Using the Comprehensive Unit-based Safety Program model for sustained reduction in hospital infections.

摘要: Background Prompted by the high number of central line–associated bloodstream infections (CLABSIs), our institution joined national On CUSP: Stop BSI initiative. We not only report significant impact that Comprehensive Unit-based Safety Program (CUSP) had in reducing CLABSI, but also catheter-associated urinary tract (CAUTIs) and ventilator-associated pneumonia (VAP) 2 intensive care units (ICUs). Methods At community-based academic health system, ICUs implemented CUSP tools developed local interventions to reduce CLABSI other safety problems. measured CAUTI, VAP during baseline, period, a post-CUSP period. Results CLABSIs decreased from 3.9 per 1,000 catheter days at baseline 1.2 period 0.6 (rate ratio, 0.16; 95% confidence interval [CI], 0.07-0.35). CAUTIs 2.4 patient 0.4; CI, 0.24-0.65). rate 2.7 ventilator 1.6 periods 0.58; 0.30-1.10). Device utilization significantly both ICUs. Conclusions Implementation was associated with decreases VAP. The model, allowing for implementation evidence-based practices engagement frontline staff, creates sustainable improvements reach far beyond initial targeted problem.