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Eliminating Hospital Infections

Eliminating Hospital Infections. Lucian L. Leape, MD Harvard School of Public Health 4 th Annual Betsy Lehman Center Patient Safety Conference December 4 , 2007. Hospital-acquired Infections - CDC. Total: 1.7 million Deaths: 99,000 MRSA: 94,000

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Eliminating Hospital Infections

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  1. Eliminating Hospital Infections Lucian L. Leape, MD Harvard School of Public Health 4th Annual Betsy Lehman Center Patient Safety Conference December 4, 2007

  2. Hospital-acquired Infections - CDC Total: 1.7 million Deaths: 99,000 MRSA: 94,000 Deaths: 18,650

  3. Hospital-Acquired Infection in Pennsylvania – 2005 (168 hospitals) • 19,154 cases of hospital-acquired infections Deaths: 2471 • 394,129 excess hospital days • Mortality: 12.9% v. 2.3% for no infection • Cost: $3.5 billion in excess charges Average: $182,729 per case

  4. The Michigan Experience 68 Hospitals March 04-June 05 NO Central Line Infection or Ventilator-associated Pneumonia for more than 6 months - Lives saved: 1578 - Hospital days saved: 81,000 - Costs saved: $165 million

  5. Leapfrog Group survey - 2007 1256 participating hospitals Full compliance with prevention standards: • VAP - 38.5% • CLBI - 35.4% • SSI - 32.3% • Influenza – 30.7% • Hand Hygiene – 35.6%

  6. Correlation of patient ratings of care with hospital infection rates • Room cleanliness -.27 • Skill of person who took your blood -.25 • Promptness in responding to call button -.23 Trucano and Kaldenberg, Pat Saf & Qual Hlth Aug 2007

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