Reduction of central line infections in Veterans Administration intensive care units: An observational cohort using a central infrastructure to support learning and improvement

BMJ Quality and Safety

Volumn 20, Issue 8, 2011, Pages 725-732

  Render, Marta L ^a,c   Hasselbeck, Rachael ^a   Freyberg, Ron W ^a   Hofer, Timothy P ^a,d   Sales, Anne E ^a   Almenoff, Peter L ^a,b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF KANSAS   (United States)

^c UNIVERSITY OF CINCINNATI   (United States)

^d UNIVERSITY OF MICHIGAN   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHLORHEXIDINE GLUCONATE;

BLOODSTREAM INFECTION; CATHETER INFECTION; CATHETERIZATION; CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTION; CENTRAL VENOUS CATHETER; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; COHORT ANALYSIS; CONTROLLED STUDY; CORRELATION COEFFICIENT; DEEP VEIN THROMBOSIS; DISINFECTION; FEMORAL VEIN; HAND WASHING; HEALTH CARE SYSTEM; HOSPITAL INFECTION; HUMAN; HYPERGLYCEMIA; HYPOGLYCEMIA; INCIDENCE; INFECTION CONTROL; INTENSIVE CARE UNIT; LEADERSHIP; LENGTH OF STAY; MAJOR CLINICAL STUDY; OBSERVATIONAL STUDY; PATIENT MONITORING; PATIENT SAFETY; POSTOPERATIVE PERIOD; PUBLIC HOSPITAL; QUALITY CONTROL; REVIEW; RISK REDUCTION; VENTILATOR ASSOCIATED PNEUMONIA;

CATHETER-RELATED INFECTIONS; COHORT STUDIES; CROSS INFECTION; HUMANS; INFECTION CONTROL; INSERVICE TRAINING; INTENSIVE CARE UNITS; MENTORS; QUALITY IMPROVEMENT; SEPSIS; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 79960746251     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs.2010.048462     Document Type: Review

References (30)

1. Shojania KG, Duncan BW, McDonald KM, et al. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Rockville, Maryland: AHRQ Publication No. 01-E058, 2001.
2. Berwick DM, Calkins DR, McCannon CJ, et al. The 100,000 lives campaign: setting a goal and deadline for improving healthcare quality. JAMA 2006;295:324-7. (Pubitemid 43112962)
3. Raad II, Bodey GP. Infectious complications of indwelling vascular catheters. Clin Infect Dis 1992;15:197-208.
4. Weinstein MP, Towns ML, Quartey SM, et al. The clinical significance of positive blood cultures in the 1990s: a prospective comprehensive evaluation of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults. Clin Infect Dis 1997;24:584-602. (Pubitemid 27143552)
5. Soufir L, Timsit JF, Mahe C, et al. Attributable morbidity and mortality of catheter-related septicemia in critically ill patients: a matched, risk-adjusted, cohort study. Infect Control Hosp Epidemiol 1999;20:396-401.
6. Saint S, Veentra DL, Lipsky BA. The clinical and economic consequences of nosocomial central venous catheter-related infection: are antimicrobial catheters useful? Infect Control Hosp Epidemiol 2000;21:375-80.
7. Chaiyakunapruk N, Veenstra DL, Lipsky BA, et al. Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: a meta-analysis. Ann Intern Med 2002;136:792-801. (Pubitemid 34568649)
8. Curtis JR, Cook DJ, Wall RJ, et al. Intensive care unit quality improvement: a "how-to" guide for the interdisciplinary team. Crit Care Med 2006;34:211-18. (Pubitemid 43032399)
9. Koll BS, Straub TA, Jalon HS, et al. The CLABs collaborative: a regionwide effort to improve the quality of care in hospitals. Jt Comm J Qual Patient Saf 2008;34:713-23.
10. Galpern D, Guerrero A, Tu A, et al. Effectiveness of a central line bundle campaign on line-associated infections in the intensive care unit. Surgery 2008;144:492-5.
11. Render ML, Brungs S, Kotagal, et al. Evidence-based practice to reduce central line infections. Jt Comm J Qual Patient Saf 2006;32:253-60.
12. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32. (Pubitemid 46021509)
13. CMS. Hospital Acquired Conditions Fact Sheet, 2008. http://www.cms.hhs. gov/HospitalAcqCond/02-Statute-Regulations-Program-Instructions.asp#TopOfPage (accessed 24 Apr 2009).
14. Center for Disease Control. First State Specific Healthcare- Associated Infections Summary Data Report. http://www.cdc.gov/hai/pdfs/stateplans/SIR-05- 25-2010.pdf (accessed 1 Aug 2010).
15. Sox HC. Improving the quality of reporting studies of quality improvement: the SQUIRE guidelines. Ann Intern Med 2008;149:683.
16. Almenoff P, Sales A, Rounds S, et al. Intensive care services in the Veterans Health Administration. Chest 2007;132:1455-62. (Pubitemid 350155999)
17. Render ML, Kim HM, Deddens J, et al. Variation in outcomes in Veterans Affairs intensive care units with a computerized severity measure. Crit Care Med 2005;33:930-9. (Pubitemid 40638160)
18. Render ML, Deddens J, Freyberg R, et al. Veterans Affairs intensive care unit risk adjustment model: validation, updating, recalibration. Crit Care Med 2008;36:1031-42. (Pubitemid 351482647)
19. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309-32. (Pubitemid 351763841)
20. Gustafson TL. Practical risk-adjusted quality control charts for infection control. Am J Infect Control 2000;28:406-14. (Pubitemid 32006289)
21. Edwards JR, Peterson KD, Andrus ML, et al. National Healthcare Safety Network (NHSN) Report, data summary for 2006 through 2007, issued November 2008. Am J Infect Control 2008;36:609-26.
22. Hospital Acquired Infections in Missouri. 2008. http://www.dhss.mo.gov/ HAI/main.php (accessed 31 Aug 2009).
23. Hospital Acquired Infections in Pennsylvannia. 2007. http://www.phc4.org/ reports/hai (accessed 31 Aug 2009).
24. Hospital Acquired Infections in New York State. 2008. http://www.health.state.ny.us/statistics/facilities/hospital/ hospital-acquired-infections
25. State of Colorado Status Report on the Health Facility Acquired Infections Disclosure Initiative. 2009. http://www.cdphe.state.co.us/hf/ PatientSafety (accessed 27 Dec 2009).
26. Warren DK, Cosgrove SE, Diekema DJ, et al. A multicenter intervention to prevent catheter-associated bloodstream infections. Infect Control Hosp Epidemiol 2006;27:662-9. (Pubitemid 44271945)
27. Krein SL, Hofer TP, Kowalski CP, et al. Use of central venous catheter-related bloodstream infection prevention practices by US hospitals. Mayo Clin Proc 2007;82:672-8. (Pubitemid 46878089)
28. Berenholtz SM, Dorman T, Ngo K, et al. Qualitative review of intensive care unit quality indicators. J Crit Care 2002;17:1-12. (Pubitemid 34538872)
29. McMillan TR, Hyzy RC. Bringing quality improvement into the intensive care unit. Crit Care Med 2007;35(Suppl 2):S59-65. (Pubitemid 46148379)
30. Foster TC, Johnson JK, Nelson EC, et al. Using a Malcolm Baldrige framework to understand high-performing clinical microsystems. Qual Saf Health Care 2007;16:334-41. (Pubitemid 47612671)