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 Malinoski

    Research output: Contribution to journalArticle

    35 Citations (Scopus)

    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

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

    Fingerprint

    Catheter-Related Infections
    Critical Care
    Intensive Care Units
    Delivery of Health Care
    Infection
    Catheters
    Demography
    Morbidity
    Mortality
    Incidence

    Keywords

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

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement central line bundle. / Sacks, Greg D.; Diggs, Brian S.; Hadjizacharia, Pantelis; Green, Donald; Salim, Ali; Malinoski, Darren.

    In: American Journal of Surgery, Vol. 207, No. 6, 2014, p. 817-823.

    Research output: Contribution to journalArticle

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    AU - Sacks, Greg D.

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    AU - Hadjizacharia, Pantelis

    AU - Green, Donald

    AU - Salim, Ali

    AU - Malinoski, Darren

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