To determine the cost effectiveness of utilizing a hospital based nursing intravenous team to lower central line associated blood stream infections (CLABSI). The research was conducted using the following key words and various combinations of the key terminology, namely: central venous catheters; central lines; central line associated bloodstream infections; hospital acquired infections; cost benefit analysis of CLABSI; economics of HAI; hospital acquired conditions; IV team; CLABSI interventions; CLABSI prevention. With the introduction of an IV team, there were 34 fewer CLABSIs over the four year period with a 79.1% decrease in CLABSI. The overall cost saving for the institution was $435,002 (31.3%), with 34 fewer central line associated bloodstream infections with the start of the IV team. There was a consistent and sustained decrease in the CLABSI rate with the IV team. The IV team provided a cost effective reduction in CLABSI by providing consistent and standardized care for maintaining central lines post insertion. Healthcare costs continue to rise. The reduction of hospital acquired infections lowers the overall hospital length of stay and reduces the cost associated in treating these infections and hospitals' risk management and legal costs. Fewer infections will mean improving hospitals' standing in their communities. Starting an IV team to lower CLABSI is an important quality improvement initiative in hospitals with a higher CLABSI rate.
|Commitee:||Phillips, Karen, Ratcliffe, Alma|
|School:||The William Paterson University of New Jersey|
|School Location:||United States -- New Jersey|
|Source:||DAI-B 75/07(E), Dissertation Abstracts International|
|Keywords:||Central line associated blood stream infections, Central venous catheters, Cost, Economics, Hospital acquired infection, IV team|
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