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Reducing Central Line Related Bloodstream Infections in Hospitalized Adults

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Reducing Central Line Related Bloodstream Infections in Hospitalized Adults. Team. Infection Control Department ICU Leadership. OPPORTUNITY STATEMENT. Central line infections are a common medical problem in hospitalized patients These translate into increased rates of

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Presentation Transcript
slide1

Reducing Central Line

Related Bloodstream

Infections in Hospitalized Adults

slide2

Team

Infection Control Department

ICU Leadership

opportunity statement

OPPORTUNITY STATEMENT

Central line infections are a common medical

problem in hospitalized patients

These translate into increased rates of

mortality, morbidity and costs

Solutions based on national guidelines

and successful practice at other healthcare

organizations

Goal: To reduce central line infections by 40%

solutions implemented

Solutions Implemented

Standardized central line insertion protocol disseminated to staff

Antimicrobial coated central line catheters kits containing Chloraprep, full body sterile drape and safety devices available

Standardized supply lists for line insertion

Education and testing of faculty and nursing staff on central line insertion protocols through e-learning modules

slide5

Before

After

results

Results

Reduction of Central Line Related Bloodstream Infections from 5.3 to 2.9/1000 Central Line Days

Infection rates havedecreased by47%

results continued

Results(continued)

Average cost per bloodstream infection: $56,000*

7 fewer infections in 2006 than 2005

7 x $56,000 = $392,000 in cost savings

* O’Grady NP. Alexander M, Dellinger EP, et al: Guidelines for the prevention of intravascular catheter-related infections. MM/WR Recomm Rep; 2002 51(RR-10): 1-29

next steps

Next Steps

Decrease catheter related bloodstream infections to 2/1000 central line days per LUHS Patient Safety Plan FY ’07.

Continue to present data at adult ICU Quality Improvement meetings for discussion.

Review the process of insertion and maintenance of central lines on patients who had bloodstream infections and make improvements in practice as needed.

Capture cost savings on prevented infections and report periodically to senior leadership.