2024
Disinfection of central venous access device needleless connectors: A human factors analysis
Drews F, Martinello R, Hebden J, St. John K, Pegues D. Disinfection of central venous access device needleless connectors: A human factors analysis. Infection Control And Hospital Epidemiology 2024, 45: 959-964. PMID: 38389492, DOI: 10.1017/ice.2024.22.Peer-Reviewed Original ResearchCentral line-associated bloodstream infectionsNurse focus groupsIntensive care unitCentral venous access devicesMixed-methods studyObservations of complianceAcademic medical centerDiverse patient populationsPerceived facilitatorsRisk of central line-associated bloodstream infectionsGuideline noncomplianceOngoing educationKnowledge deficitsPrevention guidelinesHigh workloadMedical CenterRecommended timeIsopropyl alcohol wipesVenous access devicesCare unitLess workloadCompetency evaluationPatient populationFacilitationAntiseptic scrub
2023
Analysis of Failure Rates for COVID-19 Entrance Screening at a US Academic Medical Center
Roberts S, Faruq R, Wilkinson A, Pashankar D, Russi M, Khokhar B, Martinello R. Analysis of Failure Rates for COVID-19 Entrance Screening at a US Academic Medical Center. JAMA Internal Medicine 2023, 183: 84-86. PMID: 36441528, PMCID: PMC9706395, DOI: 10.1001/jamainternmed.2022.5426.Peer-Reviewed Original Research
2022
Human factors analysis of the disinfection of central-line needleless connectors
Martinello R, Hebden J, Drews F, Pegues D. Human factors analysis of the disinfection of central-line needleless connectors. Antimicrobial Stewardship & Healthcare Epidemiology 2022, 2: s32-s33. PMCID: PMC9614877, DOI: 10.1017/ash.2022.117.Peer-Reviewed Original ResearchCentral line-associated bloodstream infectionsFocus groupsCentral venous access devicesIdentified perceived barriersAcademic medical centerMultiple-methods studyOpen-ended questionsFocus group discussionsBloodstream infectionsNeedleless connectorsNursing staffRisk of central line-associated bloodstream infectionsIdentified barriersOngoing educationConvenience sampleKnowledge deficitsScrubbing timeNursesIncreased workloadElectronic toolsAssess complianceMedical CenterRecommended timeMedical ICULess workload
2021
Epidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center
Li L, Roberts SC, Kulp W, Wing A, Barnes T, Colandrea N, Klink B, Fortunati F, Martinello R. Epidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center. Psychiatry Research 2021, 298: 113776. PMID: 33571800, PMCID: PMC7987366, DOI: 10.1016/j.psychres.2021.113776.Peer-Reviewed Original ResearchConceptsInpatient psychiatric unitLarge academic medical centerAcademic medical centerPsychiatric unitMedical CenterCOVID-19Retrospective cohort analysisEmergency room visitsInpatient psychiatric facilityLow patientsClinical outcomesRoom visitsHospitalized individualsInfection preventionStudy populationCohort analysisPrevention strategiesAdmission statusTriage protocolDiverse patientsInfection rateMental illnessPsychiatric facilitiesDemographic dataPatients
2019
Conversion of a Conference Room into a Low-Acuity Inpatient Medical Unit: A Creative Response to Influenza-Related Surge
Fogerty RL, Cabie M, Doyle D, Brien P, Beley P, Jansen L, Stump L, Gaffney J, Ferencz KW, Lourenco C, Cushing W, Williams E, Marseglia J, Martinello RA, Morris V. Conversion of a Conference Room into a Low-Acuity Inpatient Medical Unit: A Creative Response to Influenza-Related Surge. The Joint Commission Journal On Quality And Patient Safety 2019, 45: 524-529. PMID: 31164262, DOI: 10.1016/j.jcjq.2019.02.004.Peer-Reviewed Original ResearchConceptsInfluenza-like illnessInpatient acute careEmergency department careAcademic medical centerInpatient medical unitsNumber of inpatientsED lengthInfluenza seasonED patientsAcute careInpatient admissionsInfection preventionHospital careMedical CenterInpatient unitMedical unitsValid optionClinical unitsCareAdmissionDisaster planClinical environmentNonclinical areasPatientsStay
2018
807. A Risk-Stratified Approach to Healthcare-Associated Tuberculosis Exposures Following the “Stone in the Pond” Principle
Pepe D, Aniskiewicz M, Paci G, Sullivan L, Dembry L, Martinello R, Advani S. 807. A Risk-Stratified Approach to Healthcare-Associated Tuberculosis Exposures Following the “Stone in the Pond” Principle. Open Forum Infectious Diseases 2018, 5: s289-s289. PMCID: PMC6255516, DOI: 10.1093/ofid/ofy210.814.Peer-Reviewed Original ResearchRisk-stratified approachHealthcare personnelTB exposureType of exposureBed academic medical centerExposure investigationsLatent TB casesLow TB incidenceAcademic medical centerComplete exposure dataTB contactTuberculosis exposureInfectivity riskPulmonary TBTB patientsInfectious tuberculosisTB casesPatient chartsTB incidenceMicrobiology recordsRetrospective studyRisk groupsLower incidenceMedical CenterPrevention database
2015
An Outbreak of Severe Group A Streptococcus Infections Associated with Podiatric Application of a Biologic Dermal Substitute
Ibrahim LA, Sellick JA, Watson EL, McCabe LM, Schoenhals KA, Martinello RA, Lesse AJ. An Outbreak of Severe Group A Streptococcus Infections Associated with Podiatric Application of a Biologic Dermal Substitute. Infection Control And Hospital Epidemiology 2015, 37: 306-312. PMID: 26673775, DOI: 10.1017/ice.2015.306.Peer-Reviewed Original ResearchConceptsSevere group A Streptococcus (GAS) infectionsGroup A Streptococcus InfectionStreptococcus infectionSubstitute useDermal substituteVeterans Affairs Medical CenterEmm type 28Inter-patient transmissionSETTING/PATIENTSRetrospective cohort studyMicrobiology laboratory dataCase-cohort studyInfection control techniquesNumber of patientsPrior strokeUninfected patientsCohort studyPodiatry clinicFoot woundsPatient cohortRisk factorsCase definitionClinic staffEmm typingMedical CenterReuse of Insulin Pens Among Multiple Patients at 2 Veterans Affairs Medical Centers
Schirmer P, Winston CA, Lucero-Obusan C, Winters M, Lesse A, de Comarmond C, Oda G, Martinello RA, Holodniy M. Reuse of Insulin Pens Among Multiple Patients at 2 Veterans Affairs Medical Centers. Infection Control And Hospital Epidemiology 2015, 36: 1121-1129. PMID: 26198627, DOI: 10.1017/ice.2015.165.Peer-Reviewed Original ResearchConceptsVeterans Affairs Medical CenterHuman immunodeficiency virusHepatitis B virusHepatitis C virusBloodborne pathogensInsulin pensImmunodeficiency virusB virusMedical CenterMultiple patientsMedian genetic distanceRetrospective cohort studyBlood-borne pathogensViral genetic analysisElectronic health recordsEnvelope gene sequencingHCV transmissionCohort studyHCV casesMethods PatientsCase patientsC virusFurther testingHospitalized veteransPatients
2013
Comprehensive survey of hand hygiene measurement and improvement practices in the Veterans Health Administration
Reisinger HS, Yin J, Radonovich L, Knighton VT, Martinello RA, Hodgson MJ, Perencevich E. Comprehensive survey of hand hygiene measurement and improvement practices in the Veterans Health Administration. American Journal Of Infection Control 2013, 41: 989-993. PMID: 23932826, DOI: 10.1016/j.ajic.2013.04.016.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationVHA medical centersMedical CenterHH complianceHealth AdministrationImprovement interventionsHH compliance ratesHand hygiene policyHygiene measurementsHealth care systemNational health care systemHH opportunitiesCompliance rateClinical staffRoom entryCare systemHH productsMandatory education programHygiene policyInterventionNational surveyAdministrationComplianceMajorityEducation programs