Infection Prevention Training For Ambulatory Surgical Centers (HAI)

Infection Prevention Training For Ambulatory Surgical Centers


At any given time, 1 in 20 U.S. hospital patients has a healthcare-associated infection (HAI), but HAIs can occur in any healthcare setting, including outpatient surgery centers. Today, more than three-quarters of all surgeries are performed on an outpatient basis.  With this expansion of the outpatient surgery field comes a parallel need to ensure that outpatient care is delivered with infection prevention safeguards equal to those protecting inpatients. The HHS Office of Healthcare Quality has developed resources and listed additional tools below to help clinicians ensure they are meeting minimum infection prevention expectations for safe care.


Ambulatory care is defined as care provided in facilities where patients do not remain overnight (e.g., hospital-based outpatient clinics, non-hospital-based clinics and physicians’ offices, urgent care centers, ambulatory surgical centers, public health clinics, imaging centers, oncology clinics, ambulatory behavioral health and substance abuse clinics, physical therapy and rehabilitation centers).


HAI data are lacking for many ambulatory care settings, but evidence of the potential risks is clear from recent outbreaks and adverse events. Patients in a variety of outpatient settings continue to be affected, even though most of this harm could have been prevented by proper use of basic infection prevention and control measures.

Below you will find resources pertaining to HAI prevention in ambulatory care settings. 


Part 1: Partnering with Clinical Networks to Decrease Healthcare Associated Infections

Jonathan N Tobin, PhD

Part 2: Epidemiology of Infectious Diseases & Overview of HAIs

Surbhi Leeka, MBBS, MPH

Importance of Infection Prevention in ASCs & Infection Statistics in Regional II & Monitoring and Reporting HAIs in ASCs

Carol Genese, MBA

0.5 Credit

Creating and Implementing an Infection Control Program in ASCs

Ann Hinson, MT(ASC), NCA (CLS)

0.75 Credit

Additional Resources:

Infection Prevention Guide for Outpatient Settings

Outpatient Oncology Settings

Surgical Site Infection Prevention

Surbhi Leeka, MBBS, MPH

0.75 Credit

(This presentation ends at 48:50 in the video link below)

Additional Resources:

CDC recommended materials for the prevention of surgical site infections

CDC/HICPAC Guideline for Prevention of Surgical Site Infection, 1999

Safe Injection Practices

Emily Lutterloh, MD

0.5 Credit

Additional Resources:

CDC injection safety resources for providers

Injection safety videos for providers

Point of Care Devices

Emily Lutterloh, MD

0.25 Credit

Additional Resources:

CDC recommended practices when performing point of care testing


Cleaning, Sterilization, & High-Level Disinfection

Janet Lavandeira, DMD

0.5 Credit AAFP


Additional Resources:

CDC/HIPCPAC Guideline for Disinfection and Sterilization in Healthcare Facilities


Environmental Infection Control & Preventing Infections in HCW

Michael Phillips, MD

1.5 Credits

Additional Resources:

CDC/HICPAC Guidelines for Environmental Infection Control in Health-Care Facilities



Part 1: Prevention of Healthcare Acquired Infections (HAIs) in Ambulatory Surgical Centers (ASCs)

Jonathan N. Tobin, PhD

(Please skip to 1:29:08 in the video below to view this presentation)

Part 1: Tools to Introduce ASC Workers to Infection Prevention & Readying ASC Staff for HAI Prevention

Part 2: Monitoring and Reporting HAIs 

(Please skip to 1:07:37 in the video below to view part 2 presentation)

Ann Hinson, MT

1.75 Credits

Collaborative Efforts for Patient Safety: Eliminating HAIs by Changing Practice and Culture

Lisa Lubomski, PhD

1 Credit

Note* Term of approval begins 05/03/2011. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
More HAI Resources

 MRSA: Universal ICU Decolonization: An Enhanced Protocol

This enhanced protocol provides instructions for implementing universal decolonization in adult intensive care units. Source: Agency for Health Care Research and Quality (AHRQ).

 CDC hand hygiene resources for providers

CDC/HICPAC Guideline for Hand Hygiene in Health-Care Settings

US Department of Health and Human Services

Centers for Disease Control and Prevention (CDC)

Centers for Medicare & Medicare Services (CMS)

Health Resources and Services Administration (HRSA)

Office of the Assistant Secretary for Health

Region II

Office of Disease Prevention and Health Promotion, Division of Healthcare Quality

Association for Professionals in Infection Control and Epidemiology, Inc.(APIC)

Clinical Directors Network (CDN)

New Jersey Department of Health and Senior Services (NJDHSS)

New York State Department of Health (NYSDOH)

Puerto Rico Academy of Medical Directors (PRAMD)

Puerto Rico Department of Health (PRDOH)

 Hosted in collaboration with The Rockefeller University