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
Baseline | Q1 | Q2 | Q3 | Q4 | Q5 | Q6 |
---|---|---|---|---|---|---|
185 | 243 | 246 | 234 | 231 | 220 | 209 |
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-Intervention | Post-Intervention | ||||||
---|---|---|---|---|---|---|---|
Baseline | Q1 | Q2 | Q3 | Q4 | Q5 | Q6 | |
12 Months | Months 1-3 |
Months 4-6 |
Months 7-9 |
Months 10-12 |
Months 13-15 |
Months 16-18 |
|
Number of States Reporting | 34 | 37 | 37 | 38 | 34 | 33 | 30 |
Number of Units Reporting | 185 | 243 | 246 | 234 | 231 | 220 | 209 |
Average CLABSIs/Unit | 1.935 | 0.481 | 0.496 | 0.359 | 0.329 | 0.364 | 0.316 |
Average CL Days/Unit | 1,165 | 335 | 360 | 345 | 332 | 335 | 325 |
Rate: (Infections/Days) x 1,000 |
1.660 | 1.437 | 1.376 | 1.041 | 0.990 | 1.084 | 0.972 |
Relative Reduction | n/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.