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Quality Transformation Collaborative Effort by Hospitals Saves Children's Lives by Eradicating Bloodstream Infections
Date:1/11/2010

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 u
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