{"id":10366,"date":"2016-05-13T00:00:00","date_gmt":"2016-05-13T00:00:00","guid":{"rendered":"http:\/\/research.christianacare.org\/publications\/2016\/05\/13\/using-the-comprehensive-unit-based-safety-program-model-for-sustained-reduction-in-hospital-infections\/"},"modified":"2016-05-13T00:00:00","modified_gmt":"2016-05-13T00:00:00","slug":"using-the-comprehensive-unit-based-safety-program-model-for-sustained-reduction-in-hospital-infections","status":"publish","type":"post","link":"https:\/\/research.christianacare.org\/publications\/2016\/05\/13\/using-the-comprehensive-unit-based-safety-program-model-for-sustained-reduction-in-hospital-infections\/","title":{"rendered":"Using the Comprehensive Unit-based Safety Program model for sustained reduction in hospital infections"},"content":{"rendered":"<p>Miller K, Briody C, Casey D, Kane JK, Mitchell D, Patel B, Ritter C, Seckel M, Wakai S, Drees M<\/p>\n<p>Am J Infect Control 2016 Sep;44(9):969-76<\/p>\n<p>PMID: <a href='https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27184208' title=''>27184208<\/a><\/a><\/p>\n<h2>Abstract<\/h2>\n<p><p><strong>BACKGROUND: <\/strong>Prompted by the high number of central line-associated bloodstream infections (CLABSIs), our institution joined the national On the CUSP: Stop BSI initiative. We not only report the significant impact that the Comprehensive Unit-based Safety Program (CUSP) had in reducing CLABSI, but also report catheter-associated urinary tract infections (CAUTIs) and ventilator-associated pneumonia (VAP) in 2 intensive care units (ICUs).<\/p>\n<p><strong>METHODS: <\/strong>At our community-based academic health care system, 2 ICUs implemented CUSP tools and developed local interventions to reduce CLABSI and other safety problems. We measured CLABSI, CAUTI, and VAP during baseline, the CUSP period, and a post-CUSP period.<\/p>\n<p><strong>RESULTS: <\/strong>CLABSIs decreased from 3.9 per 1,000 catheter days at baseline to 1.2 during the CUSP period to 0.6 during the post-CUSP period (rate ratio, 0.16; 95% confidence interval [CI], 0.07-0.35). CAUTIs decreased from 2.4 per 1,000 patient days to 1.2 during the post-CUSP period (rate ratio, 0.4; 95% CI, 0.24-0.65). VAP rate decreased from 2.7 per 1,000 ventilator days to 1.6 during the CUSP and post-CUSP periods (rate ratio, 0.58; 95% CI, 0.30-1.10). Device utilization decreased significantly in both ICUs.<\/p>\n<p><strong>CONCLUSIONS: <\/strong>Implementation of CUSP was associated with significant decreases in CLABSI, CAUTI, and VAP. The CUSP model, allowing for implementation of evidence-based practices and engagement of frontline staff, creates sustainable improvements that reach far beyond the initial targeted problem.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Miller K, Briody C, Casey D, Kane JK, Mitchell D, Patel B, Ritter C, Seckel M, Wakai S, Drees M Am J Infect Control 2016 Sep;44(9):969-76 PMID: 27184208 Abstract BACKGROUND: Prompted by the high number of central line-associated bloodstream infections (CLABSIs), our institution joined the national On the CUSP: Stop BSI initiative. We not only<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/research.christianacare.org\/publications\/2016\/05\/13\/using-the-comprehensive-unit-based-safety-program-model-for-sustained-reduction-in-hospital-infections\/\">Continue reading <span class=\"screen-reader-text\">Using the Comprehensive Unit-based Safety Program model for sustained reduction in hospital infections<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10366","post","type-post","status-publish","format-standard","hentry","category-pubs-pres"],"acf":[],"_links":{"self":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/10366","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/comments?post=10366"}],"version-history":[{"count":0,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/10366\/revisions"}],"wp:attachment":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/media?parent=10366"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/categories?post=10366"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/tags?post=10366"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}