Abstract:
BACKGROUND:Central line-associated bloodstream infections (CLABSI) carry serious risks for patients and financial consequences for hospitals. Avoiding unnecessary temporary central venous catheters (CVC) can reduce CLABSI. Critical Care Medicine (CCM) is often consulted to insert CVC when alternatives are unavailable. We aim to describe clinical and financial implications of a CCM-driven vascular access model. METHODS:In this retrospective, observational cohort study, all CLABSI and a sample of CCM consults for CVC insertion on adult medical-surgical inpatient units were reviewed in 2019. Assessment of CVC appropriateness and financial analysis of labor, reimbursement, and attributable CLABSI cost was conducted. RESULTS:Of 554 CCM consult requests, 75 (13.5%) were for CVC and 36 (48.0%) resulted in CVC insertion; 6 (16.7%) CVC were avoidable. Three CLABSI occurred in avoidable CVC with estimated annual attributable cost of $165,099. Estimated annual CCM consultant cost for CVC was $78,094 generating $110,733 in reimbursement. Overall estimated annual loss was $132,460. DISCUSSION:Reliance on CCM for intravenous access resulted in avoidable CVC, CLABSI, inefficient physician effort, and financial losses; nurse-driven vascular access models offer potential cost savings and risk reduction. CONCLUSIONS:CCM-driven vascular access models may not be cost-effective; alternatives should be considered for utilization reduction, CLABSI prevention, and financial viability.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Tirumandas M,Gendlina I,Figueredo J,Shiloh A,Trachuk P,Jain R,Corpuz M,Spund B,Maity A,Shmunko D,Garcia M,Barthelemy D,Weston G,Madaline Tdoi
10.1016/j.ajic.2020.10.006subject
Has Abstractpub_date
2020-10-17 00:00:00eissn
0196-6553issn
1527-3296pii
S0196-6553(20)30924-Xpub_type
杂志文章abstract:OBJECTIVE:To describe successful termination of an outbreak of vancomycin-resistant Enterococcus faecium (VREfm) colonization within a neonatal service. SETTING:Multisite neonatal intensive care unit and special care nurseries within a single health care service. PARTICIPANTS:Forty-four cases of VREfm-colonized neona...
journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
abstract::A 1-year prospective cohort study of health care-acquired infections was conducted at the neonatal intensive care unit of the University Clinical Centre Kragujevac, Serbia. The incidence rate of neonates with health care-acquired infections was 18.6%, and the incidence rate of the infections themselves was 19.4%. The ...
journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,评审
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更新日期:2015-07-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.04.004
更新日期:2014-07-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章,评审
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更新日期:2013-05-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2001-04-01 00:00:00
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journal_title:American journal of infection control
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doi:10.1067/mic.2001.115680
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doi:10.1067/mic.2001.119821
更新日期:2001-12-01 00:00:00
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更新日期:2010-03-01 00:00:00
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