TY - JOUR
T1 - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections
AU - Sawyer, Melinda
AU - Weeks, Kristina
AU - Goeschel, Christine A.
AU - Thompson, David A.
AU - Berenholtz, Sean M.
AU - Marsteller, Jill A.
AU - Lubomski, Lisa H.
AU - Cosgrove, Sara E.
AU - Winters, Bradford D.
AU - Murphy, David J.
AU - Bauer, Laura C.
AU - Duval-Arnould, Jordan
AU - Pham, Julius C.
AU - Colantuoni, Elizabeth
AU - Pronovost, Peter J.
N1 - Funding Information:
This study was supported, in part, by the Agency for Healthcare Research and Quality.
Funding Information:
Dr. Pronovost and Ms. Goeschel report receiving honoraria from hospital associations and health systems to speak on quality and patient safety, along with support from the Agency for Healthcare Research and Quality (AHRQ; Rockville, MD) from 2003 to 2005 (iUC1HS14246) (PJP). Dr. Cosgrove has also received support from the AHRQ. Dr. Marsteller also received funding from the AHRQ. The remaining authors have not disclosed any potential conflicts of interest.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2010/8
Y1 - 2010/8
N2 - 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.
AB - 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.
KW - Comprehensive Unit-Based Safety Program
KW - central catheter-associated bloodstream infection
KW - culture
KW - healthcare-associated infections
KW - measurement
KW - multidisciplinary teamwork
KW - patient safety
KW - quality improvement
KW - translating evidence into practice
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U2 - 10.1097/CCM.0b013e3181e6a165
DO - 10.1097/CCM.0b013e3181e6a165
M3 - Article
C2 - 20647786
AN - SCOPUS:77954950073
SN - 0090-3493
VL - 38
SP - S292-S298
JO - Critical Care Medicine
JF - Critical Care Medicine
IS - 8 SUPPL.
ER -