A much-lauded effort to reduce rates of central line-associated infections has had lasting effects, with some participating intensive-care units going as long as two years without a central line infection, according to a study in the May 9 issue of the Archives of Internal Medicine.
Lasting impact seen with Mich. anti-infection push
First rolled out in Michigan ICUs and led by researchers from Johns Hopkins University, the initiative—known as the Comprehensive Unit-based Safety Program, or CUSP—has since been implemented in more than 35 states, with funding from the Agency for Healthcare Research and Quality.
Researchers analyzed data from the 80 ICUs that first participated to determine whether the program, which incorporates interventions such as a checklist and culture changes, has had sustainable effects. Sixty percent of those ICUs went a year or more without a single central line-associated bloodstream infection, according to the study. And roughly a quarter of ICUs sustained zero central line infections for two years or more.
“Previous research has shown that using CUSP to reduce healthcare-associated infections works,” said Dr. Carolyn Clancy, AHRQ’s director. “This study gives us even better news—that results from efforts to eliminate these deadly and costly infections can be sustained.”
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