James G Johnson

Vanderbilt University, Nashville, MI, United States

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Publications (5)22.94 Total impact

  • Infection Control and Hospital Epidemiology 12/2013; 34(12):1326-7. · 4.02 Impact Factor
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    ABSTRACT: Objective. To evaluate the impact of an institutional hand hygiene accountability program on healthcare personnel hand hygiene adherence. Design. Time-series design with correlation analysis. Setting. Tertiary care academic medical center, including outpatient clinics and procedural areas. Participants. Medical center healthcare personnel. Methods. A comprehensive hand hygiene initiative was implemented in 2 major phases starting in July 2009. Key facets of the initiative included extensive project planning, leadership buy-in and goal setting, financial incentives linked to performance, and use of a system-wide shared accountability model. Adherence was measured by designated hand hygiene observers. Adherence rates were compared between baseline and implementation phases, and monthly hand hygiene adherence rates were correlated with monthly rates of device-associated infection. Results. A total of 109,988 observations were completed during the study period, with a sustained increase in hand hygiene adherence throughout each implementation phase ([Formula: see text]) as well as from one phase to the next ([Formula: see text]), such that adherence greater than 85% has been achieved since January 2011. Medical center departments were able to reclaim some rebate dollars allocated through a self-insurance trust, but during the study period, departments did not achieve full reimbursement. Hand hygiene adherence rates were inversely correlated with device-associated standardized infection ratios ([Formula: see text]). Conclusions. Implementation of this multifaceted, observational hand hygiene program was associated with sustained improvement in hand hygiene adherence. The principles of this program could be applied to other medical centers pursuing improved hand hygiene adherence among healthcare personnel.
    Infection Control and Hospital Epidemiology 11/2013; 34(11):1129-1136. · 4.02 Impact Factor
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    ABSTRACT: Five hundred five blood cultures collected through a peripheral intravenous catheter (PIV) in an emergency department were matched to cultures obtained by dedicated venipuncture from the same patient within 10 minutes. The relative risk of contamination for cultures collected through PIVs compared with dedicated venipuncture was 1.83 (95% confidence interval, 1.08-3.11).
    Infection Control and Hospital Epidemiology 05/2012; 33(5):524-6. · 4.02 Impact Factor
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    Karen C Bloch, James G Johnson
    The Journal of Infectious Diseases 03/2012; 205(9):1331-3. · 5.85 Impact Factor
  • James G Johnson, Thomas R Talbot
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    ABSTRACT: Vaccination of healthcare workers (HCWs) against influenza is an important component of infection control in healthcare settings but HCW vaccination rates remain low. Here we review current and emerging strategies for influenza vaccination of HCWs. Professional organizations have recommended annual influenza vaccination for HCWs since 1984, but HCW vaccination rates have improved minimally. Recent studies indicate that comprehensive influenza vaccination programs have failed to achieve adequate influenza vaccination rates for HCWs in spite of allocating substantial resources to HCW vaccination programs. Mandatory HCW influenza vaccination programs have been introduced and clearly outperform traditional comprehensive vaccination programs. Some argue that mandatory vaccination programs infringe on HCW autonomy, and introduction of mandatory vaccination programs can be controversial. Public reporting of institutional HCW influenza vaccination rates is another strategy to achieve high vaccination rates, as HCW influenza vaccination may be used in the future as a quality and safety metric. HCW influenza vaccination in the setting of a comprehensive infection control program is a core patient-safety practice. Mandatory HCW influenza vaccination and public reporting of HCW vaccination rates will complement one another in achieving substantial gains for HCW influenza vaccination programs.
    Current Opinion in Infectious Diseases 05/2011; 24(4):363-9. · 5.03 Impact Factor