A hospital-wide quality-improvement collaborative to reduce catheter-associated bloodstream infections

Pediatrics

Volumn 128, Issue 4, 2011, Pages

  Wheeler, Derek S ^a,b   Giaccone, Mary Jo ^a   Hutchinson, Nancy ^a   Haygood, Mary ^a   Bondurant, Pattie ^a   Demmel, Kathy ^a   Kotagal, Uma R ^a,b   Connelly, Beverly ^a,b   Corcoran, Melinda S ^a   Line, Kristin ^a   Rich, Kate ^a   Schoettker, Pamela J ^a   Brilli, Richard J ^c  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

^b UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

^c NATIONWIDE CHILDREN S HOSPITAL   (United States)

Author keywords

Central line; Hospital acquired infection; Microsystem; Nosocomial; Quality improvement

Indexed keywords

CHLORHEXIDINE;

ARTICLE; CATHETER INFECTION; CATHETERIZATION; HEALTH CARE MANAGEMENT; HEALTH CARE QUALITY; HOSPITAL CARE; HOSPITAL MANAGEMENT; HUMAN; INCIDENCE; INFECTION PREVENTION; INSTRUMENT STERILIZATION; PRACTICE GUIDELINE; PRIORITY JOURNAL; QUALITY IMPROVEMENT COLLABORATIVE; RETROSPECTIVE STUDY;

EID: 80053465007     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2010-2601     Document Type: Article

References (50)

1. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999
2. Burke JP. Infection control: a problem for patient safety. N Engl J Med. 2003;348(7):651-656 (Pubitemid 36204961)
3. Edwards JR, Peterson KD, Andrus ML, Dudeck MA, Pollock DA, Horan TC; National Healthcare Safety Network Facilities. National Healthcare Safety Network (NHSN) report, data summary for 2006 through 2007, issued November 2008 [published correction appears in Am J Infect Control. 2009;37(5):425]. Am J Infect Control. 2008;36(9):609-626
4. Richards MJ, Edwards JR, Culver DH, et al. National Nosocomial Infections Surveillance System. Nosocomial infections in pediatric intensive care units in the United States. Pediatrics. 1999;103(4). Available at: www.pediatrics.org/ cgi/content/full/103/4/e39
5. Odetola FO, Moler FW, Dechert RE, VanDer-Elzen K, Chenoweth C. Nosocomial catheter-related bloodstream infections in a pediatric intensive care unit: risk and rates associated with various intravascular technologies. Pediatr Crit Care Med. 2003;4(4):432-436
6. Elward AM, Fraser VJ. Risk factors for nosocomial primary bloodstream infection in pediatric intensive care unit patients: a 2-year prospective cohort study. Infect Control Hosp Epidemiol. 2006;27(6):553-560 (Pubitemid 44023389)
7. Slonim AD, Kurtines HC, Sprague BM, Singh N. The costs associated with nosocomial bloodstream infections in the pediatric intensive care unit. Pediatr Crit Care Med. 2001;2(2):170-174
8. Dominguez TE, Chalom R, Costarino AT. The impact of adverse patient occurrences on hospital costs in the pediatric intensive care unit. Crit Care Med. 2001;29:169-174 (Pubitemid 32125793)
9. Elward AM, Hollenbeak CS, Warren DK, Fraser VJ. Attributable cost of nosocomial primary bloodstream infection in pediatric intensive care unit patients. Pediatrics. 2005;115(4):868-872
10. Yogaraj JS, Elward AM, Fraser VJ. Rate, risk factors, and outcome of nosocomial primary bloodstream infection in pediatric intensive care unit patients. Pediatrics. 2002;110(3):481-485 (Pubitemid 34976674)
11. Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. Pediatr Crit Care Med. 2010;11(5):579-587
12. Blot SI, Depuydt P, Annemans L, et al. Clinical and economic outcomes in critically ill patients with nosocomial catheter-related bloodstream infections. Clin Infect Dis. 2005;41(11):1591-1598 (Pubitemid 41693760)
13. Chen YY, Wang FD, Liu CY, Chou P. Incidence rate and variable cost of nosocomial infections in different types of intensive care units. Infect Control Hosp Epidemiol. 2009;30(1):39-46
14. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheterrelated bloodstream infections in the ICU [published correction appears in N Engl J Med. 2007;356(25):2660]. N Engl J Med. 2006;355(26):2725-2732 (Pubitemid 46021509)
15. ØVretveit J, Bate P, Cleary P, et al. Quality collaboratives: lessons from research. Qual Saf Health Care. 2002;11(4):345-351
16. Schouten LM, Hulscher ME, van Everdingen JJ, Huijsman R, Grol RP. Evidence for the impact of quality improvement collaboratives: systematic review. BMJ. 2008;336(7659):1491-1494 (Pubitemid 351977022)
17. Kilo CM. A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's Breakthrough Series. Qual Manag Health Care. 1998;6:1-13
18. Wilson T, Berwick DM, Cleary PD. What do collaborative improvement projects do? Experience from seven countries. Jt Comm J Qual Saf. 2003;29(2):85-93
19. Nelson EC, Godfrey MM, Batalden PB, et al. Clinical microsystems, part 1. The building blocks of health systems. Jt Comm J Qual Patient Saf. 2008;34(7):367-378
20. Langley GJ, Moen R, Nolan KM, et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. San Francisco, CA: Jossey-Bass; 2009
21. Luria JW, Muething SE, Schoettker PJ, Kotagal UR. Reliability science and patient safety. Pediatr Clin North Am. 2006;53(6):1121-1133 (Pubitemid 44779683)
22. Bader B. CQI progress reports: the dashboard approach provides a better way to keep board informed about quality. Healthc Exec. 1993;8:8-11
23. Bleasdale SC, Trick WE, Gonzalez IM, Lyles RD, Hayden MK, Weinstein RA. Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit patients. Arch Intern Med. 2007;167(19):2073-2079 (Pubitemid 350036706)
24. Climo MW, Sepkowitz KA, Zuccotti G, et al. The effect of daily bathing with chlorhexidine on the acquisition of methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and healthcare-associated bloodstream infections: results of a quasi-experimental multicenter trial. Crit Care Med. 2009;37(6):1858-1865
25. Nolan T, Berwick DM. All-or-none measurement raises the bar on performance. JAMA. 2006;295(10):1168-1170 (Pubitemid 43352347)
26. Division of Healthcare Quality Promotion NCfP. The National Healthcare Safety Network (NHSN) Manual: Patient Safety Component Protocol. Atlanta, GA: Centers for Disease Control and Prevention; 2009
27. Shewhart WA. Economic Control of Quality of Manufactured Product. New York, NY: Van Nostrand Company; 1931
28. Thor J, Lundberg J, Ask J, et al. Application of statistical process control in healthcare improvement: systematic review. Qual Saf Health Care. 2007;16(5):387-399 (Pubitemid 47612679)
29. Duerksen DR, Papineau N, Siemens J, Yaffe C. Peripherally inserted central catheters for parenteral nutrition: a comparison with centrally inserted catheters. JPEN J Parenter Enteral Nutr. 1999;23(2):85-89 (Pubitemid 29115425)
30. Al Raiy B, Fakih MG, Bryan-Nomides N, et al. Peripherally inserted central venous catheters in the acute care setting: a safe alternative to high-risk short-term central venous catheters. Am J Infect Control. 2010;38(2):149-153
31. Fearonce G, Faraklas I, Saffle JR, Cochran A. Peripherally inserted central venous catheters and central venous catheters in burn patients: a comparative review. J Burn Care Res. 2010;31(1):31-35
32. Miller MR, Griswold M, Harris JM 2nd, et al. Decreasing PICU catheter-associated bloodstream infections: NACHRI's quality transformation efforts. Pediatrics. 2010;125(2):206-213
33. Kaplan HC, Lannon C, Walsh MC, Donovan EF; Ohio Perinatal Quality Collaborative. Ohio statewide quality-improvement collaborative to reduce late-onset sepsis in preterm infants. Pediatrics. 2011;127(3):427-435
34. Kilbride HW, Powers R, Wirtschafter DD, et al. Evaluation and development of potentially better practices to prevent neonatal nosocomial bacteremia. Pediatrics. 2003;111(4 pt 2). Available at: www.pediatrics.org/content/111/ Supplement-E1/e504.long
35. Kilbride HW, Wirtschafter DD, Powers RJ, Sheehan MB. Implementation of evidence-based potentially better practices to decrease nosocomial infections. Pediatrics. 2003;111(4 pt 2). Available at: www.pediatrics.org/content/111/ Supplement-E1/e519.long
36. Wirtschafter DD, Powers RJ, Pettit JS, et al. Nosocomial infection reduction in VLBW infants with a statewide quality-improvement model. Pediatrics. 2011;127(3):419-426
37. Edmond MB, Wallace SE, McClish DK, Pfaller MA, Jones RN, Wenzel RP. Nosocomial bloodstream infections in United States hospitals: a three-year analysis. Clin Infect Dis. 1999;29(2):239-244 (Pubitemid 29380177)
38. Wisplinghoff H, Bischoff T, Tallent SM, Seifert H, Wenzel RP, Edmond MB. Nosocomial bloodstream infections in US hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study [published corrections appear in Clin Infect Dis. 2004;39(7):1093 and Clin Infect Dis. 2005;40(7):1077]. Clin Infect Dis. 2004;39(3):309-317 (Pubitemid 39050477)
39. Wisplinghoff H, Seifert H, Tallent SM, Bischoff T, Wenzel RP, Edmond MB. Nosocomial bloodstream infections in pediatric patients in United States hospitals: epidemiology, clinical features and susceptibilities. Pediatr Infect Dis J. 2003;22(8):686-691 (Pubitemid 36999643)
40. Trick WE, Vernon MO, Welbel SF, Wisniewski MF, Jernigan JA, Weinstein RA. Unnecessary use of central venous catheters: the need to look outside the intensive care unit. Infect Control Hosp Epidemiol. 2004;25(3):266-268 (Pubitemid 38339636)
41. Suljagić V, Cobeljić M, Janković S, et al. Nosocomial bloodstream infections in ICU and non-ICU patients. Am J Infect Control. 2005;33(6):333-340 (Pubitemid 41078771)
42. Vonberg RP, Behnke M, Geffers C, et al. Device-associated infection rates for nonintensive care unit patients. Infect Control Hosp Epidemiol. 2006;27(4):357-361 (Pubitemid 43736099)
43. Marschall J, Leone C, Jones M, Nihill D, Fraser VJ, Warren DK. Catheter-associated bloodstream infections in general medical patients outside the intensive care unit: a surveillance study. Infect Control Hosp Epidemiol. 2007;28(8):905-909 (Pubitemid 47218267)
44. Marschall J. Catheter-associated bloodstream infections: looking outside of the ICU. Am J Infect Control. 2008;36(10):S172.e5-S172.e8
45. Climo M, Diekema D, Warren DK, et al. Prevalence of the use of central venous access devices within and outside of the intensive care unit: results of a survey among hospitals in the prevention epicenter program of the Centers for Disease Control and Prevention. Infect Control Hosp Epidemiol. 2003;24(12):942-945 (Pubitemid 38029562)
46. Yassi A, Lockhart K, Copes R, et al SARS Study Team. Determinants of healthcare workers' compliance with infection control procedures. Healthc Q. 2007;10(1):44-52
47. Watson SR, George C, Martin M, Bogan B, Goeschel C, Pronovost PJ. Preventing central line-associated bloodstream infections and improving safety culture: a statewide experience. Jt Comm J Qual Patient Saf. 2009;35(12):593-597
48. Britto MT, Anderson JM, Kent WM, et al. Cincinnati Children's Hospital Medical Center: transforming care for children and families. Jt Comm J Qual Patient Saf. 2006;32(10):541-548
49. Lesar TS, Anderson ERJ, Fields J, et al VHA New England Medication Error Prevention Initiative. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. Jt Comm J Qual Patient Saf. 2007;33(2):73-82
50. Rogers EM. Diffusion of Innovations. 5th ed. New York, NY: Free Press; 2003