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Nine Oregon Hospitals Work Together to Prevent Infections

July 5, 2012 -- Healthcare-associated infections (HAI) are contracted during the course of receiving medical care and can be devastating or even deadly. The Centers for Disease Control and Prevention (CDC) estimates that 1.7 million hospital patients―4.5 of every 100 admissions―become infected each year and that these infections cause or contribute to the deaths of nearly 100,000 people. Survivors may endure years of follow-up treatment, multiple surgeries, even permanent disability.
July 5, 2012

July 5, 2012 -- Healthcare-associated infections (HAI) are contracted during the course of receiving medical care and can be devastating or even deadly. The Centers for Disease Control and Prevention (CDC) estimates that 1.7 million hospital patients―4.5 of every 100 admissions―become infected each year and that these infections cause or contribute to the deaths of nearly 100,000 people. Survivors may endure years of follow-up treatment, multiple surgeries, even permanent disability.

From June 2010 to December 2011, the Oregon Patient Safety Commission convened a group of nine Oregon hospitals for the Healthcare-associated Infection (HAI) Prevention Collaborative. Participants in the Collaborative worked collectively and individually to prevent central line-associated blood stream infections (CLABSI), surgical site infections (SSI), and Clostridium difficile infections (CDI). Collaborative participants also worked to improve hand hygiene, strengthen cleaning practices in the hospital environment, and ensure the appropriate use of antibiotics (also known as antibiotic stewardship).

During the HAI Prevention Collaborative, participating hospitals saw 44 percent fewer CLABSI than expected and 52 percent fewer SSI than expected. The impressive work of Collaborative participants prevented 44 Oregon patients from contracting healthcare-associated infections. The Oregon HAI Prevention Collaborative Final Report provides an overview of the Collaborative and in-depth results.

The participating hospitals were Columbia Memorial Hospital, Good Samaritan Regional Medical Center, Mountain View Hospital, Oregon Health & Science University, Providence Portland Medical Center, Rogue Valley Medical Center, Silverton Hospital, Sky Lakes Medical Center, and St. Anthony Hospital.

On June 22, 2012, the Oregon Patient Safety Commission hosted the Oregon HAI Prevention Collaborative Celebration and Team Sharing Event to recognize the accomplishments of Collaborative participants. The event was marked by presentations from participating hospitals sharing their successful interventions and included speakers from the national Institute for Healthcare Improvement and Kaiser Permanente's national program office.

To continue the success achieved by the HAI Prevention Collaborative, the Oregon Patient Safety Commission is excited to engage other organizations in collaborative efforts. This fall, the Commission will be inviting Oregon hospitals to participate in the Oregon Antimicrobial Stewardship Collaborative—an effort to promote best practices for safe and appropriate use of antibiotics. The Commission plans to work in conjunction with Acumentra Health’s Oregon HAI Prevention Coalition focusing on Clostridium difficile prevention and the Oregon Association of Hospitals and Health Systems' Health Engagement Network for Partnership for Patients.

During the Oregon HAI Prevention Collaborative, a private, password-protected website was used to facilitate information sharing and community connections. This website is now publically available to those interested in learning about the Collaborative change packages, potential interventions, Collaborative meeting presentations, tools, articles, and resources. Please visit at http://oregonpatientsafety.org/hai.

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