Calculation of outcome rates that diagnose bedside performance: central-line-associated bloodstream infection
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Author(s):
- Davis, James, author Finley, Edward, author
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body. Institute for Safe Medication Practices, issuing body. ECRI (Organization), issuing body.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Bacteremia -- epidemiology Bacteremia -- etiology Catheter-Related Infections -- epidemiology Catheter-Related Infections -- etiology Catheterization, Central Venous -- adverse effects Infection control Medical Errors -- statistics & numerical data Outcome Assessment (Health Care) Research Design Catheterization, Central Venous -- instrumentation Electronic Health Records Hospitals -- statistics & numerical data Maintenance -- standards Medical Errors -- prevention & control Patient safety Time Factors Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- Historically, central-line-associated bloodstream infection (CLABSI) has been presented using one rate: infections per 1,000 central-line-days. While this calculation is useful for looking at overall central-line infection prevention, the calculation fails to provide information specifically related to central-line insertion or maintenance problems. Pennsylvania Patient Safety Authority analysts queried the National Healthcare Safety Network database to determine the dates of CLABSI infection events for calendar years 2010 through 2012 in Pennsylvania hospitals, along with the accompanying dates of insertion for central venous catheters (CVCs). The analysis shows that both the combined CLABSI rate and the CVC insertion infection rate trend lines are trending upward and that the CVC maintenance infection rate trend line is essentially flat. This example of trending over three years shows the limitation of using the traditional aggregate CLABSI rate to identify the CVC infection phase causing the increase. Authority analysts have shown that splitting CLABSI infection rates in a manner that correlates to the specific phase of CVC life enables clinicians to track insertion and maintenance performance. Insertion and maintenance of CVCs are separate processes; hence, there is a need for separate measurements to better target resources and improvement efforts.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (4 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101617040 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101617040