As required by law, hospitals in New York track and report information on select hospital-acquired infections to the State Department of Health, which publicly releases hospital-specific performance data and supports hospitals with quality improvement initiatives; the program has reduced infection rates and generated substantial cost savings.
A comprehensive set of protocols and practices virtually eliminates catheter-related bloodstream infections in the neonatal intensive care unit, generating estimated annual savings of $750,000 to $1,000,000.
Unit-based teams of physicians, nurses, and quality leaders develop and implement unit-specific initiatives designed to improve quality and safety, leading to reductions in infections and pressure ulcers, increased adherence to medication reconciliation standards, more reporting of errors and near-misses, higher patient satisfaction, and better overall nurse/physician communication and teamwork.
A 1-year collaborative program; in which 21 Pennsylvania hospitals set target goals for urinary tract infection prevention, developed strategies to meet these goals, and shared best practices, tools, and resources; led to a 32-percent decline in hospital-acquired urinary tract infections.
As part of a hospital collaborative, intensive care units implemented a multifaceted safety program that reduced infections and hospital days, saved lives, and lowered health care costs.
Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.
New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.
Implementation of an evidence-based bundle of interventions led to a 75 percent reduction in central line infections in four intensive care units, yielding annual cost avoidance of approximately $1 million.
St. John Hospital and Medical Center developed and implemented nurse-enforced protocols and associated tools, leading to a significant reduction in the incidence of catheter-related bloodstream infections.
The combination of multidisciplinary, physician-led rounds and a set of evidence-based best practices (known as “bundles”) decreased nosocomial infection rates and costs in the intensive care unit.