Navigation Links
Quality Transformation Collaborative Effort by Hospitals Saves Children's Lives by Eradicating Bloodstream Infections

Study Results Published in the Journal Pediatrics

Alexandria, VA (Vocus) January 11, 2010 -- Catheter-associated blood stream infections (CA-BSIs) are infections that occur in hospitalized children’s central venous catheters (a catheter is flexible medical tubing inserted into the body). They are also a preventable harm that carries a price tag of at least $50,000 per event and a 10 percent to 20 percent mortality risk for children. In October 2006, a group of 29 pediatric intensive care units (PICUs) in 27 children’s hospitals across the country began working together and studying how to eradicate CA-BSIs in PICU patients. Through a quality transformation collaborative formed by the National Association of Children’s Hospitals and Related Institutions (NACHRI), these PICU teams have prevented 121 deaths, 1000 CA-BSI infections and saved $35 million in infection-related costs, as of December 2009.

In a soon to be published Pediatrics article (February print issue) on the NACHRI quality transformation collaborative’s outcomes from the first 12 months of work through September 2007, lead author and NACHRI Quality Transformation Vice President Marlene Miller, MD, MSc and her co-authors assert that significantly reducing the risk of CA-BSIs in pediatric patients is possible and requires a different focus than what works to reduce the risk of these infections in adult patients. They have learned that reducing CA-BSI events requires an approach combining evidence-based guidelines for catheter insertion with daily maintenance care for central lines. In fact the main driver in reducing CA-BSI infections by almost 50 percent in 12 months was the reliable use of the recommended daily maintenance care for central lines. The collaborative study is the first to clearly differentiate the affect of insertion-related practices, well documented in adult-patient academic literature as driving the reduction of CA-BSIs in intensive care, from maintenance-related practices that are predictive of being able to reduce children’s CA-BSI rates.

During the study period, October 2006 to September 2007, average CA-BSI rates were reduced by 43 percent across the 29 PICUs: 5.4 versus 3.1 CA-BSIs per 1000 central-line days primarily through daily maintenance-bundle compliance, “what the nurse does when handling the central line to introduce medications, fluids, flushes, etc. and what the physician does in terms of orders that require entry of the central line every day such as frequencies of blood sample draws and number of medications given each day,” says Miller. “In pediatric intensive care, we access our central lines more often than adult intensive care unit providers, so day-to-day maintenance practices really matter.” More than 30 additional PICU teams joined the quality transformation effort in June 2008 for its second phase and 17 more PICU teams joined for its third phase, which began in fall 2009. “Soon this quality transformation effort will publish its findings after three years of work which will show even further and substantial reductions in CA-BSI rates with PICU teams working on reliably doing best practices for central line insertion and, more importantly, the day to day care of the central line or maintenance practices,” adds Miller.
According to NACHRI quality transformation faculty, a key factor in the progressively successful outcomes is the number of PICUs involved. “Because of the larger sample size, outcomes can be understood more rapidly,” notes Debra Ridling, RN, MS, co-author and director of nursing quality and evidence-based practice at Seattle Children’s Hospital in Washington.

Another key feature, according to faculty, is transparency. Every PICU involved knows how everyone else is doing – not only rates of infection, but also rates of compliance with both the insertion and maintenance bundles. Quality transformation efforts “offer the opportunity to learn from one another more quickly,” says Richard Brilli, MD, chief medical officer at Nationwide Children’s Hospital in Columbus, OH and who, along with Miller, is co-chair of the NACHRI PICU CA-BSI quality transformation collaborative and also co-authored the article in Pediatrics.

Modeled on the success of this PICU CA-BSI project, a NACHRI hematology oncology quality transformation effort was launched in fall 2009 to reduce the rate of nosocomial CA-BSI among pediatric hematology oncology patients. Thirty-three pediatric hematology oncology teams from 28 children’s hospitals are participating. This represents a first step toward a goal recently articulated by the federal government’s Agency for Healthcare Research and Quality to spread the national effort to reduce CA-BSIs outside intensive care units to all the patients in the U.S. who have chronic central lines such as children with oncologic diseases. Miller believes this work will open the door to learning how to prevent CA-BSIs in community hospitals, ambulatory clinics, home care agencies and even the home setting.

According to Lawrence McAndrews, president and CEO of NACHRI, “Quality Transformation efforts are innovative, productive, and nimble vehicles to test new practices, discover new evidence and allow improvement to take place and spread more quickly. NACHRI leads this effort to improve the quality of children’s patient care because it’s in our DNA – we want all children to reach their full health potential.”

For an embargoed copy of the Pediatrics article “Decreasing Catheter-Associated Bloodstream Infections in the PICU: Results from the National Association of Children’s Hospitals and Related Institutions’ Catheter-Associated Bloodstream Infections Quality Improvement Collaborative,” contact Susan Martin at the American Academy of Pediatrics, at ssmartin(at) or 847-434-7131.

About NACHRI: The National Association of Children’s Hospitals and Related Institutions is a membership organization of more than 200 children’s hospitals in the United States, Canada and abroad. NACHRI promotes the health and well-being of children and their families through support of children’s hospitals and health systems that are committed to excellence in providing health care to children.

Contact: Norida Torriente


Read the full story at

Source: PRWeb
Copyright©2010 Vocus, Inc.
All rights reserved  

Related medicine news :

1. More proof needed of safety and quality of electronic personal health records
2. Pitt study finds inequality in tobacco advertising
3. Poor indoor air quality means poorer health for patients with COPD
4. Kingfisher Healthcare (KFH) Achieves World Class Quality Platform
5. Exempla Healthcare Contracts For Talismans Quality Donor System
6. Study finds primary care depression treatment often does not follow quality guidelines
7. Income inequality associated with overnourishment and undernourishment in India
8. Exercise and yoga improves quality of life in women with early-stage breast cancer
9. Patient Advocate Foundation Launches Program to Help Uninsured Virginians with Chronic, Debilitating and Life-Threatening Illness Access Quality Healthcare
10. Bridgetech Announces Addition of the Agency for Healthcare Research and Quality as Content Provider in its Development of a Healthcare Web Portal in China
11. 7th Annual Quality Conference: 2 Days to Lock in Discounted Rate at The Ritz-Carlton
Post Your Comments:
Related Image:
Quality Transformation Collaborative Effort by Hospitals Saves Children's Lives by Eradicating Bloodstream Infections
(Date:11/30/2015)... ... November 30, 2015 , ... Holcomb – Kreithen Plastic ... surgery practices in Florida, is proud to announce that Dr. Joshua Kreithen, one ... Ethicon Inc., a Johnson & Johnson Company. , Ethicon is a global medical ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... alliance around Novus’ TIGR® Matrix Surgical Mesh technology for soft tissue repair in ... TIGR® Matrix is a long-term resorbable surgical mesh intended to support and reinforce ...
(Date:11/30/2015)... ... ... TransPack Volume 6 features 30 customizable transitions created exclusively for use within ... with blur & drop shadow options. Utilize the controls in the inspector window ... the next with TransPack's easily customizable styles. , TransPack Volume 6 features ...
(Date:11/30/2015)... ... November 30, 2015 , ... Workstation solutions provider ... 30 HealthPostures’ dealers located throughout the United States, is OneStop Ergonomics. The addition ... industrial, manufacturing and government workers and organizational leaders that are introduced to innovative ...
(Date:11/29/2015)... ... November 30, 2015 , ... Gift ideas for ... Beauty NATURALS®. All products are available on Amazon or its webstore. , "We ... serums and USDA Certified Organic Sesame Oil for Oil Pulling," says Kathy Heshelow, ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... 30, 2015 Varian Medical Systems (NYSE: VAR ) ... partnership with Apollo Hospitals Group, the largest hospital chain in ... train radiation technologists in the country. The MoU was signed by ... and Ashok Kakkar , Varian,s India ... India , Varian intends to deploy its Access to ...
(Date:11/30/2015)... , Nov. 30, 2015   VolitionRx Limited (NYSE ... diagnostic tests for a broad range of cancer types and ... LD Micro Conference, which will be held December 1 - 3 ... from VolitionRx will be David Kratochvil , Chief Financial ... of Investor Relations. ® blood-based tests for ...
(Date:11/30/2015)... 2015 Mexico Healthcare and Life Sciences Report ... 2015 . --> Pharmaboardroom releases its new 98-page ... Latin America , a country of over 122 million people. ... over 122 million people. --> It offers companies, investors, ... sciences insights into the second largest pharma and healthcare market in ...
Breaking Medicine Technology: