Dr. Peter Pronovost, Johns Hopkins University, provides three video commentaries on CDC’s recent Vital Signs report on central line-associated bloodstream infections in hospitals and dialysis facilities. Dr. Pronovost’s commentary is provided below. Click on the video to watch.
Transcript: How we can work together to leverage our success
So what can we do:
“US government – work together to mature the science and develop safety programs – programs with clear evidence for best practices, programs with measures that clinicians believe are valid, programs that deliver results, programs that help clinicians believe they can truly make a difference.
States – coordinate efforts, create infrastructure to implement the science, provide technical support to hospitals seeking to measure and reduce infections, and ensure that all hospitals that have not eliminated CLABSI participate in the national program called On the CUSP: Stop BSI.
Hospitals and dialysis centers – clearly state a goal of zero CLABSI, know your infection rates, ensure compliance with CDC guidelines, enhance teamwork so that a nurse who sees a provider not complying with the guidelines feels comfortable speaking up, and partner with leaders, clinicians and infection prevention professionals. If a hospital’s ICU CLASBSI rates are not at the goal, contact your state hospital association to join On the Cusp: Stop BSI. There is no reason to toil alone and remain with high CLABSI rates. Help, using proven tools, is available.
Patients and caregivers – get involved. You have a vital role in keeping yourself safe. If you are able, look up the hospital’s rate of ICU CLABSI. One in four patients who get a CLABSI may die from it.
Ensure you understand why you need a central line. Ask the ICU clinicians what their CLABSI infection rate is. We’ve found that when clinicians do not know their rates, they are often high.
Ask about whether they comply with the checklist of best practices to prevent infections. Whenever a clinician comes near you, ask if they washed their hands with either soap and water or alcohol. Remember MRSA is resistant to antibiotics – not soap or alcohol.
And finally, if you have a catheter, ask every day if you still need it.
The CDC data show us what is possible when we are aligned by a common measure, guided by science, and willing to work together. Let us enjoy the sun’s warm glow melting the winter snow and emerge with a renewed commitment to reduce Healthcare-associated Infections and other types of preventable harm. ”
More information on the CDC Vital Signs release.