EFFECTIVENESS OF A COLLABORATIVE APPROACH IN REDUCING HEALTHCARE-ASSOCIATED INFECTIONS AND IMPROVING SAFETY IN BRAZILIAN ICUS: THE SALUS VITAE STORY
Background Healthcare-associated infections (HAI) are a common preventable complication of hospital care and represent a major threat to patient safety, especially in low- and middle-income countries. In June 2015, in partnership with IHI, a Brazilian health system launched a program to reduce HAI and improve patient safety in 13 intensive care units (ICUs) from 12 hospitals using a collaborative approach.
Objectives To reduce the rate of central line-associated bloodstream infections (CLABSI), ventilator-associated pneumonias (VAP) and catheter-associated urinary tract infections (CAUTI) by 50% by December 2016.
Methods We used an 18-month Breakthrough Collaborative Series (BTS) approach that promoted the adoption of bundles of care, coupled with leadership engagement, innovation and capacity building.
Results 13 ICUs participated in the collaborative. Gaps in infrastructure, staffing, and critical care knowledge were identified. Four learning sessions were held. Data from July 2016 shows a 49% reduction in the CLABSI rate, 33% in the VAP rate and 45% in the CAUTI rate.
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