Outcomes

A Companion Guide to the National On the CUSP: Stop BSI Project Final Report

Adult Non-ICUs


Section Summary

  • Data from 260 adult non-ICUs were examined.
  • CLABSI rates reduced from 1.660 at baseline to 0.972 at quarter six, a relative reduction of 41 percent.

Although the intervention was tailored to adult ICUs, other hospital units that stood to benefit from participating in the intervention were encouraged to register. A total of 303 adult non-ICUs reported at least one data point. Units that formally withdrew were excluded (n=41)4, and units that never reported post-baseline data were excluded (n=2), resulting in a final analytic sample of 260 units. One unit did not report data between quarter one and quarter six but did report during quarter seven and eight. On average, units had less than one missing post-baseline quarter worth of data (mean=0.68; stdev=1.37; median=0).

Overall

Overall CLABSI rates over time can be found in Figure 13. Table 7 illustrates the number of units reporting for each time period. Figure 14 illustrates the percentage of units reporting a rate of zero (shown in dark blue) or less than one (shown in light blue) during each time period. At baseline 61 percent of units reported a rate of zero. By quarter six, this percentage had increased to 81 percent of units reporting a rate of zero. Summary results for all adult non-ICUs can be found in Table 8.

Figure 13. Adult non-ICU CLABSI rate overall over time

Table 7. Number of non-ICUs reporting data at each time point

BaselineQ1Q2Q3Q4Q5Q6
185243246234231220209

 

Figure 14. Percent of reporting non-ICU units with CLABSI rate of zero or less than one

* Percentage of units calculated as number of units with a rate of zero or less than one divided by the total number of units reporting during the time period.

Table 8. Summary for non-ICUs, cohorts 1-6 through quarter 6

 Pre-InterventionPost-Intervention
BaselineQ1Q2Q3Q4Q5Q6
12 MonthsMonths
1-3
Months
4-6
Months
7-9
Months
10-12
Months
13-15
Months
16-18
Number of States Reporting34373738343330
Number of Units Reporting185243246234231220209
Average CLABSIs/Unit1.9350.4810.4960.3590.3290.3640.316
Average CL Days/Unit1,165335360345332335325
Rate:
(Infections/Days) x 1,000
1.6601.4371.3761.0410.9901.0840.972
Relative Reductionn/a-13%-17%-37%-40%-35%-41%

4. This number does not reflect units that formally withdrew but had not submitted any data. For details regarding project withdrawal see Participation section.

Current as of January 2013
Internet Citation: Outcomes: A Companion Guide to the National On the CUSP: Stop BSI Project Final Report. January 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/cusp/clabsi-final-companion/clabsicomp4a.html