Identifying high reliability practices for infection prevention in long-term care, part 2: Practices from the field

Although concepts of high reliability are promoted widely in acute care, little is known about the extent to which the core processes of high reliability have been applied to infection prevention practices in nursing homes and assisted living facilities. In a previous article, the authors reported use of high reliability concepts in current literature and national initiatives. To further identify practical strategies of high reliability organizing that could be applied to nursing facilities, the authors dispatched a call for practices to long-term care facilities (LTCFs) regarding their current infection prevention practices. Then, authors convened an expert, roundtable panel to evaluate the facility responses. After identifying practice examples consistent with high reliability principles, authors then created an education module presenting examples that can be applied to infection prevention in LTCFs.