Farr ,
Candace Friedman ,
Richard A. Garibaldi ,
Peter A. Gross ,
Jo-Ann Harris ,
Walter J. Hierholzer Jr  and
William J. Martone
...Show all authors
William E. Scheckler*
Affiliation:
Society for Healthcare Epidemiology of America (SHEA) Consensus Panel
Dennis Brimhall
Affiliation:
University of Colorado Hospital, Association for Professionals in Infection Control and Epidemiology, Inc (APIC)
Alfred S. Buck
Affiliation:
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Barry M. Farr
Affiliation:
Society for Healthcare Epidemiology of America (SHEA) Consensus Panel
Candace Friedman
Affiliation:
University of Colorado Hospital, Association for Professionals in Infection Control and Epidemiology, Inc (APIC)
Richard A. Garibaldi
Affiliation:
American Hospital Association (AHA)
Peter A. Gross
Affiliation:
Infectious Diseases Society of America (IDSA)
Jo-Ann Harris
Affiliation:
Pediatric Infectious Diseases Society (PIDS)
Walter J. Hierholzer Jr
Affiliation:
Hospital Infection Control Practices Advisory Committee (HICPAC)
William J. Martone
Affiliation:
National Foundation of Infectious Diseases (NFID)
Linda L. McDonald
Affiliation:
University of Colorado Hospital, Association for Professionals in Infection Control and Epidemiology, Inc (APIC)
Steven L. Solomon
Affiliation:
Hospital Infections Program, Centers for Disease Control and Prevention (HIP-CDC)
*
Society for Healthcare Epidemiology of America, 19 Mantua Rd, Mt Royal, NJ 08061; e-mail sheahq@tmg.smarthub.com.
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Abstract

The scientific basis for claims of efficacy of nosocomial infection surveillance and control programs was established by the Study on the Efficacy of Nosocomial Infection Control project. Subsequent analyses have demonstrated nosocomial infection prevention and control programs to be not only clinically effective but also cost-effective. Although governmental and professional organizations have developed a wide variety of useful recommendations and guidelines for infection control, and apart from general guidance provided by the Joint Commission on Accreditation of Healthcare Organizations, there are surprisingly few recommendations on infrastructure and essential activities for infection control and epidemiology programs. In April 1996, the Society for Healthcare Epidemiology of America established a consensus panel to develop recommendations for optimal infrastructure and essential activities of infection control and epidemiology programs in hospitals. The following report represents the consensus panel's best assessment of needs for a healthy and effective hospital-based infection control and epidemiology program. The recommendations fall into eight categories: managing critical data and information; setting and recommending policies and procedures; compliance with regulations, guidelines, and accreditation requirements; employee health; direct intervention to prevent transmission of infectious diseases; education and training of healthcare workers; personnel resources; and nonpersonnel resources. The consensus panel used an evidence-based approach and categorized recommendations according to modifications of the scheme developed by the Clinical Affairs Committee of the Infectious Diseases Society of America and the Centers for Disease Control and Prevention's Hospital Infection Control Practices Advisory Committee.

Type
SHEA Position Paper
Information
Infection Control & Hospital Epidemiology , Volume 19 , Issue 2 , February 1998 , pp. 114 - 124
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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