Costs of Infection Prevention Practices in Long-Term Care Settings: A Systematic Review

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Executive Summary▸ Long-term care demographic and industry trends challenge provision of effective care and infection prevention.▸ A systematic review was conducted to identify and evaluate cost estimates reported in the scientific literature of structure and processes intended to prevent infection among residents and staff of long-term care facilities (LTCFs).▸ The small volume of publications regarding cost of infection prevention in LTCFs does not lead to recommendations for specific infection prevention practices.▸ Cost-effectiveness research is needed to inform nurse executives' decisions on how best to prevent infections.▸ Nurse executives should consider costs as well as health outcomes when generating new policy regarding procedures or products related to infection prevention.▸ Administrators should cautiously evaluate the recommendations of published studies containing a cost estimation based on the quality of the estimate in addition to assessing applicability of the results to their own facility and resident population.

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