Eliminating Hospital Infections

1
Eliminating Hospital Infections

• Lucian L. Leape, MD
• Harvard School of Public Health
• 4th Annual Betsy Lehman Center
• Patient Safety Conference
• December 4, 2007

2
Hospital-acquired Infections - CDC

• Total 1.7 million
• Deaths 99,000
• MRSA 94,000
• Deaths 18,650

3
Hospital-Acquired Infection in Pennsylvania
2005 (168 hospitals)

• 19,154 cases of hospital-acquired infections
• Deaths 2471
• 394,129 excess hospital days
• Mortality 12.9 v.
• 2.3 for no infection
• Cost 3.5 billion in excess charges
• Average 182,729 per case

4
The Michigan Experience

• 68 Hospitals March 04-June 05
• NO Central Line Infection or Ventilator-associated
  Pneumonia for more than 6 months
• - Lives saved 1578
• - Hospital days saved 81,000
• - Costs saved 165 million

5
Leapfrog Group survey - 2007 1256
participating hospitals

• Full compliance with prevention standards
• VAP - 38.5
• CLBI - 35.4
• SSI - 32.3
• Influenza 30.7
• Hand Hygiene 35.6

6
Correlation of patient ratings of care with
hospital infection rates

• Room cleanliness -.27
• Skill of person who
• took your blood -.25
• Promptness in responding
• to call button -.23
• Trucano and Kaldenberg, Pat Saf Qual Hlth
  Aug 2007