Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections.
Objective: To characterize hospital-acquired bloodstream infection rates among New York State's 19 regional referral NICUs (at regional perinatal centers; RPCs) and develop strategies to promote best practices to reduce central line-associated bloodstream infections (CLABSIs). Study Design: During 2...
| Publicado en: | Journal of Perinatology Vol. 29; no. 9; pp. 591 - 600 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105423607&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105423607 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07438346 DZF jtl: Journal of Perinatology issn: 07438346 maglogo: Y pubinfo: dt: Sep2009 vid: 29 iid: 9 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 105423607 2010392475 10.1038/jp.2009.18 NLM19262569 105423607 ppf: 591 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Development of a statewide collaborative to decrease NICU central line-associated bloodstream infections. aug: au: Schulman J Stricof RL Stevens TP Holzman IR Shields EP Angert RM Wasserman-Hoff RS Nafday SM Saiman L affil: Department of Pediatrics/Newborn Medicine, Weill Cornell Medical College, The New York Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68th Street, Box 106, New York, NY 10065, USA; jos2039@med.cornell.edu sug: subj: Bacteremia Prevention and Control Central Venous Catheters Adverse Effects Intensive Care Units, Neonatal Confidence Intervals Cross Infection Data Analysis Software Guideline Adherence Hospital Policies Hospital Programs Neonatal Sepsis Epidemiology New York Organizational Change Poisson Distribution Prevalence Professional Compliance Quality Improvement Quality of Health Care Human ab: Objective: To characterize hospital-acquired bloodstream infection rates among New York State's 19 regional referral NICUs (at regional perinatal centers; RPCs) and develop strategies to promote best practices to reduce central line-associated bloodstream infections (CLABSIs). Study Design: During 2006 and 2007, RPC NICUs reported bloodstream infections, patient-days and central line-days to the Department of Health, and shared their results. Aiming to improve, participants created a central line-care bundle based on visiting a potentially best performing NICU and reviewing the literature. Result: All 19 RPCs participated in this quality initiative, contributing 218 096 patient-days and 56 911 central line-days of observation. Individual RPC nosocomial sepsis infection (NI) rates ranged from 1.0 to 5.8 NIs per 1000 patient-days (2006), and CLABSI rates ranged from 2.6 to 15.1 CLABSIs per 1000 central line-days (2007). A six-fold rate variation among RPC NICUs was observed. Participants unanimously approved a level-1 evidence-based central line-care bundle. Conclusion: Individual RPC rates and consequent morbidity and resource use attributable to these infections were substantial and varied greatly. No center was without infections. It is hoped that the cooperation and accountability exhibited by the RPCs will result in a major network for characterizing performance and improving outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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