Quality Process Measures/Metrics

Technology Plan

The  recommendations  of  specific  technologies  or  products  herein  are  those  of  the  Patient  Safety  Movement Foundation  and  do  not  necessarily  represent  the  opinions  of  the  Joint  Commission  Center  for  Transforming Healthcare or its affiliates. The Joint Commission Center for Transforming Healthcare was not consulted on, nor did it  participate  in  the  decision  or  choice  of  any  specific product  or  technology,  and  as  a  matter  of  policy  the  JointCommission  Center  for  Transforming  Healthcare  does  not  endorse  any  specific  technologies,  equipment,  or  other products.
Implement a central venous catheterization (CVC) kit to prepare, insert and maintain a safe central line. Kits can be custom  designed  to  fit  the  needs  of  one  hospital  or  hospital  system.  Two  such  kits  are  used  at  the  University  of Vermont Medical Center and have been included below:
Consider   implementing   Electronic   Hand   Hygiene   Compliance   technology   to   ensure   accurate   and   reliable measurement, feedback and improvement of this essential performance indicator.

Metrics

Topic:

Central line-associated bloodstream infections (CLABSI)
Rate  of  CLABSI  (healthcare-associated  primary  bloodstream  infection  (BSI))  in  an  ICU  patient  that  had  a  central line  within the  48-hour  period  before  the  development  of  the  BSI  and  that  is not related  to  an infection  at  another site.

Outcome Measure Formula:

Numerator: A laboratory-confirmed bloodstream infection based on CDC NHSN definitions \cite{0031}
Denominator: Device days or patient days
*Rate is typically displayed as CLABSI/1000 Line days

Metric Recommendations:

Indirect Impact:
Any patient with a peripheral or central line will benefit from several of the interventions being instituted
Direct Impact:
All patients that require a central line
Lives Spared Harm: