@article{4615,
  keywords = {Catheter-associated line infections, Central venous catheters, Checklist, Healthcare cost, Infection control, Quality improvement},
  author = {Greg D. Sacks and Brian S. Diggs and Pantelis Hadjizacharia and Donald Green and Ali Salim and Darren J. Malinoski},
  title = {Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle.},
  abstract = {<p><b>BACKGROUND: </b>Central line-associated bloodstream infections (CLABSIs) are a significant source of morbidity and mortality. This study sought to determine whether implementation of the Institute for Healthcare Improvement (IHI) Central Line Bundle would reduce the incidence of CLABSIs.</p><p><b>METHODS: </b>The IHI Central Line Bundle was implemented in a surgical intensive care unit. Patient demographics and the rate of CLABSIs per 1,000 catheter days were compared between the pre- and postintervention groups. Contemporaneous infection rates in an adjacent ICU were measured.</p><p><b>RESULTS: </b>Baseline demographics were similar between the pre- and postintervention groups. The rate of CLABSIs per catheter days decreased from 19/3,784 to 3/1,870 after implementation of the IHI Bundle (1.60 vs 5.02 CLABSIs per 1,000 catheter days; rate ratio .32 [.08 to .99, P < .05]). There was no significant change in CLABSIs in the control ICU.</p><p><b>CONCLUSIONS: </b>Implementation of the IHI Central Line Bundle reduced the incidence of CLABSIs in our SICU by 68%, preventing 12 CLABSIs, 2.5 deaths, and saving $198,600 annually.</p>},
  year = {2014},
  journal = {Am J Surg},
  volume = {207},
  pages = {817-23},
  month = {06/2014},
  issn = {1879-1883},
  doi = {10.1016/j.amjsurg.2013.08.041},
  language = {eng},
}