1. Reducing Central Line Related Bloodstream Infections in Hospitalized Adults

2. Team Infection Control Department ICU Leadership

3. OPPORTUNITY STATEMENT  Central line infections are a common medical problem in hospitalized patients  These translate into increased rates of mortality, morbidity and costs  Solutions based on national guidelines and successful practice at other healthcare organizations Goal: To reduce central line infections by 40%

4. Solutions Implemented  Standardized central line insertion protocol disseminated to staff  Antimicrobial coated central line catheters kits containing Chloraprep, full body sterile drape and safety devices available  Standardized supply lists for line insertion  Education and testing of faculty and nursing staff on central line insertion protocols through e-learning modules

5. BeforeAfter

6. Results Reduction of Central Line Related Bloodstream Infections from 5.3 to 2.9/1000 Central Line Days 47% Infection rates have decreased by 47%

7. Results (continued) Average cost per bloodstream infection: $56,000* 7 fewer infections in 2006 than 2005 $392,000 in cost savings 7 x $56,000 = $392,000 in cost savings * O’Grady NP. Alexander M, Dellinger EP, et al: Guidelines for the prevention of intravascular catheter-related infections. MM/WR Recomm Rep; 2002 51(RR-10): 1-29

8. Next Steps  Decrease catheter related bloodstream infections to 2/1000 central line days per LUHS Patient Safety Plan FY ’07.  Continue to present data at adult ICU Quality Improvement meetings for discussion.  Review the process of insertion and maintenance of central lines on patients who had bloodstream infections and make improvements in practice as needed.  Capture cost savings on prevented infections and report periodically to senior leadership.