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Six Sigma Approach to Reduction of Central Venous Catheter-Related Bloodstream Infections
Florida Hospital (Orlando, Florida, USA) reduced the overall bloodstream infection (BSI) rate by more than 40 percent and decreased the number of adult central venous catheter-related BSIs by more than 20 percent with the introduction of a custom tray that includes maximal barrier precautions, 2 percent chlorhexadine with alcohol skin prep, and an antimicrobial catheter.
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Eliminating Central Line-Associated Bloodstream Infections in the CCU/MICU
Allegheny General Hospital (Pittsburgh, Pennsylvania, USA) reduced central line-associated bloodstream infections by 90 percent in the Coronary Care Unit (CCU) / Medical Intensive Care Unit (MICU) in the first year of implementing measures from the Perfecting Patient Care (PPC) University (a Toyota Production System model for improving health care).
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Deploying a Medical Emergency Team (MET)
Lee Memorial Health System (Fort Myers, Florida, USA) reduced the number of code blue events in a three-month period by more than 75 percent by implementing a Medical Emergency Team.
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Decreasing Ventilator-Associated Pneumonia: Getting on Board
Allegheny General Hospital, West Penn Allegheny Health System (Pittsburgh, Pennsylvania, USA) reduces the incidence of ventilator-associated pneumonia by 43 percent using a multidisciplinary approach to standardize critical processes of care.
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Reducing Ventilator-Associated Pneumonia: Changing Culture
Lee Memorial Health System, Cape Coral Hospital (Fort Myers, Florida, USA) reduced ventilator-associated pneumonia by 50 percent over a nine-month period by engaging a multidisciplinary team to utilize evidence-based practices and conduct multiple small tests of change.
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Reducing Hospital Mortality Rates at Henry Ford Hospital with a Rapid Response Team
Henry Ford Hospital (Detroit, Michigan, USA) implemented a Rapid Response Team to reduce inpatient mortality on a medical-surgical unit, decreasing their inpatient mortality rate by 20 percent and reducing pulseless cardiac arrests by 40 percent from baseline.
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Eliminating Central Line-Related Bloodstream Infections with Bundle Compliance
At Virginia Mason Medical Center (Seattle, Washington, USA) they can demonstrate an implementation, monitoring, and spread hospital-wide of the central line bundle. Evidence-based interventions, procedural checklist, standard equipment / cart, and hand hygiene program has showed a reduction in device-related Blood Stream Infections (BSI).
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RN/RT Rapid Response Team at Maine Medical Center
At Maine Medical Center (Portland, Maine, USA) early outcomes (7 months of data) of their Rapid Response Team show they have reduced in-house codes by 40 percent and returns to the ICU by 37 percent, impacting not only quality but patient flow.
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Doing Better, Spending Less
Hospitals throughout the country are saving lives and reducing costs by eliminating central line infections and the complications associated with them.
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Reducing Ventilator-Associated Pneumonia
The Intensive Care Unit of Owensboro Medical Health System (Owensboro, Kentucky, USA) experienced eight consecutive months with a zero ventilator-associated pneumonia rate after implementing the Ventilator Bundle.
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