Navigation Links
Safer ICU’s: Cheap, Simple, “Low-Tech” Steps Wrk

Hospitals will quickly slash the rate of common, costly and potentially lethal catheter-related bloodstream infections in their intensive care units (ICUs) by using cheap//, low-tech, common-sense measures like hand washing, timely removal of unneeded catheters, and use of sites other than the groin to place lines when possible, according to a report.

“There’s just no reason any more not to do these relatively simple things,” says Peter Pronovost, M.D., professor of medicine and medical director of Hopkins’ Center for Innovation in Quality Patient Care, who led researchers in their review of 103 Michigan ICUs, before, during and after implementing a variety of measures designed to reduce such infections.

“A common misperception among hospital-based clinicians is that it often costs much too much money and time to significantly improve patient safety,” says Pronovost. “Our data destroys this myth by showing that profound improvements can be made with minimum cost and effort, as long as clinical teams are committed to improving safety and willing to diligently observe relatively simple safety measures.”

Nationwide, an estimated 80,000 bloodstream infections occur each year as a result of central venous catheters, which are tubes inserted through a blood vessel that ends near or in the heart to deliver treatments and monitor care. Bloodstream infections are involved in up to 28,000 deaths in the United States alone among these ICU patients. Economically, the toll is enormous, Pronovost says, with an average cost to the health care system of $45,000 per patient for treatment and billions each year nationwide, “far more than it costs to implement steps to prevent the infections in the first place.”

In the Michigan hospital system, which served as a pioneering pilot site for infection prevention measures, efforts included training physicians and nurses about infection control; using special, standardized central-line supp ly carts that are controlled for one-time use; requiring use of a cockpit-style “checklist” to ensure adherence to infection-control practices such as hand washing; avoiding catheter placement through the femoral artery in the groin, an area notoriously difficult to keep sterile; using and changing gloves, gowns and masks for each procedure; cleaning patients’ skin with chlorhexidine; and removing catheters as soon as possible, even if there’s a chance they might be needed again at some point.

The safety plan also requires immediate “stop now” orders by any member of the health care team when a checklist is not followed to the letter and feedback to each member of the care team about the number and rates of catheter-related bloodstream infections at weekly and quarterly meetings.

Pronovost said the study team gathered information in Michigan representing 375,757 ICU catheter-days, collected quarterly for up to 18 months after implementation of the safety measures.

The results were dramatic, he says, when the steps were implemented. The median rate of catheter-related bloodstream infections per 1,000 catheter-days decreased from 2.7 at baseline to 0 after implementation of the safety measures, and the mean rate decreased from 7.7 at baseline to 1.4 at 16 to 18 months of follow-up.


Related medicine news :

1. Heart Surgery Is Getting Safer for the Old
2. Estrogen Patch is Safer than Pills for Heart
3. Traffic Violations Result in Safer Drivers
4. British company developing ‘Safer Cigarettes
5. Surgery Simulators Offer Better Surgeons And Safer Surgeries
6. Mapping Of Brain Highly Beneficial For Safer Brain Tumor Surgery
7. Doppler USG-Safer Technique For Detection Of Rh Diseases In Fetus
8. Enbrelr Enters Safer Zone After Recent Research
9. Child-Proof: Brain Mapping Safer for Children than Previously Thought
10. Laser Surgery Safer Than Contact Lenses?
11. Consumers, Caregivers Taking Steps to Safer Surgery
Post Your Comments:

(Date:11/28/2015)... ... November 28, 2015 , ... StatRad , ... added Chris Hafey and Claude Hooton to its board of directors. The announcement ... America (RSNA) 2015 Annual Meeting and continues to strategically transform its focus from ...
(Date:11/28/2015)... ... November 28, 2015 , ... Beginning November 30th at 6:00 a.m. EST until 11:59 p.m. EST, ... With possible savings of up to 20% off orders $80 or more to free gifts ... every few hours. , As a competitive e-commerce website for skin care and cosmetic needs, ...
(Date:11/27/2015)... ... November 27, 2015 , ... According to an article published November ... meeting in Washington D.C. revolved around the fact that proper dental care, both at-home ... stressed the link between periodontal disease (more commonly referred to as gum disease) and ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... affecting the health care in America. As people age, more care is needed, ... costs are rising, and medical professionals are being overworked. The forgotten part of ...
(Date:11/27/2015)... ... November 27, 2015 , ... "When ... said an inventor from Hillside, N.J. "Many people catch diseases simply from sitting ... individuals will always be protected from germs." , He developed the patent-pending QUDRATECS ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... 26, 2015 3D bioprinting market ... to a new report by Grand View Research Inc. Rising ... which demands kidney transplantation is expected to boost the market ... for organ transplantation. --> 3D bioprinting market ... to a new report by Grand View Research Inc. Rising ...
(Date:11/26/2015)... November 26, 2015 ... universitetssjukhus ser potential att använda SyMRI för ... för patienter med multipel skleros (MS) ... med SyntheticMR AB för att kunna använda ... sjukhuset. Med SyMRI kan man generera flera ...
(Date:11/26/2015)... Research and Markets ( ) ... Future Horizons and Growth Strategies in the Italian ... Segment Forecasts, Competitive Intelligence, Emerging Opportunities" report ... --> This new 247-page report ... drug monitoring market, including emerging tests, technologies, instrumentation, ...
Breaking Medicine Technology: