Performance on key hospital-wide process measures during the initiative to reduce HAI and sepsis mortality
Process measure | 2013 | 2014 | 2015 | 2016 | 2017 | Estimate* | 95% CI | P value |
Urinary catheter utilization ratio† | 0.11 | 0.14 | 0.12 | 0.12 | 0.12 | 0.001 | −0.003 to 0.005 | 0.63 |
Number of urine cultures performed per 1000 patient-days | 59 | 113 | 98 | 105 | 100 | 0.080 | 0.075 to 0.084 | <0.0001 |
Adherence to urinary catheter maintenance bundle (%) | n/m | n/m | 61 | 93 | 97 | |||
Central venous catheter utilization ratio† | 0.15 | 0.18 | 0.21 | 0.21 | 0.18 | 0.045 | 0.042 to 0.048 | <0.0001 |
Number of blood cultures performed per 1000 patient-days | 84 | 174 | 174 | 177 | 174 | 0.118 | 0.115 to 0.121 | <0.0001 |
Adherence to central line maintenance bundle (%) | n/m | n/m | 90 | 99 | 99 | |||
Correct timing of perioperative antibiotics (%) | n/m | n/m | n/m | 99 | 99 | |||
Patients who received chlorhexidine wipes night before surgery (%) | n/m | n/m | n/m | 80 | n/m | |||
Patients who received chlorhexidine wipes morning of surgery (%) | n/m | n/m | n/m | 95 | n/m | |||
Adherence to sepsis 3-hour bundle (%) | 20 | 34 | 31 | 37 | 35 | 0.095 | 0.071 to 0.120 | <0.0001 |
Adherence to sepsis 6-hour bundle (%) | 4 | 10 | 7 | n/m | n/m | |||
Adherence to overall sepsis bundle (%) | 14 | 26 | 25 | 32 | 34 | 0.166 | 0.139 to 0.194 | <0.0001 |
*Estimate=Poisson regression estimate for reduction over 5 years.
†Utilization ratio=number of catheter-days divided by number of patient-days of care.
HAI, healthcare-associated infection; n/m, not measured.