Reducing central line–associated bloodstream infections in North Carolina NICUs.

David Fisher; Keith M. Cochran; Lloyd P. Provost; Jacquelyn Patterson; Tara Bristol; Karen Metzguer; Brian Smith; Daniela Testoni; Martin J. McCaffrey

Study

Reducing central line–associated bloodstream infections in North Carolina NICUs.

February 26, 2014

Fisher D, Cochran KM, Provost LP, et al. Pediatrics. 2013;132(6):e1664-71.

View more articles from the same authors.

A collaborative program modeled on the Keystone ICU project reduced the incidence of central line–associated bloodstream infections by 71% in 13 neonatal intensive care units. The reduction was sustained for 1 year after implementation of the intervention.

PubMed citation

Available at

Related Resources From the Same Author(s)

Development and evaluation of the Institute for Healthcare Improvement global trigger tool.

September 24, 2008

Guidelines in Practice: prevention of unintentionally retained surgical items.

December 7, 2022

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

Sleep quality and fatigue among prehospital providers.

April 7, 2010

Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology.

November 17, 2010

Internally-developed online adverse drug reaction and medication error reporting systems.

June 7, 2006

Speak up! Addressing the paradox plaguing patient-centered care.

February 17, 2016

Decision-making and safety in anesthesiology.

November 21, 2012

Patient safety alliance to tackle hand washing worldwide.

October 5, 2005

A war on two fronts: cancer care in the time of COVID-19.

April 22, 2020

The role of technology in clinician-to-clinician communication.

August 14, 2013

Effective communication with primary care providers.

October 1, 2014

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care.

May 20, 2020

Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians.

December 19, 2018

Lessons learned from a systems approach to engaging patients and families in patient safety transformation.

February 12, 2020

The burden of opioid-related mortality in the United States.

July 18, 2018

We want to know: eliciting hospitalized patients' perspectives on breakdowns in care.

August 23, 2017

Thinking ethically about medical mistakes.

March 13, 2013

The patient perspective on errors in cancer care: results of a cross-sectional survey.

December 1, 2019

Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare.

April 19, 2017

What causes near-misses and how are they mitigated?

June 5, 2013

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

November 22, 2006

Variation in emergency medical services workplace safety culture.

November 10, 2010

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

Towards an organization with a memory: exploring the organizational generation of adverse events in health care.

June 8, 2005

The use of technology for urgent clinician to clinician communications: a systematic review of the literature.

January 7, 2015

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies.

May 24, 2023

We want to know: patient comfort speaking up about breakdowns in care and patient experience.

October 17, 2018

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

Communication devices in the operating room.

November 29, 2006

Failure to notify reportable test results: significance in medical malpractice.

December 21, 2011

Consumer perceptions of safety in hospitals.

April 12, 2006

Perinatal clinical decision support system: a documentation tool for patient safety.

October 10, 2007

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Time to listen: a review of methods to solicit patient reports of adverse events.

April 14, 2010

Failure mode and effects analysis: a comparison of two common risk prioritisation methods.

May 4, 2016

Paid malpractice claims for adverse events in inpatient and outpatient settings.

January 30, 2005

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay.

January 10, 2018

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.

December 2, 2015

Simulation study of rested versus sleep-deprived anesthesiologists.

January 9, 2005

Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals.

June 27, 2007

Lessons learned from implementing a principled approach to resolution following patient harm.

January 9, 2019

Negative behaviours in health care: prevalence and strategies.

February 20, 2019

Parent willingness to remind health care workers to perform hand hygiene.

August 14, 2013

Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach.

May 11, 2016

Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.

March 18, 2015

Comparison of computerized surveillance and manual chart review for adverse events.

June 29, 2011

Improving patient safety in the ED waiting room.

August 8, 2007

Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care.

January 15, 2020

Research on nursing handoffs for medical and surgical settings: an integrative review.

July 25, 2012

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

January 10, 2007

Implementation of Condition Help: family teaching and evaluation of family understanding.

October 26, 2011

Operating room to intensive care unit handoffs and the risks of patient harm.

July 22, 2015

Time of day effects on the incidence of anesthetic adverse events.

August 23, 2006

Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases.

November 22, 2017

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.

November 15, 2017

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Errors prevented by and associated with bar-code medication administration systems.

May 2, 2007

Alarm fatigue: impacts on patient safety.

December 16, 2015

Observation for assessment of clinician performance: a narrative review.

November 11, 2015

Radiology errors: are we learning from our mistakes?

October 7, 2009

Understanding and responding to health literacy as a social determinant of health.

October 9, 2021

A mixed method study of the merits of e-prescribing drug alerts in primary care.

April 30, 2008

Health care huddles: managing complexity to achieve high reliability.

March 26, 2014

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.

April 22, 2015

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

Communication in critical care environments: mobile telephones improve patient care.

February 8, 2006

Traditions of research into interruptions in healthcare: a conceptual review.

January 11, 2017

What does safety commitment mean to leaders? A multi-method investigation.

April 3, 2019

Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.

July 16, 2014

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.

May 11, 2022

What’s past is prologue: organizational learning from a serious patient injury.

October 13, 2010

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

December 9, 2009

Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program?

December 12, 2018

Work system design for patient safety: the SEIPS model.

October 12, 2011

Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.

November 15, 2006

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting.

March 3, 2021

Reasons for after-hours calls by hospital floor nurses to on-call physicians.

May 30, 2007

The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America.

April 20, 2011

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU.

June 3, 2009

Residents' duty hours—toward an empirical narrative.

December 5, 2012

Sex and gender differences in anesthesia: relevant also for perioperative safety?

April 7, 2021

When staff speak up on safety, do managers listen—and act?

August 24, 2011

Handoff strategies in settings with high consequences for failure: lessons for health care operations.

March 6, 2005

Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.

March 7, 2007

The use of human factors methods to identify and mitigate safety issues in radiation therapy.

December 22, 2010

Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes.

August 15, 2018

Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial.

January 28, 2015

Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study.

May 25, 2016

Chemotherapy patients' perceptions of drug administration safety.

June 2, 2010

Unintended doses in radiotherapy—over, under and outside?

April 18, 2018

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Bar-code verification: reducing but not eliminating medication errors.

December 12, 2012

Overrides of medication-related clinical decision support alerts in outpatients.

January 8, 2014

Measuring safety in older adult care homes: a scoping review of the international literature.

May 19, 2021

A systematic review of clinical outcomes associated with intrahospital transitions

December 4, 2019

Related Resources

MHA and MHA Keystone Center Annual Reports.

October 20, 2023

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts.

February 7, 2022

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work.

February 3, 2021

The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.

July 22, 2020

Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.

January 23, 2019

Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles.

December 19, 2018

Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit.

August 8, 2018

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

February 8, 2017

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.

October 12, 2016

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach.

August 31, 2016

Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.

August 3, 2016

A program to prevent catheter-associated urinary tract infection in acute care.

June 8, 2016

Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries.

March 9, 2016

Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project.

February 17, 2016

The effect of universal glove and gown use on adverse events in intensive care unit patients.

September 30, 2015

Higher quality of care and patient safety associated with better NICU work environments.

September 2, 2015

Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.

September 2, 2015

Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.

March 18, 2015

Understanding the nature of medication errors in an ICU with a computerized physician order entry system.

February 11, 2015

Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA.

October 15, 2014

Preventing medication errors in neonatology: is it a dream?

October 15, 2014

Reducing medication errors in critical care: a multimodal approach.

October 1, 2014

Interventions to reduce medication errors in pediatric intensive care.

August 20, 2014

The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit.

August 20, 2014

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.

July 2, 2014

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

See More About The Topic

Intensive Care Units

Health Care Providers

Health Care Executives and Administrators

Critical Care

Epidemiology of Errors and Adverse Events

Reducing central line–associated bloodstream infections in North Carolina NICUs.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Reducing central line–associated bloodstream infections in North Carolina NICUs.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site