TY - JOUR
T1 - Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement central line bundle
AU - Sacks, Greg D.
AU - Diggs, Brian S.
AU - Hadjizacharia, Pantelis
AU - Green, Donald
AU - Salim, Ali
AU - Malinoski, Darren J.
PY - 2014/6
Y1 - 2014/6
N2 - BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are a significant source of morbidity and mortality. This study sought to determine whether implementation of the Institute for Healthcare Improvement (IHI) Central Line Bundle would reduce the incidence of CLABSIs. METHODS: The IHI Central Line Bundle was implemented in a surgical intensive care unit. Patient demographics and the rate of CLABSIs per 1,000 catheter days were compared between the pre- and postintervention groups. Contemporaneous infection rates in an adjacent ICU were measured. RESULTS: Baseline demographics were similar between the pre- and postintervention groups. The rate of CLABSIs per catheter days decreased from 19/3,784 to 3/1,870 after implementation of the IHI Bundle (1.60 vs 5.02 CLABSIs per 1,000 catheter days; rate ratio.32 [.08 to.99, P <.05]). There was no significant change in CLABSIs in the control ICU. CONCLUSIONS: Implementation of the IHI Central Line Bundle reduced the incidence of CLABSIs in our SICU by 68%, preventing 12 CLABSIs, 2.5 deaths, and saving $198,600 annually.
AB - BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are a significant source of morbidity and mortality. This study sought to determine whether implementation of the Institute for Healthcare Improvement (IHI) Central Line Bundle would reduce the incidence of CLABSIs. METHODS: The IHI Central Line Bundle was implemented in a surgical intensive care unit. Patient demographics and the rate of CLABSIs per 1,000 catheter days were compared between the pre- and postintervention groups. Contemporaneous infection rates in an adjacent ICU were measured. RESULTS: Baseline demographics were similar between the pre- and postintervention groups. The rate of CLABSIs per catheter days decreased from 19/3,784 to 3/1,870 after implementation of the IHI Bundle (1.60 vs 5.02 CLABSIs per 1,000 catheter days; rate ratio.32 [.08 to.99, P <.05]). There was no significant change in CLABSIs in the control ICU. CONCLUSIONS: Implementation of the IHI Central Line Bundle reduced the incidence of CLABSIs in our SICU by 68%, preventing 12 CLABSIs, 2.5 deaths, and saving $198,600 annually.
KW - Catheter-associated line infections
KW - Central venous catheters
KW - Checklist
KW - Healthcare cost
KW - Infection control
KW - Quality improvement
UR - http://www.scopus.com/inward/record.url?scp=84901834329&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901834329&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2013.08.041
DO - 10.1016/j.amjsurg.2013.08.041
M3 - Article
C2 - 24576582
AN - SCOPUS:84901834329
SN - 0002-9610
VL - 207
SP - 817
EP - 823
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -