Catheter-related bloodstream infections kill at least 30,000 patients in the intensive care unit each year, the Centers for Disease Control and Prevention estimates. About 250,000 hospital patients contract these infections annually, costing an estimated $9 billion in extra care.
Yet, within three months of implementing a simple set of interventions in 2004, more than 100 Michigan ICUs slashed their central-line associated bloodstream infection rates by 66%. The median infection rate dropped from 2.3 per 1,000 catheter days to near zero. The program, which focuses on using checklists of evidence-based interventions and changing hospital culture, was funded by the Agency for Healthcare Research and Quality.
The whole shebang.