Eradicating Central Line-Associated Bloodstream Infections Statewide: The Hawaii Experience

被引：34

作者：

Lin, Della M. ^{[1
]}

Weeks, Kristina ^{[2
]}

Bauer, Laura ^{[2
]}

Combes, John R. ^{[3
]}

George, Christine T. ^{[4
,6
]}

Goeschel, Christine A. ^{[2
,5
]}

Lubomski, Lisa H. ^{[2
]}

Mathews, Simon C. ^{[2
]}

Sawyer, Melinda D. ^{[7
]}

Thompson, David A. ^{[2
,5
]}

Watson, Sam R. ^{[4
]}

Winters, Bradford D. ^{[2
]}

Marsteller, Jill A. ^{[6
]}

Berenholtz, Sean M. ^{[2
,6
]}

Pronovost, Peter J. ^{[2
,5
,6
]}

Julius Cuong Pham ^{[2
]}

机构：

[1] Hawaii Med Serv Assoc, Honolulu, HI USA

[2] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[3] Amer Hosp Assoc, Ctr Healthcare Governance, Chicago, IL USA

[4] Michigan Hlth & Hosp Assoc, Keystone Ctr Patient Safety & Qual, Lansing, MI USA

[5] Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA

[6] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[7] Johns Hopkins Univ Hosp, Baltimore, MD 21287 USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2012年 / 27卷 / 02期

基金：

美国医疗保健研究与质量局;

关键词：

central line-associated bloodstream infection; patient safety; quality of care; quality improvement; INTENSIVE-CARE UNITS; ICU; MICHIGAN; SAFETY;

D O I：

10.1177/1062860611414299

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The authors' goal was to determine if a national intensive care unit (ICU) collaborative to reduce central line-associated bloodstream infections (CLABSIs) would succeed in Hawaii. The intervention period (July 2009 to December 2010) included a comprehensive unit-based safety program; a multifaceted approach to CLABSI prevention; and monitoring of infections. The primary outcome was CLABSI rate. A total of 20 ICUs, representing 16 hospitals and 61 665 catheter days, were analyzed. Median hospital bed size was 159 (interquartile range [IQR] = 71-212) and median ICU bed size was 10 (IQR = 8-12). Median unit catheter days per month were 112 (IQR = 52-197). The overall mean CLABSI rate decreased from 1.5 infections per 1000 catheter days at baseline (January to June 2009) to 0.6 at 16 to 18 months postintervention (October to December 2010). The median rate was zero CLABSIs per 1000 catheter days at baseline and remained zero throughout the study period. Hawaii demonstrated that the national program can be successfully spread, providing further evidence that most CLABSIs are preventable.

引用

页码：124 / 129

页数：6