Eradicating central line-associated bloodstream infections statewide: The Hawaii experience

Della M. Lin, Kristina Weeks, Laura Bauer, John R. Combes, Christine T. George, Christine A. Goeschel, Lisa Lubomski, Simon Mathews, Melinda D. Sawyer, David Thompson, Sam R. Watson, Bradford D Winters, Jill A Marsteller, Sean Berenholtz, Peter J. Pronovost, Julius Cuong Pham

Research output: Contribution to journalArticle

Abstract

The authors' goal was to determine if a national intensive care unit (ICU) collaborative to reduce central line-associated bloodstream infections (CLABSIs) would succeed in Hawaii. The intervention period (July 2009 to December 2010) included a comprehensive unit-based safety program; a multifaceted approach to CLABSI prevention; and monitoring of infections. The primary outcome was CLABSI rate. A total of 20 ICUs, representing 16 hospitals and 61 665 catheter days, were analyzed. Median hospital bed size was 159 (interquartile range [IQR] = 71-212) and median ICU bed size was 10 (IQR = 8-12). Median unit catheter days per month were 112 (IQR = 52-197). The overall mean CLABSI rate decreased from 1.5 infections per 1000 catheter days at baseline (January to June 2009) to 0.6 at 16 to 18 months postintervention (October to December 2010). The median rate was zero CLABSIs per 1000 catheter days at baseline and remained zero throughout the study period. Hawaii demonstrated that the national program can be successfully spread, providing further evidence that most CLABSIs are preventable.

Original languageEnglish (US)
Pages (from-to)124-129
Number of pages6
JournalAmerican Journal of Medical Quality
Volume27
Issue number2
DOIs
StatePublished - Mar 2012

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Infection
Catheters
Hospital Bed Capacity
Intensive Care Units
Safety

Keywords

  • central line-associated bloodstream infection
  • patient safety
  • quality improvement
  • quality of care

ASJC Scopus subject areas

  • Health Policy

Cite this

Eradicating central line-associated bloodstream infections statewide : The Hawaii experience. / Lin, Della M.; Weeks, Kristina; Bauer, Laura; Combes, John R.; George, Christine T.; Goeschel, Christine A.; Lubomski, Lisa; Mathews, Simon; Sawyer, Melinda D.; Thompson, David; Watson, Sam R.; Winters, Bradford D; Marsteller, Jill A; Berenholtz, Sean; Pronovost, Peter J.; Pham, Julius Cuong.

In: American Journal of Medical Quality, Vol. 27, No. 2, 03.2012, p. 124-129.

Research output: Contribution to journalArticle

Lin, Della M. ; Weeks, Kristina ; Bauer, Laura ; Combes, John R. ; George, Christine T. ; Goeschel, Christine A. ; Lubomski, Lisa ; Mathews, Simon ; Sawyer, Melinda D. ; Thompson, David ; Watson, Sam R. ; Winters, Bradford D ; Marsteller, Jill A ; Berenholtz, Sean ; Pronovost, Peter J. ; Pham, Julius Cuong. / Eradicating central line-associated bloodstream infections statewide : The Hawaii experience. In: American Journal of Medical Quality. 2012 ; Vol. 27, No. 2. pp. 124-129.
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