Managing Clostridium Difficile in a Pediatric Post-Acute Care Facility

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Jared D. Padgett, D.B.A., PMP, PMI-ACP

Jared D. Padgett
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Jared D. Padgett


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Exploring Learning Organizations through the High Reliability Organization Framework
Complex Adaptive Systems Theory and The Tau Conceptual Framework for Understanding Healthcare and Human Services in the United States
Improving Patient Safety through High Reliability Organizations
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Dr. Padgett is a technology enthusiast and patient safety advocate. His healthcare research interests include (i) administrative topics concerning organizational leadership, risk mitigation, and developing a culture of safety, (ii) innovative healthcare applications to improve health in chronically ill patients, and (iii) integrating technology to improve patient care, medical record-keeping, and accessibility. His early research experience includes the integration of High Reliability Organizations (HRO) principles in clinical health care. This research laid the foundation for his doctoral research on patient safety culture.
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Doctoral Degree
Business Administration
Walden University
Masters Degree
Business Administration/IT
Western International University
Bachelors Degree
Pepperdine University
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University of Phoenix
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Clostridium Difficile infections are associated with nosocomial morbidity and present a significant cost to healthcare organizations (Khanafer et al., 2013). Infection rates are rising in the United States, and reached 0.26 cases per 1000 patient days in 2009 (Dubberke, 2012). Clostridium Difficile (C. Difficile) infections can lead to the failure of vital organs, and is increasingly likely to be encountered in long-term care environments (Leclair, Allard, Lesur, & Pépin, 2010). A pediatric post-acute care facility in California developed an effective treatment for C. Difficile infections. This quantitative case study will identify successful treatment strategies, and will be useful to improve patient safety and reduce the risk of chronic C. Difficile infections in other organizations.

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Project IRB Approved


Edilberto A. Raynes's picture Edilberto A. Raynes | October 2, 2015 10:21 am MST

Revles et al. (2014) underwent a retrospective study on the rising Clostridium dificile among hospitalized adults  using secondary data frm the US National Hospital Discharge Surveys 2001-2010. Their study was found to be consistent with past literatures that the following factors  were implicated in the rising  of the incidence of C.dificile: (a) antibiotics use such as clindamycin, fluorquinolones, and cephalosporins; (b) advancing age of patients due to changes in immunity, pre-existing conditions, and use of antibiotics; and (c) dynamic change of molecular epidemiology of C. dificile due to increased production of toxin, increased duration of germination, and increase sporulation.

With the rising of Clostridium difficile infection among different populations in the United States, it is truly interesting to know what are the treatment strategies to halt the progression of morbidity and mortality of patients affected by this type of infection. Also, it woudl be interesting to expand the research globally especially in developing countries.