Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement central line bundle

Greg D. Sacks, Brian S. Diggs, Pantelis Hadjizacharia, Donald Green, Ali Salim, Darren J. Malinoski

    Research output: Contribution to journalArticle

    41 Scopus citations

    Abstract

    BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are a significant source of morbidity and mortality. This study sought to determine whether implementation of the Institute for Healthcare Improvement (IHI) Central Line Bundle would reduce the incidence of CLABSIs. METHODS: The IHI Central Line Bundle was implemented in a surgical intensive care unit. Patient demographics and the rate of CLABSIs per 1,000 catheter days were compared between the pre- and postintervention groups. Contemporaneous infection rates in an adjacent ICU were measured. RESULTS: Baseline demographics were similar between the pre- and postintervention groups. The rate of CLABSIs per catheter days decreased from 19/3,784 to 3/1,870 after implementation of the IHI Bundle (1.60 vs 5.02 CLABSIs per 1,000 catheter days; rate ratio.32 [.08 to.99, P <.05]). There was no significant change in CLABSIs in the control ICU. CONCLUSIONS: Implementation of the IHI Central Line Bundle reduced the incidence of CLABSIs in our SICU by 68%, preventing 12 CLABSIs, 2.5 deaths, and saving $198,600 annually.

    Original languageEnglish (US)
    Pages (from-to)817-823
    Number of pages7
    JournalAmerican journal of surgery
    Volume207
    Issue number6
    DOIs
    StatePublished - Jun 2014

    Keywords

    • Catheter-associated line infections
    • Central venous catheters
    • Checklist
    • Healthcare cost
    • Infection control
    • Quality improvement

    ASJC Scopus subject areas

    • Surgery

    Fingerprint Dive into the research topics of 'Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement central line bundle'. Together they form a unique fingerprint.

  • Cite this