An intervention to decrease catheter-related bloodstream infections in the ICU

New England Journal of Medicine

Volumn 355, Issue 26, 2006, Pages 2725-2732

  Pronovost, Peter ^a   Needham, Dale ^a   Berenholtz, Sean ^a   Sinopoli, David ^b   Chu, Haitao ^c   Cosgrove, Sara ^a   Sexton, Bryan ^a   Hyzy, Robert ^d   Welsh, Robert ^e   Roth, Gary ^f   Bander, Joseph ^g   Kepros, John ^h   Goeschel, Christine ⁱ  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^d UNIVERSITY OF MICHIGAN   (United States)

^e WILLIAM BEAUMONT HOSPITAL   (United States)

^f Ingham Regional Medical Center   (United States)

^g HARPER UNIVERSITY HOSPITAL   (United States)

^h Michigan State University and Sparrow Health System   (United States)

ⁱ Michigan Hospital Association   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CATHETER INFECTION; COHORT ANALYSIS; EVIDENCE BASED MEDICINE; FOLLOW UP; HEALTH SURVEY; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; INTERVENTION STUDY; MAJOR CLINICAL STUDY; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROPHYLAXIS;

ADULT; BACTEREMIA; CATHETERS, INDWELLING; COHORT STUDIES; CROSS INFECTION; HUMANS; INCIDENCE; INFECTION CONTROL; INSERVICE TRAINING; INTENSIVE CARE UNITS; MICHIGAN; POISSON DISTRIBUTION; QUALITY ASSURANCE, HEALTH CARE; REGRESSION ANALYSIS;

EID: 33845880922     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMoa061115     Document Type: Article

References (25)

1. Mermel LA. Prevention of intravascular catheter-related infections. Ann Intern Med 2000;132:391-402. [Erratum, Ann Intern Med 2000;133:5.]
2. Burke JP. Infection control - a problem for patient safety. N Engl J Med 2003;348:651-6.
3. O'Grady NP, Alexander M, Dellinger EP, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm Rep 2002;51(RR-10):1-29.
4. National Nosocomial Infections Surveillance System. National Nosocomial Infections Surveillance (NNIS) System report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004;32:470-85.
5. Warren DK, Zack JE, Mayfield JL, et al. The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Chest 2004;126:1612-8.
6. Sherertz RJ, Ely EW, Westbrook DM, et al. Education of physicians-in-training can decrease the risk for vascular catheter infection. Ann Intern Med 2000;132:641-8.
7. Eggimann P, Harbarth S, Constantin MN, Touveneau S, Chevrolet JC, Pittet D. Impact of a prevention strategy targeted at vascular-access care on incidence of infections acquired in intensive care. Lancet 2000;355:1864-8.
8. Cohran J, Larson E, Roach H, Blane C, Pierce P. Effect of intravascular surveillance and education program on rates of nosocomial bloodstream infections. Heart Lung 1996;25:161-4.
9. Monitoring hospital-acquired infections to promote patient safety - United States, 1990-1999. MMWR Morb Mortal Wkly Rep 2000;49:149-53. [Erratum, MMWR Morb Mortal Wkly Rep 2000;49:189-90.]
10. Berenholtz SM, Pronovost PJ, Lipsett PA, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004;32:2014-20.
11. Reduction in central line-associated bloodstream infections among patients in intensive care units - Pennsylvania, April 2001-March 2005. MMWR Morb Mortal Wkly Rep 2005;54:1013-6.
12. Warren DK, Cosgrove SE, Deikema DJ, et al. A multicenter intervention to prevent catheter-associated bloodstream infections. Infect Control Hosp Epidemiol 2006;27:662-9.
13. Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care 2003;18:71-5.
14. Berenholtz SM, Milanovich S, Faircloth A, et al. Improving care for the ventilated patient. Jt Comm J Qual Saf 2004;30:195-204.
15. Pronovost P, Weast B, Rosenstein B, et al. Implementing and validating a comprehensive unit-based safety program. J Patient Saf 2005;1:33-40.
16. Pronovost PJ, Weast B, Bishop K, et al. Senior executive adopt-a-work unit: a model for safety improvement. Jt Comm J Qual Saf 2004;30:59-68.
17. Pronovost P, Goeschel C. Improving ICU care: it takes a team. Healthc Exec 2005;20:14-6, 18, 20 passim.
18. Rabe-Hesketh S, Skrondal A. Multilevel and longitudinal modeling using Stata. College Station, TX: Stata Press, 2005.
19. Skrondal A, Rabe-Hesketh S. Generalized latent variable modeling: multilevel, longitudinal, and structural equation models. Boca Raton, FL: Chapman & Hall/CRC, 2004.
20. Panageas KS, Schrag D, Riedel E, Bach PB, Begg CB. The effect of clustering of outcomes on the association of procedure volume and surgical outcomes. Ann Intern Med 2003;139:658-65.
21. Leape LL, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA 2005;293:2384-90.
22. Altman DE, Clancy C, Blendon RJ. Improving patient safety - five years after the IOM report. N Engl J Med 2004;351:2041-3.
23. Wachter R. The end of the beginning: patient safety five years after 'To Err Is Human.' Health Aff (Millwood) 2004;23: Suppl 2 Web Exclusives:W4-534-W4- 545.
24. Brennan TA, Gawande A, Thomas E, Studdert D. Accidental deaths, saved lives, and improved quality. N Engl J Med 2005;353:1405-9.
25. Warren DK, Quadir WW, Hollenbeak CS, Elward AM, Cox MJ, Fraser VJ. Attributable cost of catheter-associated bloodstream infections among intensive care patients in a nonteaching hospital. Crit Care Med 2006;34:2084-9.