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Allegheny General Hospital: Lower Infection Rates Have Lowered Costs
The human and financial cost of hospital-acquired infection is huge. At Allegheny General Hospital (Pittsburgh, Pennsylvania, USA), a 580-bed teaching hospital, a sharp focus on preventing infection has resulted in significant savings in both categories.
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Swedish Medical Center Reduces Mortality Rate by Nineteen Percent
Swedish Medical Center (Seattle, Washington, USA) has mounted a full court press on mortality in all three hospitals in its network: their unadjusted mortality rate dropped from an already low 2.1 percent in 2001 to 1.7 percent in mid-2005.
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Unity Hospital Reduces Adjusted Mortality Rate from 15 Percent Over the National Average to 17 Percent Under
A potent combination of factors has helped to significantly reduce mortality at Unity Hospital (Fridley, Minnesota, USA). Unity’s Hospital Standardized Mortality Ratio dropped from 113 in 2001 to 75 in 2003.
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At Memorial Hermann Hospital, Family Members are Included in Rounds
At Memorial Hermann Hospital (Houston, Texas, USA) patient-centeredness takes many forms. For example, family members are now included in rounds on the Shock Trauma ICU. This new model not only provides families with the most complete and current information about their patient, but also saves physicians time.
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Community Hospital East Goes 25 Months Without a VAP in the Critical Care Unit
It’s an unofficial competition, but one that Community Hospital East (Indianapolis, Indiana, USA) may well be winning, having gone 25 months without a case of ventilator-associated pneumonia (VAP) in its critical care unit.
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Our Lady of Lourdes Goes 178 Days (and Counting) Without a Central Line Infection
Some clinical advances are the result of new science or new technology. Some, such as preventing infections from central lines, depend more on education and retraining. But that doesn’t mean it is easy.
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Prevention of Catheter-Related Bloodstream Infections
UMass Memorial Medical Center (Worcester, Massachusetts, USA) substantially decreased the CR-BSI rate per 1,000 central-line days in one year across all intensive care units by standardizing an organizational approach to central line care, including standardizing insertion technique, equipment, documentation, education, daily assessments, and empowering nurses to stop the procedure.
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No VAPs – It CAN Be Done!
Clinicians at Advocate Health Care (Oak Brook, Illinois, USA) believed that with appropriate interventions, ventilator-associated pneumonia (VAP) could be prevented and set out to prove it.
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Reducing Bloodstream Infections: Poking and Prodding Our Way Forward
Henry Ford Hospital (Detroit, Michigan, USA) sought to improve the safety and quality of their care by reducing central line complications, focusing on bloodstream infections in particular.
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Reducing Cardiac Arrests with a Rapid Response Team
Trillium Health Centre (Mississauga, Ontario, Canada) is reducing cardiac arrests within the medical health system through the use of a Medical Emergency Team (MET) consisting of Respiratory Therapists and Intensive Care Unit (ICU) nurses.
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