ICU Infection Prevention Practices Lax
What's more, hospitals with higher-than-expected CAUTI and CLABSI rates will receive lower payments from Medicare under value-based purchasing provisions in the Patient Protection and Affordable Care Act now in effect.
The report, published in the February edition of the American Journal of Infection Control, is described as the largest study of its kind. It examined data spanning up to six years from 1,653 ICUs within 975 hospitals that participate in the Centers for Disease Control's National Healthcare Safety Network reporting program.
Bedside practices were observed by third-party hospital personnel, hospital infection preventionists, and so-called observers who witness procedures much like "secret shoppers," Stone says.
The key take-aways are found in two tables in the paper that show hospital personnel compliance with 16 evidence-based practices proven to prevent hospital-acquired infections, six for CLABSI, six for VAP and four for CAUTI.
For example, for CLABSI, 92% of ICUs had a policy for an insertion checklist, but only 52% of the healthcare professionals were seen to adhere to that policy. For hand hygiene, 94% had a policy, but only 62% were observed to adhere to it.
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