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Blood Infection Infection Trouble Two Hospitals

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Submitted By mfinklin
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Bloodstream Infection Numbers Trouble Two Hospitals
HCS/457
April 18, 2011

Bloodstream infections occur when catheters for delivering medicine and others fluids to patients, especially those in intensive-care units, become contaminated with bacteria. Up to one in four patients who acquire an infection die. Tennessee one of the state that begin releasing data on hospital infections in 2009 and the most recent report, shows that two known hospitals in Middle Tennessee scored less than 1.0. The SIR (standardized infection ratio) of 1.0 means the number of infections is equal to the expected number, guidelines of the National Healthcare Safety Network. A physician that heads infection disease prevention attributes the low scoring of these hospitals to the type of patients they treat. Both hospitals have large oncology units, treating patients with cancer therapies that can suppress their immune system, in addition to long periods of hospitalization put them at “high risk.” Whatever the reasons the community in which the hospitals service are putting patients at risk, because the data shows that the hospital are below the National Healthcare Safety Network in preventing bloodstream infections. Because rules have changed for reporting this sort of data from hospitals for reimbursement purposes, previous years could have yield more infections. There has not been strong reaction from the community that shows either of the two hospital admissions or patient seen, numbers dropping significantly. One hospital has changed its surveillance methodology and has become more aggressive in the hospital surveillance and investigative approach to central line bloodstream infections. The other hospital that is one of the first research institutions to show CLABSI could be prevented has implemented a 30-step grid for its medical staff and nurses to follow. Dr. Peter Pronovost, a professor at Johns Hopkins School of Medicine has set the standard for the industry and suggests keeping it simple with five basic steps of prevention for nurses and doctors to follow. 1. Thoroughly wash hands. 2. Wear sterile gloves, hat, mask, gown, and cover patient with sterile drapes. 3. Avoid placing the catheter on the groin. 4. Clean the insertion site with chlorhexidine antiseptic solution. 5. Remove catheters when they are no longer needed.
The implementation of the two hospital policies and procedures with regard to bloodstream infections along with suggestions from Dr. Peter Pronovost could help in eliminating or narrowing the hospitals putting patients at risk.

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