Date of Conferral

2023

Degree

Doctor of Business Administration (D.B.A.)

School

Business Administration

Advisor

Kenneth Gossett

Abstract

Increasing nosocomial infection rates threaten patient safety when approximately 100 million patients annually acquire at least one nosocomial infection during their hospital stay. Some clinical managers lack strategies to reduce the incidence and costs of nosocomial infections. Clinical managers need training in proactive infection control guidelines that may reduce infection rates and increase profitability. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore successful strategies that clinical managers used to reduce incidence and costs associated with nosocomial infections. The participants were four clinical managers employed by health care organizations in the Southeast Texas region of the United States. Data were collected using semistructured interviews as well as Leap Frog Hospital Safety Grade, Texas Department of Health and Human Services, and The Joint Commission websites. Through thematic analysis, three themes emerged: education and training, hand hygiene and equipment cleaning, and accountability. A key recommendation is for clinical managers to use a multidisciplinary approach and a combination of infection control strategies to reduce the incidence of nosocomial infections. The implications for positive social change include the potential to influence future infection control programs and improve dignity and quality of life for patients.

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