ICUs in Michigan participating in the Comprehensive Unit-based Safety Program, an initiative to reduce central line-associated bloodstream infections, have sustained a rate of zero for up to two years, according to a study in the Archives of Internal Medicine.
Key findings from the study:
- 60% of the 80 ICUs evaluated went 1 year or more without an infection,
- 26% achieved 2 years or more
- Smaller hospitals sustained zero infections longer than larger hospitals
The Comprehensive Unit-based Safety Program, was implemented as part of the Keystone Intensive Care Unit Project in Michigan hospitals. The program is a comprehensive approach that includes promoting a culture of patient safety, improving communication among ICU staff teams, and using a checklist to promote implementation of practices based on guidelines from the CDC.
(Sources: The Advisory Board Daily Briefing, http://advisory.com, May 11, 2011; The Archives of Medicine, http://archinte.ama-assn.org, May, 2011; Agency for Healthcare Research and Quality, http://www.ahrq.gov, May 9, 2011)