{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T16:38:47Z","timestamp":1780677527474,"version":"3.54.1"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T00:00:00Z","timestamp":1545091200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X18003240_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Hospitalized patients placed in isolation due to a carrier state or infection with resistant or highly communicable organisms report higher rates of anxiety and loneliness and have fewer physician encounters, room entries, and vital sign records. We hypothesized that isolation status might adversely impact patient experience as reported through Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, particularly regarding communication.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18003240_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Retrospective analysis of HCAHPS survey results over 5 years.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18003240_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>A 1,165-bed, tertiary-care, academic medical center.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18003240_abs4\" sec-type=\"general\"><jats:title>Patients<\/jats:title><jats:p>Patients on any type of isolation for at least 50% of their stay were the exposure group. Those never in isolation served as controls.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18003240_abs5\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Multivariable logistic regression, adjusting for age, race, gender, payer, severity of illness, length of stay and clinical service were used to examine associations between isolation status and \u201ctop-box\u201d experience scores. Dose response to increasing percentage of days in isolation was also analyzed.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18003240_abs6\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Patients in isolation reported worse experience, primarily with staff responsiveness (help toileting 63% vs 51%; adjusted odds ratio [aOR], 0.77; <jats:italic>P<\/jats:italic> = .0009) and overall care (rate hospital 80% vs 73%; aOR, 0.78; <jats:italic>P<\/jats:italic> &lt; .0001), but they reported similar experience in other domains. No dose-response effect was observed.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X18003240_abs7\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Isolated patients do not report adverse experience for most aspects of provider communication regarded to be among the most important elements for safety and quality of care. However, patients in isolation had worse experiences with staff responsiveness for time-sensitive needs. The absence of a dose-response effect suggests that isolation status may be a marker for other factors, such as illness severity. Regardless, hospitals should emphasize timely staff response for this population.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2018.324","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T11:51:58Z","timestamp":1545133918000},"page":"194-199","source":"Crossref","is-referenced-by-count":14,"title":["Patient isolation for infection control and patient experience"],"prefix":"10.1017","volume":"40","author":[{"given":"Zishan K.","family":"Siddiqui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Johnson","family":"Conway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Abusamaan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Bertram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Berry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Allen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariella","family":"Apfel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holley","family":"Farley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert W.","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Brotman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,12,18]]},"reference":[{"key":"S0899823X18003240_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2008.00914.x"},{"key":"S0899823X18003240_ref23","volume-title":"Improving Staff Responsiveness to Patient-Initiated Call Lights","author":"Williams","year":"2014"},{"key":"S0899823X18003240_ref22","unstructured":"Go S , Thomasson-Waters J , Law E . Improving patient satisfaction by changing patients\u2019 percpetions of staff responsiveness on a cardiac telemetry unit. Cone Health website. https:\/\/www.conehealth.com\/app\/files\/public\/7258\/34-improving-patient-satisfactionby-changing-patients-perception-of-staff-responsiveness.pdf. Accessed March 20, 2018."},{"key":"S0899823X18003240_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/00000446-200609000-00029"},{"key":"S0899823X18003240_ref20","doi-asserted-by":"publisher","DOI":"10.1108\/IJHCQA-07-2016-0098"},{"key":"S0899823X18003240_ref17","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2297"},{"key":"S0899823X18003240_ref16","unstructured":"Hospital Compare datasets. Centers for Medicare and Medicaid Services website. https:\/\/data.medicare.gov\/data\/hospital-compare. Accessed October 30, 2018."},{"key":"S0899823X18003240_ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00473.x"},{"key":"S0899823X18003240_ref1","unstructured":"Siegel JD , Rhinehart E , Jackson M , Chiarello L . 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/niosh\/docket\/archive\/pdfs\/NIOSH-219\/0219-010107-siegel.pdf. Accessed January 17, 2017."},{"key":"S0899823X18003240_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.01.009"},{"key":"S0899823X18003240_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0266-612X(87)90130-1"},{"key":"S0899823X18003240_ref2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2003.222"},{"key":"S0899823X18003240_ref9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-172X.1998.00084.x"},{"key":"S0899823X18003240_ref5","first-page":"290","article-title":"Safety of patients isolated for infection control","volume":"2003","author":"Stelfox","year":"1899","journal-title":"JAMA"},{"key":"S0899823X18003240_ref19","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318197b22a"},{"key":"S0899823X18003240_ref12","doi-asserted-by":"publisher","DOI":"10.1086\/673143"},{"key":"S0899823X18003240_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2015.02.007"},{"key":"S0899823X18003240_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)04196-3"},{"key":"S0899823X18003240_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(02)48250-8"},{"key":"S0899823X18003240_ref7","first-page":"1245","article-title":"The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital","volume":"168","author":"Maunder","year":"2003","journal-title":"CMAJ"},{"key":"S0899823X18003240_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/01.SMJ.0000050683.36014.2E"},{"key":"S0899823X18003240_ref11","doi-asserted-by":"publisher","DOI":"10.1086\/527508"},{"key":"S0899823X18003240_ref14","doi-asserted-by":"publisher","DOI":"10.1086\/665314"},{"key":"S0899823X18003240_ref15","unstructured":"Centers for Medicare and Medicaid Services. CAHPS Hospital Survey (HCAHPS): Quality Assurance Guidelines. Consumer Assessment of Healthcare Providers and Systems website. http:\/\/www.hcahpsonline.org\/globalassets\/hcahps\/quality-assurance\/2018_qag_v13.0.pdf. 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