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Understanding Bundles: An IHI Faculty Conversation
IHI faculty for the Rethinking Critical Care seminar discuss and try to clarify some important and often misunderstood points about implementing care bundles (such as the Ventilator Bundle and the Central Line Bundle).
Effect of Nonpayment for Preventable Infections in US Hospitals
This study examined rates of healthcare-associated infections deemed preventable by the Centers for Medicare & Medicaid Services, such as catheter-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonias.
Profiles in Improvement: Katharine Luther, Vice President, IHI
IHI Vice President Kathy Luther describes her career in health care quality improvement, and how her current IHI work includes getting finance and clinicians to work together to impact cost and quality.
Using Care Bundles to Improve Health Care Quality
This IHI white paper describes the history, theory of change, design concepts, and outcomes associated with the development and use of bundles — a small set of evidence-based interventions for a defined patient population and care setting — and reflects on learning over the past decade.
Measures: Prevent Central Line Infection
Care teams should measure each of the evidence-based interventions recommended by the How-to Guide: Prevent Central Line Infection.
Central line bundle implementation in US intensive care units and impact on bloodstream infections
This study examines the extent of adoption of Central Line Bundle elements in US intensive care units and determines their effectiveness in preventing central line-associated bloodstream infections.
Changes to Prevent Healthcare-Associated Infections
Organizations must test and implement changes to existing processes in order to prevent healthcare-associated infections (HAIs).
When It Comes to Clinical Quality, Everybody Makes the Team
When it comes to improving clinical quality and providing the best patient care, every hospital employee and every department plays a role. When you engage non-clinical staff in quality improvement, teams get stronger and patients benefit.
Recommendations for Infection Control for the Practice of Anesthesiology (2nd edition)
The first portion of this booklet covers prevention of nosocomial infections in patients, and the latter is devoted to prevention of occupationally acquired infections in anesthesiologists.
Reduction in central line-associated bloodstream infections among patients in intensive care units: Pennsylvania, April 2001-March 2005
This article discusses the reduction in central line-associated bloodstream infections among patients in intensive care units.
Central Line Insertion Care Team Checklist
Care teams can use this checklist to work together to decrease patient harm from catheter-related bloodstream infections.
How-to Guide: Prevent Central Line-Associated Bloodstream Infection (Rural Hospital Supplement)
This How-to Guide is specifically tailored for rural hospitals and describes key evidence-based care components for preventing central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
Annotated Bibliography for Preventing Central Line-Associated Bloodstream Infections
This annotated bibliography presents selected literature for the elements of the IHI Central Line Bundle and prevention of central line-associated bloodstream infections.
How-to Guide: Prevent Central Line-Associated Bloodstream Infection
This How-to Guide describes key evidence-based care components of the IHI Central Line Bundle which has been linked to prevention of central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
Improving Flow without Adding Resources: A Success Story
In March 2002, Baptist Memorial Hospital-Memphis was convinced its capacity problems were intractable. Two years later, they’ve dramatically increased flow and patient satisfaction, and decreased length of stay and mortality — all without hiring any more staff or adding a single bed.
Multidisciplinary Rounds: Not MORE Work, But THE Work
Implementation of multidisciplinary rounds at Baptist Memorial Hospital - Memphis (Memphis, Tennessee, USA) facilitated collaborative patient care planning and implementation of evidence-based practices resulting in improved patient outcomes, including decreased length of stay (LOS), decreased mortality rate, decreased ventilator days and decreased rates of ventilator-associated pneumonia (VAP), catheter-related bloodstream infections (CR BSI) and urinary tract infections (UTI).
Columbus Regional Hospital: Where a Focus On Safety Promotes Interdisciplinary Teamwork
They say it takes a village to raise a child, and the same concept is true in health care: it takes a team to deliver excellent care. At Columbus Regional Hospital, teamwork brings together unlikely partners who reach across departments and disciplines to build safety into every aspect of care.
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.
Six Sigma Approach to Reduction of Central Venous Catheter-Related Bloodstream Infections
Florida Hospital reduced the overall 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.
Swedish Medical Center Reduces Mortality Rate by Nineteen Percent
Swedish Medical Center 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.
Allegheny General Hospital: Lower Infection Rates Have Lowered Costs
The human and financial cost of hospital-acquired infection is huge. At Allegheny General Hospital, a 580-bed teaching hospital, a sharp focus on preventing infection has resulted in significant savings in both categories.
Applying Toyota Production System Principles in a Critical Care Unit
Virginia Mason Medical Center tested and adapted Toyota Production System principles in its Critical Care Unit, leading to more highly reliable and safer bedside care.
Reducing Hospital-Acquired Infections in a Long-Term Acute Care Hospital
Windy Hill Hospital (Marietta, Georgia, USA) has significantly reduced the number of hospital-acquired infections caused by MRSA, VRE, and C. difficile by implementing admission surveillance cultures and improving hand hygiene, among other improvements.
Reducing Healthcare-Associated MRSA Infections on a Surgical Unit
St. John's Regional Health Center (Springfield, Missouri, USA) reduced hospital-acquired infections through their work in an IHI Learning and Innovation Community
Leveraging IHI Participation to Achieve Critical Care Improvement Spread in a Multi-Hospital System
A system-wide Critical Care Collaborative was convened by Catholic Healthcare West (San Francisco, California, USA) modeled after the IHI Breakthrough Series Collaborative to achieve improvements in care systems in the intensive care setting resulting in reduction in ventilator-associated pneumonia rate, reduction in our catheter-related blood stream infection rate, improved compliance with all components of the ventilator bundle, reduction in ICU average length of stay, and reduction in percentage of patients in the ICU greater than 7 days.