Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections

Research output: Contribution to journalArticlepeer-review

Abstract

Healthcare-associated infections are common, costly, and often lethal. Although there is growing pressure to reduce these infections, one project thus far has unprecedented collaboration among many groups at every level of health care. After this project produced a 66% reduction in central catheter-associated bloodstream infections and a median central catheter-associated bloodstream infection rate of zero across >100 intensive care units in Michigan, the Agency for Healthcare Research and Quality awarded a grant to spread this project to ten additional states. A program, called On the CUSP: Stop BSI, was formulated from the Michigan project, and additional funding from the Agency for Healthcare Research and Quality and private philanthropy has positioned the program for implementation state by state across the United States. Furthermore, the program is being implemented throughout Spain and England and is undergoing pilot testing in several hospitals in Peru. The model in this program balances the tension between being scientifically rigorous and feasible. The three main components of the model include translating evidence into practice at the bedside to prevent central catheter-associated bloodstream infections, improving culture and teamwork, and having a data collection system to monitor central catheter-associated bloodstream infections and other variables. If successful, this program will be the first national quality improvement program in the United States with quantifiable and measurable goals.

Original languageEnglish (US)
Pages (from-to)S292-S298
JournalCritical care medicine
Volume38
Issue number8 SUPPL.
DOIs
StatePublished - Aug 2010

Keywords

  • Comprehensive Unit-Based Safety Program
  • central catheter-associated bloodstream infection
  • culture
  • healthcare-associated infections
  • measurement
  • multidisciplinary teamwork
  • patient safety
  • quality improvement
  • translating evidence into practice

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections'. Together they form a unique fingerprint.

Cite this