Estimating the savings of a national project to prevent healthcare-associated infections in intensive care units

Oliveira, R.M.C.; de Sousa, A.H.F.; de Salvo, M.A.; Petenate, A.J.; Gushken, A.K.F.; Ribas, E.; Torelly, E.M.S.; Silva, K.C.C.D.; Bass, L.M.; Tuma, P.; Borem, P.; Ue, L.Y.; de Barros, C.G.; Vernal, S.

doi:10.1016/j.jhin.2023.10.001

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…Healthcare-associated infections (HAIs), including central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs) contribute to increased patient morbidity and mortality while adding unnecessary costs to healthcare [ 1 , 2 , 3 ]. Since HAIs are largely preventable, clinical bundles have been created and promulgated to reduce the occurrence of HAIs.…”

Section: Introductionmentioning

confidence: 99%

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When Infections Are Found: A Qualitative Study Characterizing Best Management Practices for Central Line-Associated Bloodstream Infection and Catheter-Associated Urinary Tract Infection Performance Monitoring and Feedback

Gaughan,

MacEwan,

Gregory

et al. 2024

Nursing Reports

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Healthcare-associated infections (HAIs) remain a significant patient safety problem that can lead to illness and death, despite the implementation of clinical bundles to prevent HAIs. Management practices can support HAI prevention, but their role in HAI performance monitoring and feedback is not well understood. To address this knowledge gap, we previously conducted semi-structured interviews with staff at 18 hospitals to examine the role of management practices around the prevention of central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs). Interview transcripts were analyzed to identify themes related to HAI performance monitoring and feedback. The current analysis focuses on 10 higher-performing hospitals that were successful in preventing CLABSIs and CAUTIs. These institutions had robust practices including timely event analysis, leadership engagement, and multidisciplinary participation in HAI reviews. Across these sites, we found common goals including investigating HAIs without blame and identifying opportunities for improvement. Management practices such as timely analysis of HAIs, collaboration between facility leadership and multidisciplinary team members, and a focus on identifying the failure of a procedure or protocol, rather than the failure of staff members, are all approaches that can support infection prevention efforts. These management practices may be especially important as hospitals attempt to address increases in CLABSI and CAUTI rates that may have occurred during the coronavirus pandemic.

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Section: Introductionmentioning

confidence: 99%

“…CAUTI and CLABSI performance data were acquired from the Centers for Medicare & Medicaid Services (CMS) Hospital Care Compare data 2. Hospital size was defined by the number of beds: Small = less than 300 beds; Medium = 300 to 499 beds; Large = 500 to 899 beds; and Extra Large = 900 or more beds.…”

mentioning

confidence: 99%