Infection Rates at Archbold Hospital Much Lower than National Average
Thursday, March 3, 2011
A commitment to patient safety is a key part of providing quality health care. And that includes an aggressive approach to the prevention of healthcare-associated infections.
At Archbold Memorial Hospital, a focus on best practices and CDC guidelines has helped achieve infection rates well below national averages.
“This speaks to patient safety and the biggest thing we can do for our patients is to ensure that they receive excellent care and go home without an infection or complications,” said Charles Tomlinson, M.D., vice president of medical affairs. “To be better than the aggregate data of facilities across the country shows that this is an extremely safe place to come if you need hospital care.”
National data from a 2008 report of the National Healthcare Safety Network (NHSN) shows that, on average, surgical site infections occur at a rate of one infection per 57 procedures. In 2010, Archbold experienced only one infection for every 555 procedures.
Archbold’s central line associated bloodstream infections were also much lower than the national data. Central lines are catheters placed in a large vein of the neck, chest or groin, and are used to administer medications or fluids and obtain blood for lab tests. Archbold’s rate of infections associated with central lines in 2010 was 0.19 infections per 1000 central line days. The NHSN national comparison data demonstrates a rate of 1.76 infections per 1000 central line days.
Archbold experienced 9 MRSA (methicillin-resistant staphylococcus aureus) cases during 2010 (or 0.12 per 100 surgeries). There is not a clear national benchmark, but The University of Virginia published a report in 2008 about a reduction in their surgical MRSA rate to 1.4 per 100 surgeries. Archbold’s rate remains well below this rate.
The best infection rate is zero and Archbold has recently finished a year without a ventilator-associated pneumonia (VAP) in the Intensive Care Unit. Careful attention to best practices for the prevention of VAP has made the difference and a real team effort has made this possible at Archbold.
Archbold has maintained an extremely low rate of overall Healthcare-associated Infections over the past decade, performing consistently less than one sixth of national HAI infection rates. “The reason our rates are so low is because of the diligence of our medical staff, bedside caregivers and support departments in practicing good infection prevention every single day,” said Annette Warren, RN, Archbold’s Infection Control Coordinator. “It’s a total team effort.”
Some of the fundamental approaches include ongoing education of caregivers and visitors about the importance of hand hygiene (soap and water and alcohol-based hand sanitizers); properly ventilated isolation rooms for patients with infections; properly selected antibiotics given within one hour prior to surgery; and use of Triseptin® body wash prior to surgery to reduce bacteria on the skin and susceptibility to surgical site infection. Archbold also has an Infection Control Committee, including physicians, that reviews all healthcare-associated infection data to identify trends or contributing factors and to recommend practices with the potential to reduce infections.
“Archbold Memorial Hospital has been recognized as a statewide leader for quality indicators,” said Perry Mustian, President/CEO. “Despite our good track record with healthcare-associated infection rates, we remain committed to continued monitoring and improvement for our patients.”