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Reduction of Peripheral Blood Culture Contamination Team Membership Sandra Chakonas MBA, MS, MT(ASCP),Laboratory Manager Theresa Pavone RN, MSN Nursing.

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Presentation on theme: "Reduction of Peripheral Blood Culture Contamination Team Membership Sandra Chakonas MBA, MS, MT(ASCP),Laboratory Manager Theresa Pavone RN, MSN Nursing."— Presentation transcript:

1 Reduction of Peripheral Blood Culture Contamination Team Membership Sandra Chakonas MBA, MS, MT(ASCP),Laboratory Manager Theresa Pavone RN, MSN Nursing Education Nursing Staff 3 NEWS Laurie Gillard MS, MT(ASCP), SBB Compliance Specialist Clinical Laboratories Kathryn Clancy RN, MSN, Nursing Education

2 Opportunity for Improvement Each contaminated blood culture results in: –4.5 additional hospital days –Increased use of antibiotics and patient charges of $4400 Reduction of Contaminated Blood Culture Rate to 2.5% will result in a reduction of patient charges of $853,803 annually. Reference: Barenfinger, Clinical Microbiology Newsletter Vol. 28,No. 3,Feb 2006

3 Project Aim Statement To evaluate the use of a disposable blood culture adapter to reduce the number of needle stick injuries and contaminated blood cultures. According to CAP (College of American Pathologists), benchmark is 2% contamination rate. Evidence is Shifman et al. (1998). Blood Culture Contamination: a College of American Pathologists Q-Probe Study. Archives of Pathology and Laboratory Medicine: 122, 216- 221.

4 Summary 3NEWS Pilot Study Retrospective Study January-October 2006: Blood Culture Contamination Rate was 6%. Two Month Trial Results: –May 2007 : Blood Culture Contamination Rate 4% –June 2007: Blood Culture Contamination Rate 1%

5 Pilot Study 3 NEWS Goal was to reduce peripheral blood culture contamination rate to 2.5% 3 NEWS pilot lasted 2 months with a reduction in blood culture rate from contamination from 6% to 1% Decision to role out project house wide Jan 2009

6 With the introduction of the adapter, the rate of contamination decreased on average of 2.6 for the past three months. January 2009 experienced a decrease to 2.3, surpassing our goal of 2.5.

7 Analysis Implementation of the blood culture adapter house wide has resulted in a blood culture contamination rate of 2.7% in January and February The implementation of the adapter has decreased contamination rate

8 Next Steps Monitor the monthly blood culture to insure that the target contamination rate of 2.5% is met Evaluate additional blood culture adapter which could be used in blood culture line draws to reduce contamination rate below 2%


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