Sustaining Reductions in Central Line–Associated Bloodstream Infections in Michigan Intensive Care Units: A 10-Year Analysis

American Journal of Medical Quality

Volumn 31, Issue 3, 2016, Pages 197-202

  Pronovost, Peter J ^a,b   Watson, Sam R ^c   Goeschel, Christine A ^a,b   Hyzy, Robert C ^d   Berenholtz, Sean M ^a,b  

^a JOHNS HOPKINS UNIVERSITY   (United States)

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

^c Michigan Health and Hospital Association Keystone Center   (United States)

^d UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

central line associated bloodstream infections; hospital acquired infections; intensive care units; quality improvement

Indexed keywords

CATHETER INFECTION; CENTRAL VENOUS CATHETERIZATION; CROSS INFECTION; HUMAN; INTENSIVE CARE UNIT; MICHIGAN; STATISTICS AND NUMERICAL DATA;

CATHETER-RELATED INFECTIONS; CATHETERIZATION, CENTRAL VENOUS; CROSS INFECTION; HUMANS; INTENSIVE CARE UNITS; MICHIGAN;

EID: 84964770447     PISSN: 10628606     EISSN: 1555824X     Source Type: Journal    
DOI: 10.1177/1062860614568647     Document Type: Article

References (40)

1. R.M.KlevensJ.R.EdwardsC.L.RichardsJr. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 2007;122:160-166.
2. D.K.WarrenW.W.QuadirC.S.HollenbeakA.M.ElwardM.J.CoxV.J.Fraser. Attributable cost of catheter-associated bloodstream infections among intensive care patients in a nonteaching hospital. Crit Care Med. 2006;34:2084-2089.
3. N.P.O’GradyM.AlexanderE.P.Dellinger. Guidelines for the prevention of intravascular catheter-related infections. Morb Mortal Wkly Rep. 2002;55:1-29.
4. Centers for Disease Control and Prevention. Vital signs: Central line-associated bloodstream infections: United States, 2001, 2008 and 2009. Morb Mortal Wkly Rep. 2011;60:243-248.
5. Centers for Disease Control and Prevention. Reduction in central line-associated bloodstream infections among patients in intensive care units: Pennsylvania, April 2001-March 2005. Morb Mortal Wkly Rep. 2005;54:1013-1016.
6. P.J.PronovostS.M.BerenholtzC.Goeschel. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23:207-221.
7. M.SawyerK.WeeksC.A.Goeschel. Using evidence, rigorous measurement, and collaboration to eliminate central line-associated bloodstream infections. Crit Care Med. 2010;38(8, suppl):S292-S298.
8. P.PronovostD.NeedhamS.Berenholtz. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725-2732.
9. P.J.PronovostC.A.GoeschelE.Colantuoni. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ. 2010;340:c309.
10. A.Lipitz-SnydermanD.SteinwachsD.M.NeedhamE.ColantuoniL.L.MorlockP.J.Pronovost. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. BMJ. 2011;342:d219.
11. H.R.WatersR.KornJrE.Colantuoni. The business case for quality: economic analysis of the Michigan Keystone patient safety program in ICUs. Am J Med Qual. 2011;26:333-339.
12. J.B.SextonS.M.BerenholtzC.A.Goeschel. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39:934-939.
13. P.J.PronovostJ.A.MarstellerK.Weeks. A national initiative to reduce central line-associated bloodstream infections: a model for reducing preventable harm. http://healthaffairs.org/blog/2013/09/23/a-national-initiative-to-reduce-central-line-associated-bloodstream-infections-a-model-for-reducing-preventable-harm/. Accessed November 11, 2014.
14. S.M.BerenholtzL.H.LubomskiK.Weeks. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidemiol. 2014;35:56-62.
15. M.PalomarF.Alvarez-LermaA.Riera. Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Crit Care Med. 2013;41:2364-2372.
16. J.BionA.RichardsonP.Hibbert. “Matching Michigan”: a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. BMJ Qual Saf. 2013;22:110-123.
17. M.Dixon-WoodsM.LeslieJ.BionC.Tarrant. What counts? An ethnographic study of infection data reported to a patient safety program. Milbank Q. 2012;90:548-591.
18. M.Dixon-WoodsM.LeslieC.TarrantJ.Bion. Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci. 2013;8:70.
19. S.Wiltsey StirmanJ.KimberlyN.CookA.CallowayF.CastroM.Charns. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci. 2012;7:17.
20. E.AvelingG.P.MartinN.ArmstrongJ.BanerjeeM.Dixon-Woods. Quality improvement through clinical communities: eight lessons for practice. J Health Organ Manag. 2012;26:158-174.
21. P.J.PronovostS.M.BerenholtzD.M.Needham. Translating evidence into practice: a model for large scale knowledge translation. BMJ. 2008;337:963-965.
22. P.PronovostB.WeastB.Rosenstein. Implementing and validating a comprehensive unit-based safety program. J Patient Safety. 2005;1:33-40.
23. J.TimmelP.S.KentC.G.HolzmuellerL.A.PaineR.D.SchulickP.J.Pronovost. 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.
24. L.A.Mermel. Prevention of intravascular catheter-related infections. Ann Intern Med. 2000;132:391-402.
25. S.M.BerenholtzP.J.PronovostP.A.Lipsett. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med. 2004;32:2014-2020.
26. D.M.Berwick. Improving patient care: my right knee. Ann Intern Med. 2005;142:121-125.
27. M.A.ScheirerJ.W.Dearing. An agenda for research on the sustainability of public health programs. Am J Public Health. 2011;101:2059-2067.
28. C.DoyleC.HoweT.Woodcock. Making change last: applying the NHS Institute for Innovation and Improvement sustainability model to healthcare improvement. Implement Sci. 2013;8:127.
29. M.Dixon-WoodsC.L.BoskE.AvelingC.A.GoeschelP.J.Pronovost. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89:167-205.
30. Centers for Medicare and Medicaid Services. Hospital-Acquired Conditions (HAC) in Acute Inpatient Prospective Payment System (IPPS) Hospitals, Fact Sheet. Washington, DC: Department of Health and Human Services, Centers for Medicare and Medicaid Services; 2012.
31. Centers for Medicare and Medicaid Services. About the partnership: hospital engagement networks. http://partnershipforpatients.cms.gov/about-the-partnership/hospital-engagement-networks/thehospitalengagementnetworks.html. Accessed November 11, 2014.
32. R.B.WomerE.TracyW.Soo-HooB.BickertS.DiTarantoJ.H.Barnsteiner. Multidisciplinary systems approach to chemotherapy safety: rebuilding processes and holding the gains. J Clin Oncol. 2002;20:4705-4712.
33. G.R.YatesR.F.HochmanS.M.SaylesC.A.Stockmeier. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qual Saf. 2004;30:534-542.
34. D.H.GustafsonF.SainfortM.EichlerL.AdamsM.BisognanoH.Steudel. Developing and testing a model to predict outcomes of organizational change. Health Serv Res. 2003;38:751-776.
35. T.GreenhalghG.RobertF.MacfarlaneP.BateO.Kyriakidou. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581-629.
36. C.H.LyderJ.GradyD.MathurM.K.PetrilloT.P.Meehan. Preventing pressure ulcers in Connecticut hospitals by using the plan-do-study-act model of quality improvement. Jt Comm J Qual Saf. 2004;30:205-214.
37. J.A.AlexanderB.J.WeinerM.E.Metzger. Sustainability of collaborative capacity in community health partnerships. Med Care Res Rev. 2003;60(4, suppl):130S-160S.
38. R.TooherP.MiddletonC.Pham. A systematic review of strategies to improve prophylaxis for venous thromboembolism in hospitals. Ann Surg. 2005;241:397-415.
39. P.Van HerckD.De SmedtL.AnnemansR.RemmenM.B.RosenthalW.Sermeus. Systematic review: effects, design choices, and context of pay-for-performance in health care. BMC Health Serv Res. 2010;10:247.
40. P.PronovostA.K.Jha. Did hospital engagement networks actually improve care?N Engl J Med. 2014;371:691-693.