Johns Hopkins University, Baltimore, Maryland, USA.
Health Aff (Millwood). 2011 Apr;30(4):628-34. doi: 10.1377/hlthaff.2011.0047.
Over the past decade, advances in the quality of care have been slow. One area of success, however, has been in combating central line-associated bloodstream infections. Data from the Centers for Disease Control and Prevention suggest that the number of patients in US intensive care units suffering a central-line infection declined by 63 percent between 2001 and 2009. We describe the multistep process taken by many stakeholders-states, federal agencies, hospital associations, regulatory and nonprofit associations, clinicians, and local hospitals-to collaborate on the successful reduction and eradication of these infections. Having begun in Michigan, this program has spread to forty-five states, has shown sustained results in reducing hospital-associated infections and mortality, and constitutes an important measurable national success story in quality improvement and a model for improving the health and safety of Americans.
在过去的十年中，医疗护理质量的提升较为缓慢。然而，在对抗与中心静脉导管相关的血流感染方面，我们取得了一定的成功。美国疾病控制与预防中心的数据显示，2001 年至 2009 年期间，美国重症监护病房中因中心静脉导管感染而患病的患者数量减少了 63%。我们描述了许多利益相关者——州政府、联邦机构、医院协会、监管和非营利组织、临床医生以及当地医院——采取的多步骤流程，共同努力成功减少和消除这些感染。该项目始于密歇根州，现已传播到 45 个州，在降低医院相关感染和死亡率方面持续取得成效，这是质量改进方面一个重要的、可衡量的成功案例，也是改善美国人民健康和安全的典范。
