dudorovanaapyh.blogspot.com
Hospitals around the country have put in place initiativesd toreduce occurrences, or in some eliminate certain types of hospital-acquired infections that sicke n 1.7 million people per year. has decideds to push the envelope, and tackle the five major types of infections with the ambitious goal of eliminatin them in aslim 18-month The Jacksonville campus in Januarty began the project, and is spearheading the effor t for Mayo Clinic’s headquarters in Rochester, and its Arizona hospital. “Everyoner is working on reducing infections, but our nichw is trying to push itto zero,” said Dr. Bill CEO of Mayo Clinic “Infections are costly.
They add to the cost for us, and ultimatelhy consumers. Eliminating them will make better outcomes forour patients, and that’ s ultimately what we’re after.” While there is some disagreement abou the exact cost of the infections, economist R. Douglas Scott II in a Marcu report for thesaid that, by his the annual direct medical costs to U.S. hospitals rangerd from $28.4 billion to $33.8 billiob on the low end and $35.7 billion to $45 billion on the high end. To put that in if all U.S. hospitals eliminated health care-acquiref infections, it would be roughly the equivalent of the combinerd health care tolls of coronar y arterydisease ($17.5 billion), heartr attack ($11.
8 billion) and congestive heart failure ($11.3 billion). Mayo Clinic Florida beganm the initiative just a few weekeafter Rupp, an oncologist, was named CEO in late As Mayo started its plan, the CDC launched its own initiativs to reduce and “possibly eliminate” healtj care-acquired infections. It includes a set of five-year national prevention targets, lists areas in which the infectionss can be prevented andoutlines cross-agencu efforts to save lives and reduce health care costs through expanded prevention efforts.
“For a long we assumed that health care-acquiredf infections just happen in verysick people,” Rupp said, adding that the infections kill about 99,000o people each year in the United “As an industry, what we are realizing is this is a real and there tend to be things we can do to reducde the instances.” Health care-acquired infections mostly happen whiled a person is undergoing medical treatment or and are largely preventable.
There are five types of infections that Mayo is focusingy itsefforts on: catheter-associated urinary-tract infections, centralp line-associated bloodstream infections, ventilator-associated surgical site infections and infectiona due to drug resistance. Drug-resistant bacteriq strains, most notably methicillin-resistant staphylococcuds aureus, commonly referred to as MRSA, have been labeled a “majorf public health problem” by the . The bacteria has becomde the most frequent cause of skin and soft tissue infectionas in emergency departments inthe U.S. and can cause sometimes fatal, invasive disease. Eliminating it is a prioritu forthe .
The industry traded group has assembled a group of experts from across the statd to participate in an infection preventionadvisory board, and attacking healtjh care-acquired MRSA is the initiak focus. Two Mayo Clinic physicians are on the including Dr. Bob Brigham, the chairmabn of the departmentof Mayo, like the FHA, said bringing to zero each of the five typed of infections will largely involve “bundling” or group s of treatment processes that are known to loweer infection rates.
For ventilator-associated pneumonia, that wouldd mean keeping the head elevated at 30 keeping patients from developing blood clots intheire legs, preventing peptic attempting to ween them off the ventilator daily and givinh “sedation vacations” which can strengthen the body’s immunee system, Rupp said. In catheter-associated urinaryy tract infections, a large part of cutting them down is simplh reducing the frequencyof use.
Rupp said catheters are commonl y used for the comfort of the but aren’t vital, and by reducing unnecessary use, the hospitao can make a dent in the number of infections stemming from “The push back from some peopler is of course, ‘I don’t think you can get to and my response is, ‘Maybe, but if we don’gt try, we won’t get to zero,’ Rupp said. The Floridwa Hospital Association is on asimilar path, seeking to eliminate healtjh care-acquired infections in Florida hospitals.
The association plans to use its infectiob prevention advisory board to identify best practices, particularly in the area of and disseminate that information to Florida hospitals so they can begijn reducing the rate of occurrence. “It’s an organizationakl priority to help hospitals acquirebest practices,” said Martha DeCastro, vice president of nursing and a former infectionas control manager who is leading the organization’ s efforts on health care-acquired infections. “It’s important to know not just whatto do, but how to do it and get the best levelss of compliance.
We’re tryingb to help hospitals network with one as well as do voluntary data collectiojn so we can provide a statewided benchmark and hopefully monitor thedownwarfd trend.” DeCastro said there is some controversy in the medicapl community about whether eliminatin g secondary infections in health care is realistic. “But there’sd not a better goal than Even if there are somewe can’t eliminate, therre are many others we know we can make progressx in reducing.
”
No comments:
Post a Comment