Today, on CDC’s Safe Healthcare Blog – Dr. Peter Pronovost, infection prevention expert from Johns Hopkins University, provides three video commentaries related to the new CDC Vital Signs report about bloodstream infections in patients with central lines. Bloodstream infections in patients with central lines can be deadly, killing as many as 1 in 4 patients who gets them. The newest edition of CDC Vital Signs focuses on our national progress toward preventing these infections in hospitals and in outpatient dialysis clinics. Specifically, Dr. Pronovost covers “Why Success was Possible,” “How we can work together to leverage our success,” and “Where do we go from here?”
See Dr. Pronovost in his own words and join the conversation at http://blogs.cdc.gov/safehealthcare/. To view the Vital Signs report, see www.cdc.gov and www.cdc.gov/vitalsigns.
Dr. Peter Pronovost on CDC’s Vital Signs Report: Why Success was Possible
Categories: Healthcare-associated infections
March 2nd, 2011 1:15 pm ET -
Dr. Peter Pronovost on CDC’s Vital Signs Report: Why Success was Possible
Dr. Peter Pronovost, Johns Hopkins University, provides three video commentaries on CDC’s recent Vital Signs report on central line-associated bloodstream infections in hospitals and dialysis facilities. Dr. Pronovost’s commentary is provided below. Click on the video to watch
Transcript: Why was success possible?
Success was possible because many groups partnered and worked collaboratively.
On the national level, the CDC, AHRQ, CMS, and Health and Human Services all worked together.
At the state level, state hospital associations, state health departments and quality improvement organizations united forces.
And within hospitals, ICU clinicians, infection preventionists, and hospital managers worked together.
Within our communities, consumer groups, legislators and the media sought to make infections transparent, creating social pressure to improve. Insurers sought to create economic incentives. And the Joint Commission exerted regulatory pressure by creating a national patient safety goal supporting best practices.
On all levels, we finally realized that we are on the same team, the patients’ team. We applied science, and we kept score.
Yet perhaps most importantly, success was possible because clinicians changed their culture. Clinicians have always had strong individual accountability. Now we are being accountable for infection rates in our units for populations. We no longer see these infections as inevitable, as the cost of being in an ICU. We see them as preventable, as a problem that we are responsible for, and as a problem that we are able to solve, and we’ve partnered with others to do so.
More information on the CDC Vital Signs release.
full-text and video 1:
CDC - Blogs - Safe Healthcare – Dr. Peter Pronovost on CDC’s Vital Signs Report: Why Success was Possible
Dr. Peter Pronovost on CDC’s Vital Signs Report: How we can work together to leverage our success
Categories: CLABSI, Healthcare-associated infections
March 2nd, 2011 1:08 pm ET -
Dr. Peter Pronovost on CDC’s Vital Signs Report: How we can work together to leverage our success
Dr. Peter Pronovost, Johns Hopkins University, provides three video commentaries on CDC’s recent Vital Signs report on central line-associated bloodstream infections in hospitals and dialysis facilities. Dr. Pronovost’s commentary is provided below. Click on the video to watch.
Transcript: How we can work together to leverage our success
So what can we do:
"US government – work together to mature the science and develop safety programs – programs with clear evidence for best practices, programs with measures that clinicians believe are valid, programs that deliver results, programs that help clinicians believe they can truly make a difference.
States – coordinate efforts, create infrastructure to implement the science, provide technical support to hospitals seeking to measure and reduce infections, and ensure that all hospitals that have not eliminated CLABSI participate in the national program called On the CUSP: Stop BSI [HRET - CUSP | Home | Welcome to CUSP].
Hospitals and dialysis centers – clearly state a goal of zero CLABSI, know your infection rates, ensure compliance with CDC guidelines, enhance teamwork so that a nurse who sees a provider not complying with the guidelines feels comfortable speaking up, and partner with leaders, clinicians and infection prevention professionals. If a hospital’s ICU CLASBSI rates are not at the goal, contact your state hospital association to join On the Cusp: Stop BSI [HRET - CUSP | Home | Welcome to CUSP]. There is no reason to toil alone and remain with high CLABSI rates. Help, using proven tools, is available.
Patients and caregivers – get involved. You have a vital role in keeping yourself safe. If you are able, look up the hospital’s rate of ICU CLABSI. One in four patients who get a CLABSI may die from it.
Ensure you understand why you need a central line. Ask the ICU clinicians what their CLABSI infection rate is. We’ve found that when clinicians do not know their rates, they are often high.
Ask about whether they comply with the checklist of best practices to prevent infections. Whenever a clinician comes near you, ask if they washed their hands with either soap and water or alcohol. Remember MRSA is resistant to antibiotics – not soap or alcohol.
And finally, if you have a catheter, ask every day if you still need it.
The CDC data show us what is possible when we are aligned by a common measure, guided by science, and willing to work together. Let us enjoy the sun’s warm glow melting the winter snow and emerge with a renewed commitment to reduce Healthcare-associated Infections and other types of preventable harm. "
More information on the CDC Vital Signs release [CDC Vital Signs - Making Health Care Safer].
full-text and video 2:
CDC - Blogs - Safe Healthcare – Dr. Peter Pronovost on CDC’s Vital Signs Report: How we can work together to leverage our success
Dr. Peter Pronovost on CDC’s Vital Signs Report: Where do we go from here?
Categories: CLABSI [CDC - Blogs - Safe Healthcare – CLABSI], Healthcare-associated infections [CDC - Blogs - Safe Healthcare – Healthcare-associated infections]
March 2nd, 2011 12:59 pm ET -
Dr. Peter Pronovost on CDC’s Vital Signs Report: Where do we go from here?
Dr. Peter Pronovost, Johns Hopkins University, provides three video commentaries on CDC’s recent Vital Signs report on central line-associated bloodstream infections in hospitals and dialysis facilities [Vital Signs: Central Line--Associated Blood Stream Infections --- United States, 2001, 2008, and 2009]. Dr. Pronovost’s commentary is provided below. Click on the video to watch.
Transcript: Where do we go from here?
"We must ensure that all patients in ICUs receive best practices. We have seen dramatic reductions in infections in all types of ICUs – teaching and community, large and small, urban and rural. Yet the results are patchy. Some ICUs remain with high CLABSI rates.
We must apply these lessons to reduce other types of preventable harm such as ventilator-associated pneumonia [CDC - VAP - HAI].
We are also working to address the dialysis issue. Our research team at Johns Hopkins [Home] is working to implement this safety program to reduce CLABSI in dialysis patients in a pilot study in Maryland. When successful, it will likely be expanded nationally.
And science must guide us. We need to learn how to ensure clinicians comply with evidence-based practices, how ICU clinicians changed their culture, and how other clinicians may also. We need to learn why some types of organisms have been reduced less than others, and what we can do about it. We need to ensure we identify effective interventions to prevent other types of infections, develop valid and feasible measures of harm, create a pipeline of new programs that are every bit as effective as the program to prevent ICU CLABSI."
More information on the CDC Vital Signs release [CDC Vital Signs - Making Health Care Safer]
full-text and video 3:
CDC - Blogs - Safe Healthcare – Dr. Peter Pronovost on CDC’s Vital Signs Report: Where do we go from here?
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