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Technology Assessment: Nosocomial Infection Solutions

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Infrastructure and Technology Management

Part of the book series: Innovation, Technology, and Knowledge Management ((ITKM))

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Abstract

This study presents a technology assessment for reducing nosocomial infections. Nosocomial infections (also known as hospital-acquired infection or HAI) present numerous problems for healthcare institutions including increased costs, increased use of hazardous cleaners, and patient reluctance toward treatment. The goal is to incorporate more than the traditional economic point of view in evaluating alternatives for reducing infections. The Analytical Hierarchy Process is used to assess the feasibility of candidate technologies. Traditional criteria such as infection reduction and cost are used in addition compatibility with existing procedures, and staff acceptance was used for evaluating technologies. Infection reduction and staff acceptance were determined to be the most important criterion through expert interviews. The analysis established that utilizing RFID for handwashing compliance was the superior technology given its superior reduction in HAIs and good staff and patent acceptance.

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References

  1. Wang, B., Kocaoglu, D. F., Daim, T. U., & Yang, J. T. (2010). A decision model for energy resource selection in China. Energy Policy, 38(11), 7130–7141.

    Article  Google Scholar 

  2. Pollack, A. (2010). Rising threat of infections unfazed by antibiotics. New York Times.

    Google Scholar 

  3. Brown, C. (2011). Sharklet Technologies Inc, bioorganism control surfaces. From http://www.research.ufl.edu/otl/pdf/startup/Sharklet.pdf

  4. National Health Statistics Group. (2011). National Health Expenditure Projections 2009–2019. From http://www.cms.gov/NationalHealthExpendData/Downloads/NHEProjections2009to2019.pdf

  5. Cosgrove, S., & Carmeli, Y. (2003). The impact of antimicrobial resistance on health and economic outcomes. Clinical Infectious Diseases, 36(11), 1433–1437.

    Article  Google Scholar 

  6. McMillan, G. (2001). Minimizing the threat of nosocomial infection. JAAPA : Official Journal of the American Academy of Physician Assistants, 14(1), 55–58.

    Google Scholar 

  7. Dey, P. K., Hariharan, S., & Clegg, B. T. (2006). Measuring the operational performance of intensive care units using the analytic hierarchy process approach. [Article]. International Journal of Operations & Production Management, 26(8), 849–865.

    Article  Google Scholar 

  8. Saaty, T. L. (1977). A scaling method for priorities in hierarchical structures. Journal of Mathematical Psychology, 15(3), 234–281.

    Article  Google Scholar 

  9. Saaty, T. L. (1996). Multicriteria decision making : The analytic hierarchy process. Pittsburgh: RWS Publ.

    Google Scholar 

  10. Tran, T. A., & Daim, T. (2008). A taxonomic review of methods and tools applied in technology assessment. Technological Forecasting and Social Change, 75(9), 1396–1405.

    Article  Google Scholar 

  11. Daim, T., Yates, D., Peng, Y., & Jimenez, B. (2009). Technology assessment for clean energy technologies: The case of the Pacific Northwest. Technology in Society, 31(3), 232–243.

    Article  Google Scholar 

  12. Kocaoglu, D. F. (1983). A participative approach to program evaluation. IEEE Transactions on Engineering Management (ISSN 0018-9391), 30, 112–118.

    Google Scholar 

  13. Liberatore, M. J., & Nydick, R. L. (2008). The analytic hierarchy process in medical and health care decision making: A literature review. European Journal of Operational Research, 189(1), 194–207.

    Article  Google Scholar 

  14. Dey, P. K., Hariharan, S., & Despic, O. (2008). Managing healthcare performance in analytical framework. Benchmarking: An International Journal, 15(4), 444–468.

    Article  Google Scholar 

  15. Dey, P. K., Hariharan, S., Kumar, A., & Moseley, H. (2004). Performance measurement of intensive care services in hospitals: The case of Barbados. International Journal of Services Technology and Management, 5(5), 579–595.

    Article  Google Scholar 

  16. Abaza, H. H., & Tawfik, B. S. (2008). Appropriate medical technologies for developing countries: Application to cardiovascular disorders. Paper presented at the Biomedical Engineering Conference, 2008. CIBEC 2008, Cairo International.

    Google Scholar 

  17. Sloane, E. B., Liberatore, M. J., Nydick, R. L., Luo, W., & Chung, Q. (2003). Using the analytic hierarchy process as a clinical engineering tool to facilitate an iterative, multidisciplinary, microeconomic health technology assessment. Computers & Operations Research, 30(10), 1447–1465.

    Article  Google Scholar 

  18. Brent, A. C., Rogers, D. E. C., Ramabitsa-Siimane, T. S. M., & Rohwer, M. B. (2007). Application of the analytical hierarchy process to establish health care waste management systems that minimise infection risks in developing countries. European Journal of Operational Research, 181(1), 403–424.

    Article  Google Scholar 

  19. Hummel, J., Wvan, R., Verkerke, G. J., & Rakhorst, G. (2000). Assessing medical technologies in development. International Journal of Technology Assessment in Health Care, 16, 4.

    Article  Google Scholar 

  20. Hummel, J. M. (2001). Supporting medical technology development with the analytic hierarchy process. University of Groningen.

    Google Scholar 

  21. Townes, J., (2011). John Townes Interview (Interview with John Townes of OHSU. ed.). Expert Interviews at local medical institutes, 2011.

    Google Scholar 

  22. Benyus, J. M. (1997). Biomimicry : Innovation inspired by nature. New York: Morrow.

    Google Scholar 

  23. Hawken, P. (2008). Natural capitalism: Creating the next industrial revolution. Little, Brown and Company, Boston.

    Google Scholar 

  24. Sharklet Technologies. (2011). Sharklet technologies overview. From http://www.sharklet.com/wp-content/uploads/2010/02/Sharklet-Company-Overview-FEBRUARY-2011.pdf

  25. Lahtela, A. (2009). A short overview of the RFID technology in healthcare. Fourth International Conference on Systems and Networks Communications, IEEE.

    Google Scholar 

  26. Wang, S. W., Chen, W. H., Ong, C. S., Liu, L., & Chuang, Y. W. (2006). RFID application in hospitals: A case study on a demonstration RFID project in a Taiwan hospital. Proceedings of the 39th Annual Hawaii International Conference on System Sciences (HICSS’06).

    Google Scholar 

  27. Yao, W., Chu, C. H., & Li, Z. (2010). The use of RFID in healthcare: Benefits and barriers. Paper presented at the 2010 IEEE international conference on RFID-Technology and Applications (RFID-TA). Guangzhou, China.

    Google Scholar 

  28. Rogers, A., Jones, E., & Oleynikov, D. (2007). Radio frequency identification (RFID) applied to surgical sponges. Surgical Endoscopy, 21(7), 1235–1237.

    Article  Google Scholar 

  29. Do, E. (2009). Technological interventions for hand hygiene adherence. Available at https://wiki.cc.gatech.edu/designcomp/images/b/b0/Cf2009_303hand-hygiene.content.pdf.

  30. Jain, S., Mane, S., Lopez, J., Lie, D. Y. C., Dallas, T., Dissanaike, S., et al. (2009). A low-cost custom HF RFID system for hand washing compliance monitoring. ASIC 2009 Conference, IEEE.

    Google Scholar 

  31. Brazzell, B., Yarbrough, R., Davenport, P., Dietz, G., & Tucker, B. (2011). Efficacy of an electronic hand hygiene surveillance and feedback monitoring device against healthcare associated infections. American Journal of Infection Control, 39(5), E172–E173.

    Article  Google Scholar 

  32. Rosemberg, T. (2011). Better hand-washing through technology. New York Times. Retrieved from http://opinionator.blogs.nytimes.com/2011/04/25/better-hand-washing-through-technology/

  33. Samuel, U., & Guggenbichler, J. P. (2004). Prevention of catheter-related infections: The potential of a new nano-silver impregnated catheter. International Journal of Antimicrobial Agents, 23(Supplement 1(0)), 75–78.

    Article  Google Scholar 

  34. Johnson, J. R. M., Kuskowski, M. A. P., & Wilt, T. J. M. (2006). Systematic review: Antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Annals of Internal Medicine, 144(2), 116–126.

    Article  Google Scholar 

  35. Saint, S. M., Veenstra, D. L. P., Sullivan, S. D. P., Chenoweth, C. M., & Fendrick, A. M. M. (2000). The potential clinical and economic benefits of silver alloy urinary catheters in preventing urinary tract infection. Archives of Internal Medicine, 160(17), 2670–2675.

    Article  Google Scholar 

  36. Carling, P. C., & Bartley, J. M. (2010). Evaluating hygienic cleaning in health care settings: What you do not know can harm your patients. American Journal of Infection Control, 38(5), S41–S50.

    Article  Google Scholar 

  37. Carling, P. C., Parry, M. F., Von Beheren, S. M., & Healthcare Environm Hyg Study, G. (2008). Identifying opportunities to enhance environmental cleaning in 23 acute care hospitals. Infection Control and Hospital Epidemiology, 29(1), 1–7.

    Article  Google Scholar 

  38. Wilson, A. P. R., Smyth, D., Moore, G., Singleton, J., Jackson, R., Gant, V., et al. (2011). The impact of enhanced cleaning within the intensive care unit on contamination of the near-patient environment with hospital pathogens: A randomized crossover study in critical care units in two hospitals. Critical Care Medicine, 39(4), 651–658.

    Article  Google Scholar 

  39. CDC. (2003). Guidelines for environmental infection control in health-care facilities: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC).

    Google Scholar 

  40. Siegel, J. D., Rhinehart, E., .Jackson, M., & Chiarello, L. (2006). Management of multidrug-resistant organisms in healthcare settings, 2006. Available at https://www.cdc.gov/mrsa/pdf/mdroGuideline2006.pdf.

  41. Blot, S. I., Depuydt, P., Annemans, L., Benoit, D., Hoste, E., Waele, J. J. D., et al. (2005). Clinical and economic outcomes in critically ill patients with nosocomial catheter-related bloodstream infections. Clinical Infectious Diseases, 41(11), 1591–1598.

    Article  Google Scholar 

  42. Dikon, A. (2006). Silver Coated Foley Catheters – Initial Cost Is Not the Only Thing To Consider. AJIC: American Journal of Infection Control, 34(5), E39–E40.

    Google Scholar 

  43. Gentry, H., & Cope, S. (2005). Using silver to reduce catheter associated urinary tract infections. Nursing Standard, 19(50), 51–54.

    Article  Google Scholar 

  44. Leone, M., Albanèse, J., Garnier, F., Sapin, C., Barrau, K., Bimar, M.-C., et al. (2003). Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit. Intensive Care Medicine, 29(7), 1077–1080.

    Article  Google Scholar 

  45. Morettia, E. W., Ofsteadb, C. L., Kristyc, R. M., & Wetzlerd, H. P. (2005). Impact of central venous catheter type and methods on catheter-related colonization and bacteraemia. Journal of Hospital Infection, 61, 139–145.

    Article  Google Scholar 

  46. Rupp, M. E. M., Lisco, S. J. M., Lipsett, P. A. M., Perl, T. M. M., Keating, K. M., Civetta, J. M. M., et al. (2005). Effect of a second-generation venous catheter impregnated with chlorhexidine and silver sulfadiazine on central catheter–related infections. Annals of Internal Medicine, 143(8), 570–580.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Portland State University, Portland, OR, USA

    Chris Imondi, Tom Shott & Tugrul U. Daim

  2. Intel Corp, Santa Clara, CA, USA

    Arundhati Shastri

  3. BorgWarner Inc, Auburn Hills, MI, USA

    Jayanth Siddappa

Authors
  1. Chris Imondi
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  2. Arundhati Shastri
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  3. Tom Shott
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  4. Jayanth Siddappa
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  5. Tugrul U. Daim
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Corresponding author

Correspondence to Tugrul U. Daim .

Editor information

Editors and Affiliations

  1. Department of Engineering and Technology Management, Portland State University, Portland, Oregon, USA

    Tugrul U. Daim

  2. School of Business, Pacific Lutheran University, Tacoma, Washington, USA

    Leong Chan

  3. Bonneville Power Administration, Portland, Oregon, USA

    Judith Estep

Appendix

Appendix

1.1 Appendix I: Tables

1.2 Appendix II: Expert Pairwise Questionnaire

figure a

1.3 Appendix III: Expert Solutions Preference Questionnaire

figure b
figure c
figure d

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Imondi, C., Shastri, A., Shott, T., Siddappa, J., Daim, T.U. (2018). Technology Assessment: Nosocomial Infection Solutions. In: Daim, T., Chan, L., Estep, J. (eds) Infrastructure and Technology Management. Innovation, Technology, and Knowledge Management. Springer, Cham. https://doi.org/10.1007/978-3-319-68987-6_8

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