Central Line Infection Prevention Bundle

Central Line Infection Prevention Bundle
A Central Line Infection Prevention Bundle is a package of evidence-based interventions that produce dramatic reductions in the incidence of bloodstream infections or ventilator-associated pneumonia. These types of infections are common in Intensive Care Units where intravenous catheters and mechanical ventilators are used.

This measure shows the percent of the total number of patients who are given every step in the package of evidence-based interventions. The steps are:

Use of hand hygiene by the person performing the procedure.
Documentation of that the person performing the procedure is using precautions, such as, wearing a sterile gown and gloves and covering the patient's head and body with a large sterile drape.
Documentation of the use of an antiseptic wipe(s).
Documentation from the caregiver about why they chose the site or documentation about the clinical evidence supporting the caregiver's choice of the site.
Daily assessment is performed regarding the continued necessity of catheter use.

Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Surgical wound infections can be prevented. Medical research shows that surgery patients who get antibiotics within the hour before their surgery are less likely to get wound infections. Getting an antibiotic earlier, or after surgery begins, is not as effective. Hospital staff should make sure surgery patients get antibiotics at the right time.

Higher percentages are better.

Surgery patients who were given the right kind of antibiotic to help prevent infection

Surgical wound infections can be prevented. Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery. Hospital staff should make sure patients get the antibiotic that works best for their type of surgery.

Higher percentages are better.

Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Antibiotics are often given to patients before surgery to prevent infection. Taking these antibiotics for more than 24 hours after routine surgery is usually not necessary. Continuing the medication longer than necessary can increase the risk of side effects such as stomach aches and serious types of diarrhea. Also, when antibiotics are used for too long, patients can develop resistance to them and the antibiotics won't work as well.

Higher percentages are better.

all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery

Even if heart surgery patients do not have diabetes, keeping their blood sugar under good control after surgery lowers the risk of infection and other problems. "Under good control" means their blood sugar should be 200 mg/dL or less when checked first thing in the morning.

Higher percentages are better.

Surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream not a razor)

Preparing a patient for surgery may include removing body hair from skin in the area where the surgery will be done. Medical research has shown that shaving with a razor can increase the risk of infection. It is safer to use electric clippers or hair removal cream.

Higher percentages are better.

Surgical Site Infection Vaginal Hysterectomy

Surgical Site Infection Rate for Vaginal Hysterectomy
For vaginal hysterectomies, this tool measures the number of infections divided by the number of surgeries performed. A vaginal hysterectomy is the removal of the uterus through a surgical incision made within the vagina. With a vaginal hysterectomy, the scar is not outwardly visible. A vaginal hysterectomy is different than an abdominal hysterectomy in which the incision is made in the abdominal wall. This data is risk adjusted.

Ventilator Associated Pneumonia Prevention Bundle

Ventilator Associated Pneumonia Bundle
A Ventilator Associated Pneumonia Bundle is a package of evidence-based interventions that produce dramatic reductions in the incidence of bloodstream infections or ventilator-associated pneumonia. These types of infections are common in Intensive Care Units where intravenous catheters and mechanical ventilators are used.

This measure shows the percent of the total number of patients who are given every step in the package of evidence-based interventions. The steps are:

Documentation that the head of the bed is elevated more than 30 degrees or greater.
Documentation that appropriate medication is given to prevent ulcers (sores).
Documentation of the use of appropriate mechanical equipment to prevent ulcers (sores).
Documentation that there is a daily assessment of whether the patient can be weaned of the need for the ventilator.