An Analysis of Outcomes Following a Central Line Associated Blood Stream Infections (CLABSI) Reduction Quality Improvement Project in a Tertiary Care Center
被引:4
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作者:
Harris, Ronald
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机构:
Duke Univ, Sch Med, Anesthesiol, Durham, NC USADuke Univ, Sch Med, Anesthesiol, Durham, NC USA
Harris, Ronald
[1
]
Rosser, Morgan
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机构:
Duke Univ, Med Ctr, Anesthesiol, Durham, NC 27708 USADuke Univ, Sch Med, Anesthesiol, Durham, NC USA
Rosser, Morgan
[2
]
Mehdiratta, Nitin
论文数: 0引用数: 0
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机构:
Duke Univ, Med Ctr, Anesthesiol, Durham, NC 27708 USADuke Univ, Sch Med, Anesthesiol, Durham, NC USA
Mehdiratta, Nitin
[2
]
Chowdhurry, Anand
论文数: 0引用数: 0
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机构:
Duke Univ, Med Ctr, Pulm & Crit Care Med, Durham, NC USADuke Univ, Sch Med, Anesthesiol, Durham, NC USA
Chowdhurry, Anand
[3
]
Smith, Becky
论文数: 0引用数: 0
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机构:
Duke Univ, Med Ctr, Infect Dis, Durham, NC USADuke Univ, Sch Med, Anesthesiol, Durham, NC USA
Smith, Becky
[4
]
Krishnamoorthy, Vijay
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机构:
Duke Univ, Med Ctr, Anesthesiol, Durham, NC 27708 USADuke Univ, Sch Med, Anesthesiol, Durham, NC USA
Krishnamoorthy, Vijay
[2
]
机构:
[1] Duke Univ, Sch Med, Anesthesiol, Durham, NC USA
[2] Duke Univ, Med Ctr, Anesthesiol, Durham, NC 27708 USA
[3] Duke Univ, Med Ctr, Pulm & Crit Care Med, Durham, NC USA
[4] Duke Univ, Med Ctr, Infect Dis, Durham, NC USA
central venous catheters;
central line-associated infections (clabsi);
intensive care unit;
infection control;
quality improvement;
CATHETER-RELATED INFECTION;
POVIDONE-IODINE;
PREVENTION;
CHLORHEXIDINE;
ALCOHOL;
D O I:
10.7759/cureus.42501
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Central Line Associated Blood Stream Infections (CLABSI) continue to be a significant complication for hospitalized patients. Hospitals have used various strategies to reduce CLABSI events due to the significant complications and associated costs. In this QI analysis, we examined the impact of a CLABSI reduction quality improvement project within a single ICU at a tertiary care medical center. Absolute CLABSI counts were compared between this ICU and other health system ICUs that did not implement the bundle. A sustained reduction in absolute CLABSI counts to or near zero was observed over 17 months after implementation. ICUs not performing the interventions during this time consistently reported & GE; 2 CLABSI per month. Further analysis is needed to assess causality and the generalizability of bundle components to other ICUs. These findings may provide other health systems with additional strategies to prevent CLABSI and provide consistent, evidence-based supportive care to critically ill patients.
机构:
David D Wirtschafter MD Inc, Valley Village, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Wirtschafter, D. D.
Pettit, J.
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h-index: 0
机构:
Doctors Med Ctr, Modesto, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Pettit, J.
Kurtin, P.
论文数: 0引用数: 0
h-index: 0
机构:
Rady Childrens Hosp San Diego, San Diego, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Kurtin, P.
Dalsey, M.
论文数: 0引用数: 0
h-index: 0
机构:
Calif Dept Hlth Care Serv, Childrens Med Serv Branch, Sacramento, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Dalsey, M.
Chance, K.
论文数: 0引用数: 0
h-index: 0
机构:
Calif Dept Hlth Care Serv, Childrens Med Serv Branch, Sacramento, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Chance, K.
Morrow, H. W.
论文数: 0引用数: 0
h-index: 0
机构:
Calif Dept Hlth Care Serv, Childrens Med Serv Branch, Sacramento, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Morrow, H. W.
Seid, M.
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Div Pulm Med, Cincinnati, OH USA
Cincinnati Childrens Hosp Med Ctr, Div Hlth Policy & Clin Effectiveness, Cincinnati, OH USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Seid, M.
Byczkowski, T. L.
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h-index: 0
机构:
Cincinnati Childrens Hosp, Med Ctr, Div Emergency Med, Cincinnati, OH USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Byczkowski, T. L.
Huber, T. P.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Patrick Advisors, San Francisco, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Huber, T. P.
Milstein, J. M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Davis Hlth Syst, Univ Calif Davis Childrens Hosp, Sacramento, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Milstein, J. M.
Bowles, S. M.
论文数: 0引用数: 0
h-index: 0
机构:
Miller Childrens Hosp Long Beach, Long Beach, CA USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Bowles, S. M.
Fichera, S.
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp Los Angeles, Los Angeles, CA 90027 USADavid D Wirtschafter MD Inc, Valley Village, CA USA
Fichera, S.
Kloman, S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Med Ctr, San Francisco, CA 94143 USADavid D Wirtschafter MD Inc, Valley Village, CA USA