Reducing Adult Central Line Related Bloodstream Inefctions

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Reducing Central Line Related Bloodstream Infectio
ns in Hospitalized Adults
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Team
Infection Control Department ICU Leadership
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OPPORTUNITY STATEMENT

• Central line infections are a common medical
• problem in hospitalized patients
• These translate into increased rates of
• mortality, morbidity and costs
• Solutions based on national guidelines
• and successful practice at other healthcare
  
• organizations
• Goal To reduce central line infections by 40

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Solutions Implemented

• Standardized central line insertion protocol
  disseminated to staff
• Antimicrobial coated central line catheters kits
  containing Chloraprep, full body sterile drape
  and safety devices available
• Standardized supply lists for line insertion
• Education and testing of faculty and nursing
  staff on central line insertion protocols through
  e-learning modules

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Before
After
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Results

• Reduction of Central Line Related Bloodstream
  Infections from 5.3 to 2.9/1000 Central Line Days
• Infection rates have decreased by 47

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Results (continued)

• Average cost per bloodstream infection 56,000
• 7 fewer infections in 2006 than 2005
• 7 x 56,000 392,000 in cost savings

OGrady NP. Alexander M, Dellinger EP, et al
Guidelines for the prevention of intravascular
catheter-related infections. MM/WR Recomm Rep
2002 51(RR-10) 1-29
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Next Steps

• Decrease catheter related bloodstream infections
  to 2/1000 central line days per LUHS Patient
  Safety Plan FY 07.
• Continue to present data at adult ICU Quality
  Improvement meetings for discussion.
• Review the process of insertion and maintenance
  of central lines on patients who had bloodstream
  infections and make improvements in practice as
  needed.
• Capture cost savings on prevented infections and
  report periodically to senior leadership.