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Reducing Central Line Related Bloodstream Infections in Hospitalized Adults

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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Reducing Central Line Related Bloodstream Infections in Hospitalized Adults

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  1. Reducing Central Line Related Bloodstream Infections in Hospitalized Adults

  2. Team Infection Control Department ICU Leadership

  3. 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%

  4. 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

  5. Before After

  6. Results Reduction of Central Line Related Bloodstream Infections from 5.3 to 2.9/1000 Central Line Days Infection rates havedecreased by47%

  7. 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

  8. 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.

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