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Published byGervase Weaver Modified over 9 years ago
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Issues, trends, and resources for combating the problem. Nancy Hudecek RN, BSN, MS Director, Risk Management, Patient Safety, and Quality Improvement Today’s webinar will begin promptly at 2:00 PM Central Time The dial in number is 1-866-325-2095 and the code is 130991# To mute your phone line and eliminate background noise, press *6 To unmute and ask questions, press #6, or use the Q&A button
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1.7 Million Cases and 99,000 deaths annually 32 percent are urinary tract infections 22 percent are surgical site infections 15 percent are pneumonia (lung infections) 14 percent are bloodstream infections
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Catheter-Associated Urinary Tract Infection Comprise 32% of all HAIs; average cost is $3,200 Duration is most important patient risk (3-7% per day) 26% of patients cathed 2-10 days develop bacteriuria 24% of patients with bacteriuria will develop CAUTI 3% of patients with CAUTI will develop bacteremia Most infections are asymptomatic Staff must understand caregiver risk factors
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Surgical Site Infections comprise 22% of all HAIs Develop within 30 days of operation (1 year w/implant) Up to 5% of surgical patients; average cost is $25,000 SSI HAIs on Hospital Acquired Conditions “List” ◦ Mediastinitis following CABG ◦ SSI following Bariatric Surgery including Laparoscopic Gastric Bypass or Restrictive Surgery and Gastroenterostomy ◦ SSI following Orthopedic Procedures of Spine, Neck, Shoulder and Elbow Staff must understand caregiver risk factors
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Pneumonia comprises 15% of all HAIs and Ventilator-Associated Pneumonia increases risk 6-21% VAP occurs in 8-28% of MV patients; cost $49,000 Usually occurs within 4 days of intubation Overall rate 1-4 cases per 1,000 ventilator days Rate varies by hospital area, highest in burn, trauma, neuro/neurosurgical and surgical care patients Most commonly caused by S Aureus and Pseudomonas Staff must understand risk factors
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Catheter-Related Bloodstream Infections Comprise 14% of HAIs and cost $34,500-$56,000 CRBSI rates vary depending on the type of catheter used and the patient's underlying condition. CVC BSI rate 5.3 per 1000 catheter days in the ICU Common pathogens are staph and enterococcus Staff education makes a difference in prevention
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Human Impact Direct medical costs range from $35.7 to $45 billion Hospital-Acquired Conditions (HAC) and Present on Admission (POA) Indicator Reporting Inpatient Prospective Payment System (IPPS) “Quality adjustment” to hospital payments No additional pay for HACs and HAIs
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“Superbugs”
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Methicillin-resistant Staphylococcus aureus
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Frequency, Severity and Mortality
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Bacilli on the left, colonies on the right
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PreventionEducationSurveillance
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Elimination of Catheter-Associated Urinary Tract Infections in Hospital Settings Elimination of Surgical Site Infections in Hospital Settings Elimination of Ventilator-Associated Pneumonia in Hospital Settings Elimination of CR-BSI in Hospital Settings Elimination of MRSA in Hospital Settings Elimination of C. difficile in Hospital Settings
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