Beruflich Dokumente
Kultur Dokumente
Fisher D et al. Central Line Associated Bloodstream Infections in North Carolina NICUs.
Pediatrics. 2013 Dec;132(6):e1664-71
Result:
• 13 NICUs
• Monthly NICU Demographic Data Collection
– 78,967 total patient days
– 26,499 total catheter days
– 52,998 total catheter shifts
• Insertion Data
– 1209 Catheters
• Maintenance Data
– 17,008 line observations (observation from 36% of all catheter shifts)
Initiative Background
Fisher D et al. Central Line Associated Bloodstream Infections in North Carolina NICUs.
Pediatrics. 2013 Dec;132(6):e1664-71
National CLABSI
• Partnership with AHA/AHRQ
• Multistate NICU CLABSI initiative
– 9 States
– 91 NICUs
• Action Plan similar to NC CLABSI initiative
– Insertion/Maintenance Bundles
– CUSP
• Result:
– 38,892 Line Insertion Observations
– 202,398 Maintenance Observations
• 54% reporting overall
– 371,862 NHSN Line Days
Initiative Background
• Achieved a 58%
reduction in NCLABSI
rates
• An estimated 131
infections were
prevented
• Translates to an
estimated 14 – 41
deaths prevented
• $2,201,776 in excess
costs averted
Initiative Background
Fisher D et al. Central Line Associated Bloodstream Infections in North Carolina NICUs.
Pediatrics. 2013 Dec;132(6):e1664-71
Result:
• 13 NICUs
• Monthly NICU Demographic Data Collection
– 78,967 total patient days
– 26,499 total catheter days
– 52,998 total catheter shifts
• Insertion Data
– 1209 Catheters
• Maintenance Data
– 17,008 line observations (observation from 36% of all catheter shifts)
Initiative Background