An observational study from the USA which examined the impact of high-performance work practices on interventions to reduce central line associated bloodstream infections.

Data was collected from 8 hospitals that were matched in terms of organisational characteristics but had differing infection rates. Data was collected through site visits and 194 interviews.

It was found that the higher performing sites adopted high performance work practices including 1) staff engagement, 2) staff acquisition/development, 3) frontline empowerment, 4) leadership alignment/development. These practices were virtually absent at lower performing sites.