Outcomes

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

Pediatric Units


Section Summary

  • Data from 72 pediatric units were examined.
  • CLABSI rates reduced from 2.742 at baseline to 1.702 at quarter six, a relative reduction of 38 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 76 pediatric units reported at least one data point. Units that formally withdrew were excluded (n=4)5, and all other units reported at least one post-baseline data point, resulting in a final analytic sample of 72 units. On average, units had less than one missing post-baseline quarter worth of data (mean=0.35; stdev=0.98; median=0).

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Overall

Overall CLABSI rates over time can be found in Figure 15. Table 9 illustrates the number of units reporting for each time period. Figure 16 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 28 percent of units reported a rate of zero. At quarter six, this percentage increased to 59 percent of units reporting a rate of zero. Summary results for all pediatric units can be found in Table 10.

Figure 15. Pediatric CLABSI rate overall over time

Table 9. Number of pediatric units reporting data at each time point

BaselineQ1Q2Q3Q4Q5Q6
65717070686563

 

Figure 16. Percent of reporting pediatric 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 10. Summary for pediatric units 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 Reporting24252526262525
Number of Units Reporting65717070686563
Average CLABSIs/Unit4.4770.8871.1430.7140.4850.6770.762
Average CL Days/Unit1633426489443465462448
Rate:
(Infections/Days) x 1,000
2.7422.0822.3391.6131.0431.4661.702
Relative Reductionn/a-24%-15%-41%-62%-47%-38%

5. 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/clabsicomp4b.html