Eliminating central line-associated bloodstream infections: A national patient safety imperative

Infection Control and Hospital Epidemiology

Volumn 35, Issue 1, 2014, Pages 56-62

  Berenholtz, Sean M ^a,b   Lubomski, Lisa H ^a   Weeks, Kristina ^a   Goeschel, Christine A ^a,b   Marsteller, Jill A ^a,b   Pham, Julius C ^a   Sawyer, Melinda D ^a   Thompson, David A ^a   Winters, Bradford D ^a   Cosgrove, Sara E ^a   Yang, Ting ^a   Louis, Thomas A ^b   Lucas, Barbara Meyer ^c   George, Christine T ^c   Watson, Sam R ^c   Albert Lesher, Mariana I ^d   Andre, Justin R St ^d   Combes, John R ^d   Bohr, Deborah ^d   Hines, Stephen C ^d   Battles, James B ^e   Pronovost, Peter J ^a,b   more..

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

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

^c Michigan Health and Hospital Association Keystone Center for Patient Safety and Quality   (United States)

^d Health Research and Educational Trust   (United States)

^e AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CATHETER INFECTION; FOLLOW UP; HEALTH CARE PLANNING; HEALTH PROGRAM; HOSPITAL BED CAPACITY; HUMAN; INCIDENCE; INFECTION RATE; INTENSIVE CARE UNIT; MEDICAL SOCIETY; PATIENT SAFETY; SENSITIVITY ANALYSIS; TOTAL QUALITY MANAGEMENT;

ADULT; CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; CROSS INFECTION; HUMANS; INCIDENCE; INFECTION CONTROL; INTENSIVE CARE UNITS; PROGRAM EVALUATION; UNITED STATES;

EID: 84890388265     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.1086/674384     Document Type: Article

References (20)

1. Klevens RM, Edwards JR, Richards CL, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122:160-166.
2. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-2732.
3. Pronovost PJ, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ 2010;340:c309.
4. Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. BMJ 2011; 342:d219.
5. Waters HR, Korn R Jr, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Am J Med Qual 2011;26:333-339.
6. DePalo VA, McNicoll L, Cornell M, Rocha JM, Adams L, Pronovost PJ. The Rhode Island ICU Collaborative: a model for reducing central line-associated bloodstream infection and ventilator-associated pneumonia statewide. Qual Saf Health Care 2010;19:555-561.
7. Centers for Disease Control and Prevention. Reduction in central line-associated bloodstream infections among patients in intensive care units-Pennsylvania, April 2001-March 2005. MMWR Morb Mortal Wkly Rep 2005;54:1013-1016.
8. National action plan to prevent healthcare-associated infections: road map to elimination. Department of Health and Human Services web site. http://www.hhs.gov/ash/initiatives/hai/ actionplan/. Published 2009. Accessed August 16, 2013.
9. Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central lineassociated bloodstream infections. Crit Care Med 2010;38:S292-S298.
10. Dixon-Woods M, Bosk CL, Aveling E, Goeschel CA, Pronovost PJ. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q 2011;89:167-205.
11. Berenholtz SM, Pronovost PJ, Lipsett PA, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004;32:2014-2020.
12. Gurses AP, Murphy DJ, Martinez EA, Berenholtz SM, Pronovost PJ. A practical tool to identify and eliminate barriers to compliance with evidence-based guidelines. Jt Comm J Qual Patient Saf 2009;35:526-532.
13. Timmel J, Kent PS, Holzmueller CG, Paine LA, Schulick RD, Pronovost PJ. Impact of the comprehensive unit-based safety program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm J Qual Patient Saf 2010;36:252-260.
14. Using a comprehensive unit-based safety program to prevent healthcare-associated infections. Agency for Healthcare Research and Quality web site. http://www.ahrq.gov/professionals /quality-patient-safety/cusp/index.html. Updated 2013. Accessed August 16, 2013.
15. 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;36:309-332.
16. Dobson AJ, Barnett AG. Introduction to Generalized LinearModels. 3rd ed. Boca Raton, FL: Chapman and Hall/CRC, 2008.
17. Schouten LM, Hulscher ME, van Everdingen JJ, Huijsman R, Grol RP. Evidence for the impact of quality improvement collaboratives: systematic review. BMJ 2008;336:1491-1494.
18. Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. The ability of intensive care units to maintain zero central lineassociated bloodstream infections. Arch Intern Med 2011;171: 856-858.
19. Pronovost PJ, Cardo DM, Goeschel CA, Berenholtz SM, Saint S, Jernigan JA. A research framework for reducing preventable patient harm. Clin Infect Dis 2011;52:507-513.
20. Pronovost PJ, Marsteller JA, Goeschel CA. Preventing bloodstream infections: a measurable national success story in quality improvement. Health Aff (Millwood) 2011;30:628-634.