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NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2013 N.C. Healthcare‐Associated Infections Prevention Program N.C. Communicable Disease Branch Healthcare‐Associated Infections in North Carolina Quarterly Report – January 2013 Healthcare Consumer Version N.C. Department of Health and Human Services NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 i Introduction The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital admissions result in a healthcare‐associated infection, culminating in approximately 1.7 million infections and 99,000 deaths each year1 as well as $28–33 billion in excess costs.2 In North Carolina, approximately 33,000 individuals contract healthcare‐associated infections in acute care hospitals each year, resulting in approximate direct costs to facilities ranging from $281 million to $779 million dollars.3 These numbers likely underestimate the true burden of healthcare‐associated infections because they include only a subset of acute care hospitals and healthcare‐associated infections. The prevention of healthcare‐associated infections is a public health priority in North Carolina and is a collaborative effort among the healthcare and public health communities. This January 2013 Healthcare‐Associated Infections Quarterly Report is an important product of this collaboration and represents the first public reporting of healthcare‐associated infections statewide, as required by North Carolina General Statute 130A‐150 and North Carolina Administrative Code Rule 41A .0106. Included in this report is information about infections occurring in North Carolina acute care hospitals during January 1st –June 30th, 2012. Data included in this report are preliminary and subject to change. While this report only includes data from acute care hospitals, other facility types including rehabilitation, long term acute care, and state psychiatric will be added to future reports. These reports will be released on a quarterly basis, during the months of January, April, July, and October. The next quarterly report will provide an annual summary of 2012 healthcare‐associated infections in acute care hospitals. This report focuses on three important types of healthcare‐associated infections that may occur while patients are hospitalized: central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections (specifically those following abdominal hysterectomies or colon surgeries). These three types of infections account for a large proportion of illnesses and deaths attributed to healthcare, but they do not represent the full spectrum of healthcare‐associated infections. Information about other types of healthcare‐associated infections ‐ including those caused by methicillin‐resistant Staphylococcus aureus (MRSA) and by Clostridium difficile ‐ will be included in future reports. This report was prepared by the North Carolina Healthcare‐Associated Infections Prevention Team, which is located in the Communicable Disease Branch of the Epidemiology Section of the North Carolina Division of Public Health. The NC Healthcare‐Associated Infections Prevention Program works to eliminate preventable infections in health care settings by: 1 Klevens RM, Edwards JR, Richards CL, Jr., et al. Estimating health care‐associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. Mar‐Apr 2007;122(2):160‐166. Available at http://www.cdc.gov/hai/burden.html. 2 Scott R. The Direct Medical Costs of Healthcare‐Associated Infections in U.S. Hospitals and the Benefits of Prevention. Internal Report. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention; February 2009. Available at http://www.cdc.gov/hai/burden.html. 3 NC‐DHHS. Estimates for Cost of Healthcare‐Associated Infections (HAIs) in North Carolina Acute Care Hospitals: Report from the Economic Impact Subgroup of the North Carolina Department of Public Health HAI Advisory Group; 2011. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 ii 1. Conducting statewide surveillance for selected HAIs; 2. Providing useful, unbiased information to health care providers and consumers; 3. Promoting and coordinating prevention efforts; and 4. Responding to outbreaks in health care settings. We hope that the information in this report will be useful to healthcare consumers. Data are intended to provide readers with an understanding of the burden of healthcare‐associated infections in N.C. as well as an opportunity to evaluate infection rates across the state. Prevention tips are also provided so readers can take steps to minimize their risk of a healthcare‐associated infection. A separate healthcare provider version with additional details is also available at http://epi.publichealth.nc.gov/cd/diseases/hai. We welcome your feedback to improve the usefulness of future reports (nchai@dhhs.nc.gov). For more information on Healthcare‐Associated Infections and the N.C Healthcare‐Associated Infection Prevention Team, please visit http://epi.publichealth.nc.gov/cd/diseases/hai. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iii Acknowledgements The North Carolina Healthcare‐Associated Infection Prevention Team would like to acknowledge and thank hospital infection preventionists across the state who work tirelessly to protect patients from infection. They provided the data used to create this report and worked with their hospital colleagues to identify and reconcile any potential problems with the data. The recent successes in fighting healthcare‐associated infections would not have been possible without their continuing efforts, dedication, and collaboration. The Healthcare‐Associated Infection Prevention Team would also like to recognize the contributions of the Healthcare‐Associated Infections Advisory Group members listed in Appendix A. In particular, the team is grateful to the Subgroup on Reporting and Surveillance for their thoughtful feedback on the presentation and content of the Quarterly Reports. Finally, the team would like to acknowledge our partners from the North Carolina Hospital Association (NCHA), the North Carolina Statewide Program for Infection Control and Epidemiology (NC SPICE) and the North Carolina Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC) who have been important leaders and strong supporters of surveillance and prevention programs for healthcare‐associated infections in North Carolina. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iv Table of Contents Introduction ................................................................................................................................................................................ i Acknowledgements .............................................................................................................................................................. iii Definitions .................................................................................................................................................................................. v Acronyms ................................................................................................................................................................................. vii I. Surveillance for Healthcare‐Associated Infections in North Carolina ..................................................... 1 II. Overview of the Hospital‐Specific Summary Reports ..................................................................................... 2 Section Overview ............................................................................................................................................................... 2 Section 1 – General Hospital Information ............................................................................................................ 2 Section 2 – Central line‐associated bloodstream infections (CLABSI) .................................................... 3 Section 3 – Catheter‐associated urinary tract infections (CAUTI) ............................................................ 4 Section 4 – Surgical site infections (SSI) .............................................................................................................. 5 Section 5 – Commentary from Hospital ................................................................................................................ 6 III. Hospital‐Specific Summary Reports ................................................................................................................. 7 APPENDIX A. N.C. Healthcare‐Associated Infections Advisory Group APPENDIX B. Similarly‐Sized Hospitals in North Carolina, 2011 National Healthcare Safety Network Annual Facility Survey NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 v Definitions Term Definition ASA Class Anesthesiologist’s pre‐operative assessment of the patient’s physical condition, using the American Society of Anesthesiologists’ (ASA) Classification of Physical Status. 1. Normally healthy patient 2. Patient with mild systemic disease 3. Patient with severe systemic disease that is not incapacitating 4. Patient with an incapacitating systemic disease, constant threat to life 5. Patient not expected to survive for 24 hours with or without the operation Beds The number of staffed beds in a facility or patient care location. This may be different from the number of licensed beds. Catheter days A daily count of the number of patients with an indwelling urinary catheter. For example, one patient with an indwelling catheter in place for two days or two patients with indwelling catheters in place for one day each would both result in two catheter days. This number is used when presenting rates of catheter‐associated urinary tract infections. Catheter‐associated urinary tract infection Urinary tract infection (UTI) that occurs in a patient who had an indwelling urinary catheter in place within the 48‐hour period before the onset of the UTI. Central line A catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. Also known as a central venous catheter. Central line‐associated bloodstream infection A bloodstream infection (BSI) that occurs in a patient who had a central line within the 48‐hour period before the onset of the BSI and is not related to an infection at another site. Central line days A daily count of the number of patients with a central line. For example, one patient with a central line in place for two days or two patients with central lines in place for one day each would both result in two central line days. This number is used when presenting rates of central line‐associated bloodstream infections. Device days A daily count of the number of patients with a specific device (e.g., central line, umbilical catheter, ventilator, or urinary catheter) in the patient care location. Healthcare‐associated infections Healthcare‐associated infections (HAI) are infections caused by a wide variety of common and unusual bacteria, fungi, and viruses during the course of receiving medical care. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vi Term Definition Infant An individual ≤ 1 year of age. Intensive care unit A nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults and/or children who are critically ill. Also referred to as critical care unit. Medical affiliation Affiliation with a medical school. There are four categories. Major – Hospital is an important part of the teaching program of a medical school and the majority of medical students rotate through multiple clinical services. Graduate – Hospital used by the medical school for graduate training programs only (i.e., residency and/or fellowships). Limited – Hospital used in the medical school’s teaching program to a limited extent. No – Hospital not affiliated with a medical school. Patient days A daily count of the number of patients in the patient care location during a specified time period. Rate Describes the speed with which disease or events occur. Surgical site infection Infection that occurs after surgery, in the part of the body where the surgery took place. Urinary catheter A drainage tube that is inserted into the urinary bladder through the urethra, is left in place, and is connected to a closed collection system. Validity (data) The extent to which reported cases of a disease or event correspond accurately to cases of a disease or event in the real world. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vii Acronyms APIC Association for Professionals in Infection Control and Epidemiology ASA American Society of Anesthesiologists CAUTI Catheter‐associated urinary tract infection CDC Centers for Disease Control and Prevention CMS Centers for Medicare and Medicaid Services CLABSI Central line‐associated bloodstream infections CDB Communicable Disease Branch CI Confidence interval DHHS Department of Health and Human Services DPH Division of Public Health HAI Healthcare‐associated Infections ICU Intensive care unit NCHA North Carolina Hospital Association NC SPICE North Carolina Statewide Program for Infection Control and Epidemiology NHSN National Healthcare Safety Network NICU Neonatal critical care unit SSI Surgical site infection NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 1 I. Surveillance for Healthcare‐Associated Infections in North Carolina Healthcare‐associated infections are infections caused by a variety of germs while receiving medical care. Hospitals report specific types of healthcare‐associated infections to the North Carolina Division of Public Health via a Centers for Disease Control and Prevention (CDC) internet‐based electronic database. These infections include central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections occurring after an abdominal hysterectomy or colon surgery. These infections are only reported for patients in the hospital and not for patients in outpatient settings such as clinics, outpatient surgical centers or dialysis facilities. By North Carolina law, hospital reporting requirements are based on the reporting requirements established by the Centers for Medicare and Medicaid Services. The first healthcare‐associated infection reporting requirement went into effect on January 1, 2012, when acute care hospitals began reporting central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections. Additional hospital types – long‐term acute care hospitals and rehabilitation hospitals – began reporting central line‐associated bloodstream infections and catheter‐associated urinary tract infections in October 2012; this information will be included in future quarterly reports. In January 2013, acute care hospitals will begin reporting laboratory confirmed bloodstream infections caused by methicillin‐resistant Staphylococcus aureus (MRSA) and infections caused by Clostridium difficile (C. diff). This information will also be included in future quarterly reports. To learn more about central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections, please visit the N.C. Healthcare‐Associated Infections – Facts & Figures website at http://epi.publichealth.nc.gov/cd/hai/figures.html. In addition to information about specific infections, there is a link to the October 2012 Quarterly Report, which contains background information on healthcare‐associated infections surveillance in N.C. and detailed information on statistics commonly used to describe and summarize healthcare‐associated infections. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2 II. Overview of the Hospital‐Specific Summary Reports The following pages are the hospital‐specific summary reports for healthcare‐associated infections that acute care hospitals reported from January to June, 2012. Before reviewing the hospital‐specific summary reports, please read this section which contains helpful information and explanations. Each hospital has a one‐page summary that contains five sections: 1) general hospital information, 2) central line‐associated bloodstream infections, 3) catheter associated urinary tract infections, 4) surgical site infections, and 5) commentary from the hospital. These sections are described in detail below. Before elaborating on each section, two clarifications about the data need to be made: 1. The data are preliminary. Although efforts were made by hospitals and the N.C. Healthcare‐ Associated Infections Prevention Program to ensure that the data were accurate and complete, a formal validation of the data has not been performed. Data validation is a process by which data from hospitals are carefully reviewed to ensure that they meet established criteria and standards for reporting. If these criteria and standards are not met, over‐reporting or under‐reporting can occur giving a distorted presentation of what is occurring in the hospital. Until data validation is completed, data are preliminary and should be interpreted with caution. Collaboration with partners is anticipated in the coming year to discuss data validation options. 2. The rates of infections are not included in some places. Approximately 25% of reporting hospitals in N.C. are small hospitals with less than 100 beds. These hospitals are likely to have low numbers of central line days, catheter days, and surgeries. Calculating rates with small numbers in the denominator can be misleading. Therefore the N.C. Healthcare‐Associated Infections Prevention Program chose to present only the actual number of infections for units, hospitals, and/or surgeries that did not meet a minimum threshold value for the reporting period; rates are not presented. The minimum threshold numbers for the reporting period are based on CDC recommendations for reporting healthcare‐associated infection data. Central‐line associated bloodstream infections: 50 central line days Catheter‐associated urinary tract infections: 50 catheter days Surgical site infections: 20 surgeries Section Overview Tables and figures from hospital‐specific summary reports have been included in the following sections to provide a pictorial representation of data. These tables and figures do not represent one single hospital and are used as examples to highlight key points. Section 1 – General Hospital Information This section contains general information about the hospital and includes a map of where the hospital (blue “H” icon) is located in N.C. Data in this section are from the National Healthcare Safety Network (NHSN) 2011 Annual Hospital Survey. The surveys are completed once a year; the 2012 Annual Hospital Survey will be completed by hospitals in 2013. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 3 Section 2 – Central line‐associated bloodstream infections (CLABSI) This section of the report includes a table, figure, and general information about central line‐associated bloodstream infections. Please note that central line‐associated bloodstream infections are only reported from adult, pediatric, and neonatal intensive care units in acute care hospitals. Table 1 includes the number of central line‐associated bloodstream infections (“Infections”), number of central line days (“Line Days”), and rate (“Rate”). A central line day is a daily count of the number of patients with a central line. For example, if there are 12 patients who have a central line on Day 1, then there were 12 central line days on Day 1. The central line days are summed over the period of interest to calculate the total number of central line days in the hospital or unit. In the example shown here, there were a total of 4,669 central line days from January to June 2012 in this hospital. The rate is the number of central line‐associated bloodstream infections divided by the number of central line days multiplied by 1,000 to get “per 1,000 central line days.” In this example, the rate is 0.43 central line‐associated bloodstream infections per 1,000 central line days. Figure 1 shows the hospital central line‐associated bloodstream infections rate along with the central line‐associated bloodstream infections rates of similarly‐sized hospitals and all hospitals in N.C. The categories for “Similarly‐sized Hospitals” are based on total hospital bed counts: less than 100 beds, 100‐199 beds, 200‐399 beds, and 400+ beds. Hospitals that serve as the primary location for medical schools are included in a separate category (primary medical school affiliation). A list of the hospitals in each category can be found in Appendix B. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 4 In addition to the rates, the 95% confidence intervals (CI) are also presented as the “Lower Limit” and “Upper Limit” in the figure. The 95% confidence interval is a useful measure because it can be used to assess if the difference between two rates is important statistically, or statistically significant. If the 95% confidence intervals of two rates overlap, then the conclusion would be that the difference in rates is not statistically significant. However, if the 95% confidence intervals of two rates do not overlap, then the rates are said to be statistically significant. In this example (Figure 1), the hospital rate is 0.43 central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.05‐1.55). The rate among similarly‐sized hospitals is 1.08 central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.82‐1.33) and the rate for all NC hospitals is 1.06 central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.89‐1.22). The central line‐associated bloodstream infections rate in the hospital appears to be lower than that of similarly‐sized hospitals and all hospitals in N.C. The question is if this difference in central line‐associated bloodstream infections rates is a true difference. Looking at the 95% confidence interval of the hospital rate, it overlaps with the 95% confidence interval of the rate for similarly‐sized hospitals and the rate for all NC hospitals. Therefore, the conclusion would be that the observed difference in central line‐associated bloodstream infections rate in the hospital is not significantly different from the central line‐associated bloodstream infections rates of similarly‐sized hospitals or all hospitals in NC. The section on central line‐associated bloodstream infections concludes with general information about what a central line‐associated bloodstream infection is and what patients can do to reduce their risk of infection. Section 3 – Catheter‐associated urinary tract infections (CAUTI) Like the section on central line‐associated blood stream infections, this section includes a table, figure, and general information about catheter‐associated urinary tract infections. Catheter‐associated urinary tract infections are only reported from adult and pediatric intensive care units in acute care hospitals. The calculations of catheter days and rates as well as interpretation of the 95% confidence intervals are the same as those presented in “Section 2 – Central line‐associated bloodstream infections (CLABSI)”; please refer to that section for more information. In the example above (Table 2), the hospital rate of catheter‐associated urinary tract infections was 0 per 1,000 catheter‐days. The accompanying Figure 2 below displays that the 95% confidence interval is not presented when the rate is 0. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 5 Section 4 – Surgical site infections (SSI) This section includes a table and two figures about surgical site infections. Hospitals are required to report surgical site infections that occur among adults 18 years or older following inpatient abdominal hysterectomies and colon surgeries. Only surgical site infections that occur at the primary incision site within 30 days of surgery are included in this report. Infections are not included if they occur later or if they involve only the skin or subcutaneous tissue (the layer of tissue directly under the skin). Finally, if patient age or the American Society of Anesthesiologists (ASA) score is missing for a surgery, it is not included in the final count of surgeries. The calculation of rates as well as interpretation of the 95% confidence intervals are the same as those presented in “Section 2 – Central line‐associated bloodstream infections (CLABSI)”; please refer to that section for more information. Recall that if the number of procedures (or central‐line days for central‐line bloodstream infections or catheter days for catheter‐associated urinary tract infections) at a hospital did not meet a minimum threshold number, the number of infections and surgeries would be presented but not the rate. For surgical site infections, the minimum threshold is 20 surgeries for a reporting period. In the example above (Table 3), there were less than 20 abdominal hysterectomies performed. Therefore, the surgical site infections rate for abdominal hysterectomy was not included in the table. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 6 In the accompanying Figure 3, the hospital rate and 95% confidence interval were not presented. Section 5 – Commentary from Hospital This section is an opportunity for hospitals to comment on healthcare‐associated infections and infection control activities in their hospital. There is a 690 character limit (including spaces) therefore hospitals may have chosen to provide a link to their hospital website to provide lengthier comments. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 7 III. Hospital‐Specific Summary Reports Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 4,691 Patient Days in 2011: 19,027 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 1 405 2.47 Infections Line Days Rate Total for Reporting ICUs 0 687 0 Infections Catheter Days Rate ARHS-Watauga Medical Center, Boone, Watauga County Abdominal hysterectomy 0 5 . Colon surgery 0 15 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 8 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2 Patient Days in 2011: 46,125 Number of Beds: 238 Number of ICU Beds: 32 Infection Preventionists: 1 Total for Reporting ICUs 2 1,268 1.58 Infections Line Days Rate Total for Reporting ICUs 6 1,512 3.97 Infections Catheter Days Rate Alamance Regional Medical Center, Burlington, Alamance County Abdominal hysterectomy 0 98 0 Colon surgery 0 60 0 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 9 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,780 Patient Days in 2011: 22,562 Number of Beds: 134 Number of ICU Beds: 9 Infection Preventionists: 1 Total for Reporting ICUs 0 384 0 Infections Line Days Rate Total for Reporting ICUs 1 659 1.52 Infections Catheter Days Rate Albemarle Health Authority, Elizabeth City, Pasquotank County Abdominal hysterectomy 1 36 2.78 Colon surgery 1 40 2.5 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 10 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,063 Patient Days in 2011: 13,704 Number of Beds: 78 Number of ICU Beds: 12 Infection Preventionists: 1 Total for Reporting ICUs 0 197 0 Infections Line Days Rate Total for Reporting ICUs 1 579 1.73 Infections Catheter Days Rate Annie Penn Hospital, Reidsville, Rockingham County Abdominal hysterectomy 0 7 . Colon surgery 1 16 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 11 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 721 Patient Days in 2011: 2,186 Number of Beds: 30 Number of ICU Beds: 0 Infection Preventionists: 1 Anson Community Hospital, Wadesboro, Anson County Abdominal hysterectomy 0 0 . Colon surgery 0 1 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 12 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 7,306 Patient Days in 2011: 27,411 Number of Beds: 101 Number of ICU Beds: 6 Infection Preventionists: 1 Total for Reporting ICUs 0 321 0 Infections Line Days Rate Total for Reporting ICUs 0 666 0 Infections Catheter Days Rate Betsy Johnson Regional, Dunn, Harnett County Abdominal hysterectomy 0 29 0 Colon surgery 0 13 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 13 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 2,057 Patient Days in 2011: 8,501 Number of Beds: 131 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 127 0 Infections Line Days Rate Total for Reporting ICUs 0 409 0 Infections Catheter Days Rate Blue Ridge Healthcare Hospitals - Valdese Campus, Valdese, Burke County Abdominal hysterectomy 0 0 . Colon surgery 0 33 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Valdese. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 14 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 5,931 Patient Days in 2011: 23,517 Number of Beds: 184 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 197 0 Infections Line Days Rate Total for Reporting ICUs 0 676 0 Infections Catheter Days Rate Blue Ridge Healthcare Hospitals, Inc. - Morganton Campus, Morganton, Burke County Abdominal hysterectomy 0 10 . Colon surgery 0 20 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Morganton. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 15 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2,183 Patient Days in 2011: 6,661 Number of Beds: 46 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 0 61 0 Infections Line Days Rate Total for Reporting ICUs 1 201 4.98 Infections Catheter Days Rate Blue Ridge Regional Hospital, Spruce Pine, Mitchell County Abdominal hysterectomy 0 2 . Colon surgery 0 3 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 16 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,640 Patient Days in 2011: 11,920 Number of Beds: 60 Number of ICU Beds: 5 Infection Preventionists: 1 Total for Reporting ICUs 0 167 0 Infections Line Days Rate Total for Reporting ICUs 0 419 0 Infections Catheter Days Rate Brunswick Community Hospital, Supply, Brunswick County Abdominal hysterectomy 0 11 . Colon surgery 2 33 6.06 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 17 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,060 Patient Days in 2011: 18,281 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 830 0 Infections Line Days Rate Total for Reporting ICUs 1 1,107 0.9 Infections Catheter Days Rate Caldwell Memorial Hospital, Lenoir, Caldwell County Abdominal hysterectomy 0 1 . Colon surgery 0 10 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 18 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 29,287 Patient Days in 2011: 155,939 Number of Beds: 535 Number of ICU Beds: 90 Infection Preventionists: 4 Total for Reporting ICUs 4 4,613 0.87 Infections Line Days Rate Total for Reporting ICUs 8 5,069 1.58 Infections Catheter Days Rate Cape Fear Valley Health System, Fayetteville, Cumberland County Abdominal hysterectomy 1 123 0.81 Colon surgery 1 140 0.71 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 19 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 15,504 Patient Days in 2011: 66,443 Number of Beds: 350 Number of ICU Beds: 33 Infection Preventionists: 3 Total for Reporting ICUs 1 1,364 0.73 Infections Line Days Rate Total for Reporting ICUs 9 1,947 4.62 Infections Catheter Days Rate CarolinaEast Medical Center, New Bern, Craven County Abdominal hysterectomy 1 59 1.69 Colon surgery 1 58 1.72 Type of Surgery Infections* Surgeries Rate The overall healthcare associated infection rates for CarolinaEast are very low. The data for catheter associated urinary tract infections for this time period is not reflective of the overall Infection Prevention practices for our organization. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 20 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 52,282 Patient Days in 2011: 271,498 Number of Beds: 880 Number of ICU Beds: 290 Infection Preventionists: 5 Total for Reporting ICUs 17 14,286 1.19 Infections Line Days Rate Total for Reporting ICUs 52 13,613 3.82 Infections Catheter Days Rate Carolinas Medical Center, Charlotte, Mecklenburg County Abdominal hysterectomy 1 378 0.26 Colon surgery 5 240 2.08 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 21 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,105 Patient Days in 2011: 17,248 Number of Beds: 101 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 1 299 3.34 Infections Line Days Rate Total for Reporting ICUs 0 778 0 Infections Catheter Days Rate Carolinas Medical Center - Lincoln, Lincolnton, Lincoln County Abdominal hysterectomy 0 23 0 Colon surgery 1 6 . Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 22 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,264 Patient Days in 2011: 40,462 Number of Beds: 170 Number of ICU Beds: 30 Infection Preventionists: 1 Total for Reporting ICUs 3 1,411 2.13 Infections Line Days Rate Total for Reporting ICUs 3 1,881 1.59 Infections Catheter Days Rate Carolinas Medical Center- Mercy, Charlotte, Mecklenburg County Abdominal hysterectomy 0 31 0 Colon surgery 2 57 3.51 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 23 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 24,746 Patient Days in 2011: 106,692 Number of Beds: 435 Number of ICU Beds: 54 Infection Preventionists: 3 Total for Reporting ICUs 2 2,437 0.82 Infections Line Days Rate Total for Reporting ICUs 6 2,894 2.07 Infections Catheter Days Rate Carolinas Medical Center - Northeast, Concord, Cabarrus County Abdominal hysterectomy 1 176 0.57 Colon surgery 0 116 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 24 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 10,863 Patient Days in 2011: 39,353 Number of Beds: 109 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 1 811 1.23 Infections Line Days Rate Total for Reporting ICUs 2 1,214 1.65 Infections Catheter Days Rate Carolinas Medical Center- Pineville, Charlotte, Mecklenburg County Abdominal hysterectomy 0 139 0 Colon surgery 3 58 5.17 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 25 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,602 Patient Days in 2011: 40,252 Number of Beds: 165 Number of ICU Beds: 14 Infection Preventionists: 2 Total for Reporting ICUs 1 673 1.49 Infections Line Days Rate Total for Reporting ICUs 0 1,165 0 Infections Catheter Days Rate Carolinas Medical Center - Union, Monroe, Union County Abdominal hysterectomy 1 39 2.56 Colon surgery 0 29 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 26 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 7,399 Patient Days in 2011: 23,883 Number of Beds: 130 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 0 580 0 Infections Line Days Rate Total for Reporting ICUs 4 756 5.29 Infections Catheter Days Rate Carolinas Medical Center- University, Charlotte, Mecklenburg County Abdominal hysterectomy 1 47 2.13 Colon surgery 0 33 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 27 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 6,980 Patient Days in 2011: 24,561 Number of Beds: 135 Number of ICU Beds: 8 Infection Preventionists: 2 Total for Reporting ICUs 1 225 4.44 Infections Line Days Rate Total for Reporting ICUs 1 601 1.66 Infections Catheter Days Rate Carteret General Hospital, Morehead City, Carteret County Abdominal hysterectomy 0 18 . Colon surgery 1 36 2.78 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 28 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 11,668 Patient Days in 2011: 48,263 Number of Beds: 200 Number of ICU Beds: 28 Infection Preventionists: 2 Total for Reporting ICUs 2 1,234 1.62 Infections Line Days Rate Total for Reporting ICUs 2 1,412 1.42 Infections Catheter Days Rate Catawba Valley Medical Center, Hickory, Catawba County Abdominal hysterectomy 0 42 0 Colon surgery 2 53 3.77 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 29 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: For Profit Admissions in 2011: 465 Patient Days in 2011: 1,654 Number of Beds: 112 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 0 484 0 Infections Line Days Rate Total for Reporting ICUs 0 557 0 Infections Catheter Days Rate Central Carolina Hospital, Sanford, Lee County Abdominal hysterectomy 0 24 0 Colon surgery 0 33 0 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 30 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 9,772 Patient Days in 2011: 35,345 Number of Beds: 241 Number of ICU Beds: 18 Infection Preventionists: 1 Total for Reporting ICUs 0 1,064 0 Infections Line Days Rate Total for Reporting ICUs 2 1,863 1.07 Infections Catheter Days Rate Cleveland Regional Medical Center, Shelby, Cleveland County Abdominal hysterectomy 1 37 2.7 Colon surgery 0 40 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Cleveland County Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 31 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,759 Patient Days in 2011: 23,894 Number of Beds: 107 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 225 0 Infections Line Days Rate Total for Reporting ICUs 0 470 0 Infections Catheter Days Rate Columbus Regional Healthcare System, Whiteville, Columbus County Abdominal hysterectomy 1 38 2.63 Colon surgery 0 28 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Columbus Regional Healthcare System. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 9
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Full Text | NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2013 N.C. Healthcare‐Associated Infections Prevention Program N.C. Communicable Disease Branch Healthcare‐Associated Infections in North Carolina Quarterly Report – January 2013 Healthcare Consumer Version N.C. Department of Health and Human Services NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 i Introduction The U.S. Centers for Disease Control and Prevention (CDC) estimates that 5 percent of all hospital admissions result in a healthcare‐associated infection, culminating in approximately 1.7 million infections and 99,000 deaths each year1 as well as $28–33 billion in excess costs.2 In North Carolina, approximately 33,000 individuals contract healthcare‐associated infections in acute care hospitals each year, resulting in approximate direct costs to facilities ranging from $281 million to $779 million dollars.3 These numbers likely underestimate the true burden of healthcare‐associated infections because they include only a subset of acute care hospitals and healthcare‐associated infections. The prevention of healthcare‐associated infections is a public health priority in North Carolina and is a collaborative effort among the healthcare and public health communities. This January 2013 Healthcare‐Associated Infections Quarterly Report is an important product of this collaboration and represents the first public reporting of healthcare‐associated infections statewide, as required by North Carolina General Statute 130A‐150 and North Carolina Administrative Code Rule 41A .0106. Included in this report is information about infections occurring in North Carolina acute care hospitals during January 1st –June 30th, 2012. Data included in this report are preliminary and subject to change. While this report only includes data from acute care hospitals, other facility types including rehabilitation, long term acute care, and state psychiatric will be added to future reports. These reports will be released on a quarterly basis, during the months of January, April, July, and October. The next quarterly report will provide an annual summary of 2012 healthcare‐associated infections in acute care hospitals. This report focuses on three important types of healthcare‐associated infections that may occur while patients are hospitalized: central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections (specifically those following abdominal hysterectomies or colon surgeries). These three types of infections account for a large proportion of illnesses and deaths attributed to healthcare, but they do not represent the full spectrum of healthcare‐associated infections. Information about other types of healthcare‐associated infections ‐ including those caused by methicillin‐resistant Staphylococcus aureus (MRSA) and by Clostridium difficile ‐ will be included in future reports. This report was prepared by the North Carolina Healthcare‐Associated Infections Prevention Team, which is located in the Communicable Disease Branch of the Epidemiology Section of the North Carolina Division of Public Health. The NC Healthcare‐Associated Infections Prevention Program works to eliminate preventable infections in health care settings by: 1 Klevens RM, Edwards JR, Richards CL, Jr., et al. Estimating health care‐associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. Mar‐Apr 2007;122(2):160‐166. Available at http://www.cdc.gov/hai/burden.html. 2 Scott R. The Direct Medical Costs of Healthcare‐Associated Infections in U.S. Hospitals and the Benefits of Prevention. Internal Report. Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention; February 2009. Available at http://www.cdc.gov/hai/burden.html. 3 NC‐DHHS. Estimates for Cost of Healthcare‐Associated Infections (HAIs) in North Carolina Acute Care Hospitals: Report from the Economic Impact Subgroup of the North Carolina Department of Public Health HAI Advisory Group; 2011. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 ii 1. Conducting statewide surveillance for selected HAIs; 2. Providing useful, unbiased information to health care providers and consumers; 3. Promoting and coordinating prevention efforts; and 4. Responding to outbreaks in health care settings. We hope that the information in this report will be useful to healthcare consumers. Data are intended to provide readers with an understanding of the burden of healthcare‐associated infections in N.C. as well as an opportunity to evaluate infection rates across the state. Prevention tips are also provided so readers can take steps to minimize their risk of a healthcare‐associated infection. A separate healthcare provider version with additional details is also available at http://epi.publichealth.nc.gov/cd/diseases/hai. We welcome your feedback to improve the usefulness of future reports (nchai@dhhs.nc.gov). For more information on Healthcare‐Associated Infections and the N.C Healthcare‐Associated Infection Prevention Team, please visit http://epi.publichealth.nc.gov/cd/diseases/hai. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iii Acknowledgements The North Carolina Healthcare‐Associated Infection Prevention Team would like to acknowledge and thank hospital infection preventionists across the state who work tirelessly to protect patients from infection. They provided the data used to create this report and worked with their hospital colleagues to identify and reconcile any potential problems with the data. The recent successes in fighting healthcare‐associated infections would not have been possible without their continuing efforts, dedication, and collaboration. The Healthcare‐Associated Infection Prevention Team would also like to recognize the contributions of the Healthcare‐Associated Infections Advisory Group members listed in Appendix A. In particular, the team is grateful to the Subgroup on Reporting and Surveillance for their thoughtful feedback on the presentation and content of the Quarterly Reports. Finally, the team would like to acknowledge our partners from the North Carolina Hospital Association (NCHA), the North Carolina Statewide Program for Infection Control and Epidemiology (NC SPICE) and the North Carolina Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC) who have been important leaders and strong supporters of surveillance and prevention programs for healthcare‐associated infections in North Carolina. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 iv Table of Contents Introduction ................................................................................................................................................................................ i Acknowledgements .............................................................................................................................................................. iii Definitions .................................................................................................................................................................................. v Acronyms ................................................................................................................................................................................. vii I. Surveillance for Healthcare‐Associated Infections in North Carolina ..................................................... 1 II. Overview of the Hospital‐Specific Summary Reports ..................................................................................... 2 Section Overview ............................................................................................................................................................... 2 Section 1 – General Hospital Information ............................................................................................................ 2 Section 2 – Central line‐associated bloodstream infections (CLABSI) .................................................... 3 Section 3 – Catheter‐associated urinary tract infections (CAUTI) ............................................................ 4 Section 4 – Surgical site infections (SSI) .............................................................................................................. 5 Section 5 – Commentary from Hospital ................................................................................................................ 6 III. Hospital‐Specific Summary Reports ................................................................................................................. 7 APPENDIX A. N.C. Healthcare‐Associated Infections Advisory Group APPENDIX B. Similarly‐Sized Hospitals in North Carolina, 2011 National Healthcare Safety Network Annual Facility Survey NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 v Definitions Term Definition ASA Class Anesthesiologist’s pre‐operative assessment of the patient’s physical condition, using the American Society of Anesthesiologists’ (ASA) Classification of Physical Status. 1. Normally healthy patient 2. Patient with mild systemic disease 3. Patient with severe systemic disease that is not incapacitating 4. Patient with an incapacitating systemic disease, constant threat to life 5. Patient not expected to survive for 24 hours with or without the operation Beds The number of staffed beds in a facility or patient care location. This may be different from the number of licensed beds. Catheter days A daily count of the number of patients with an indwelling urinary catheter. For example, one patient with an indwelling catheter in place for two days or two patients with indwelling catheters in place for one day each would both result in two catheter days. This number is used when presenting rates of catheter‐associated urinary tract infections. Catheter‐associated urinary tract infection Urinary tract infection (UTI) that occurs in a patient who had an indwelling urinary catheter in place within the 48‐hour period before the onset of the UTI. Central line A catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. Also known as a central venous catheter. Central line‐associated bloodstream infection A bloodstream infection (BSI) that occurs in a patient who had a central line within the 48‐hour period before the onset of the BSI and is not related to an infection at another site. Central line days A daily count of the number of patients with a central line. For example, one patient with a central line in place for two days or two patients with central lines in place for one day each would both result in two central line days. This number is used when presenting rates of central line‐associated bloodstream infections. Device days A daily count of the number of patients with a specific device (e.g., central line, umbilical catheter, ventilator, or urinary catheter) in the patient care location. Healthcare‐associated infections Healthcare‐associated infections (HAI) are infections caused by a wide variety of common and unusual bacteria, fungi, and viruses during the course of receiving medical care. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vi Term Definition Infant An individual ≤ 1 year of age. Intensive care unit A nursing care area that provides intensive observation, diagnosis, and therapeutic procedures for adults and/or children who are critically ill. Also referred to as critical care unit. Medical affiliation Affiliation with a medical school. There are four categories. Major – Hospital is an important part of the teaching program of a medical school and the majority of medical students rotate through multiple clinical services. Graduate – Hospital used by the medical school for graduate training programs only (i.e., residency and/or fellowships). Limited – Hospital used in the medical school’s teaching program to a limited extent. No – Hospital not affiliated with a medical school. Patient days A daily count of the number of patients in the patient care location during a specified time period. Rate Describes the speed with which disease or events occur. Surgical site infection Infection that occurs after surgery, in the part of the body where the surgery took place. Urinary catheter A drainage tube that is inserted into the urinary bladder through the urethra, is left in place, and is connected to a closed collection system. Validity (data) The extent to which reported cases of a disease or event correspond accurately to cases of a disease or event in the real world. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 vii Acronyms APIC Association for Professionals in Infection Control and Epidemiology ASA American Society of Anesthesiologists CAUTI Catheter‐associated urinary tract infection CDC Centers for Disease Control and Prevention CMS Centers for Medicare and Medicaid Services CLABSI Central line‐associated bloodstream infections CDB Communicable Disease Branch CI Confidence interval DHHS Department of Health and Human Services DPH Division of Public Health HAI Healthcare‐associated Infections ICU Intensive care unit NCHA North Carolina Hospital Association NC SPICE North Carolina Statewide Program for Infection Control and Epidemiology NHSN National Healthcare Safety Network NICU Neonatal critical care unit SSI Surgical site infection NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 1 I. Surveillance for Healthcare‐Associated Infections in North Carolina Healthcare‐associated infections are infections caused by a variety of germs while receiving medical care. Hospitals report specific types of healthcare‐associated infections to the North Carolina Division of Public Health via a Centers for Disease Control and Prevention (CDC) internet‐based electronic database. These infections include central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections occurring after an abdominal hysterectomy or colon surgery. These infections are only reported for patients in the hospital and not for patients in outpatient settings such as clinics, outpatient surgical centers or dialysis facilities. By North Carolina law, hospital reporting requirements are based on the reporting requirements established by the Centers for Medicare and Medicaid Services. The first healthcare‐associated infection reporting requirement went into effect on January 1, 2012, when acute care hospitals began reporting central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections. Additional hospital types – long‐term acute care hospitals and rehabilitation hospitals – began reporting central line‐associated bloodstream infections and catheter‐associated urinary tract infections in October 2012; this information will be included in future quarterly reports. In January 2013, acute care hospitals will begin reporting laboratory confirmed bloodstream infections caused by methicillin‐resistant Staphylococcus aureus (MRSA) and infections caused by Clostridium difficile (C. diff). This information will also be included in future quarterly reports. To learn more about central line‐associated bloodstream infections, catheter‐associated urinary tract infections, and surgical site infections, please visit the N.C. Healthcare‐Associated Infections – Facts & Figures website at http://epi.publichealth.nc.gov/cd/hai/figures.html. In addition to information about specific infections, there is a link to the October 2012 Quarterly Report, which contains background information on healthcare‐associated infections surveillance in N.C. and detailed information on statistics commonly used to describe and summarize healthcare‐associated infections. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 2 II. Overview of the Hospital‐Specific Summary Reports The following pages are the hospital‐specific summary reports for healthcare‐associated infections that acute care hospitals reported from January to June, 2012. Before reviewing the hospital‐specific summary reports, please read this section which contains helpful information and explanations. Each hospital has a one‐page summary that contains five sections: 1) general hospital information, 2) central line‐associated bloodstream infections, 3) catheter associated urinary tract infections, 4) surgical site infections, and 5) commentary from the hospital. These sections are described in detail below. Before elaborating on each section, two clarifications about the data need to be made: 1. The data are preliminary. Although efforts were made by hospitals and the N.C. Healthcare‐ Associated Infections Prevention Program to ensure that the data were accurate and complete, a formal validation of the data has not been performed. Data validation is a process by which data from hospitals are carefully reviewed to ensure that they meet established criteria and standards for reporting. If these criteria and standards are not met, over‐reporting or under‐reporting can occur giving a distorted presentation of what is occurring in the hospital. Until data validation is completed, data are preliminary and should be interpreted with caution. Collaboration with partners is anticipated in the coming year to discuss data validation options. 2. The rates of infections are not included in some places. Approximately 25% of reporting hospitals in N.C. are small hospitals with less than 100 beds. These hospitals are likely to have low numbers of central line days, catheter days, and surgeries. Calculating rates with small numbers in the denominator can be misleading. Therefore the N.C. Healthcare‐Associated Infections Prevention Program chose to present only the actual number of infections for units, hospitals, and/or surgeries that did not meet a minimum threshold value for the reporting period; rates are not presented. The minimum threshold numbers for the reporting period are based on CDC recommendations for reporting healthcare‐associated infection data. Central‐line associated bloodstream infections: 50 central line days Catheter‐associated urinary tract infections: 50 catheter days Surgical site infections: 20 surgeries Section Overview Tables and figures from hospital‐specific summary reports have been included in the following sections to provide a pictorial representation of data. These tables and figures do not represent one single hospital and are used as examples to highlight key points. Section 1 – General Hospital Information This section contains general information about the hospital and includes a map of where the hospital (blue “H” icon) is located in N.C. Data in this section are from the National Healthcare Safety Network (NHSN) 2011 Annual Hospital Survey. The surveys are completed once a year; the 2012 Annual Hospital Survey will be completed by hospitals in 2013. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 3 Section 2 – Central line‐associated bloodstream infections (CLABSI) This section of the report includes a table, figure, and general information about central line‐associated bloodstream infections. Please note that central line‐associated bloodstream infections are only reported from adult, pediatric, and neonatal intensive care units in acute care hospitals. Table 1 includes the number of central line‐associated bloodstream infections (“Infections”), number of central line days (“Line Days”), and rate (“Rate”). A central line day is a daily count of the number of patients with a central line. For example, if there are 12 patients who have a central line on Day 1, then there were 12 central line days on Day 1. The central line days are summed over the period of interest to calculate the total number of central line days in the hospital or unit. In the example shown here, there were a total of 4,669 central line days from January to June 2012 in this hospital. The rate is the number of central line‐associated bloodstream infections divided by the number of central line days multiplied by 1,000 to get “per 1,000 central line days.” In this example, the rate is 0.43 central line‐associated bloodstream infections per 1,000 central line days. Figure 1 shows the hospital central line‐associated bloodstream infections rate along with the central line‐associated bloodstream infections rates of similarly‐sized hospitals and all hospitals in N.C. The categories for “Similarly‐sized Hospitals” are based on total hospital bed counts: less than 100 beds, 100‐199 beds, 200‐399 beds, and 400+ beds. Hospitals that serve as the primary location for medical schools are included in a separate category (primary medical school affiliation). A list of the hospitals in each category can be found in Appendix B. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 4 In addition to the rates, the 95% confidence intervals (CI) are also presented as the “Lower Limit” and “Upper Limit” in the figure. The 95% confidence interval is a useful measure because it can be used to assess if the difference between two rates is important statistically, or statistically significant. If the 95% confidence intervals of two rates overlap, then the conclusion would be that the difference in rates is not statistically significant. However, if the 95% confidence intervals of two rates do not overlap, then the rates are said to be statistically significant. In this example (Figure 1), the hospital rate is 0.43 central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.05‐1.55). The rate among similarly‐sized hospitals is 1.08 central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.82‐1.33) and the rate for all NC hospitals is 1.06 central line‐associated bloodstream infections per 1,000 central line days (95% CI: 0.89‐1.22). The central line‐associated bloodstream infections rate in the hospital appears to be lower than that of similarly‐sized hospitals and all hospitals in N.C. The question is if this difference in central line‐associated bloodstream infections rates is a true difference. Looking at the 95% confidence interval of the hospital rate, it overlaps with the 95% confidence interval of the rate for similarly‐sized hospitals and the rate for all NC hospitals. Therefore, the conclusion would be that the observed difference in central line‐associated bloodstream infections rate in the hospital is not significantly different from the central line‐associated bloodstream infections rates of similarly‐sized hospitals or all hospitals in NC. The section on central line‐associated bloodstream infections concludes with general information about what a central line‐associated bloodstream infection is and what patients can do to reduce their risk of infection. Section 3 – Catheter‐associated urinary tract infections (CAUTI) Like the section on central line‐associated blood stream infections, this section includes a table, figure, and general information about catheter‐associated urinary tract infections. Catheter‐associated urinary tract infections are only reported from adult and pediatric intensive care units in acute care hospitals. The calculations of catheter days and rates as well as interpretation of the 95% confidence intervals are the same as those presented in “Section 2 – Central line‐associated bloodstream infections (CLABSI)”; please refer to that section for more information. In the example above (Table 2), the hospital rate of catheter‐associated urinary tract infections was 0 per 1,000 catheter‐days. The accompanying Figure 2 below displays that the 95% confidence interval is not presented when the rate is 0. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 5 Section 4 – Surgical site infections (SSI) This section includes a table and two figures about surgical site infections. Hospitals are required to report surgical site infections that occur among adults 18 years or older following inpatient abdominal hysterectomies and colon surgeries. Only surgical site infections that occur at the primary incision site within 30 days of surgery are included in this report. Infections are not included if they occur later or if they involve only the skin or subcutaneous tissue (the layer of tissue directly under the skin). Finally, if patient age or the American Society of Anesthesiologists (ASA) score is missing for a surgery, it is not included in the final count of surgeries. The calculation of rates as well as interpretation of the 95% confidence intervals are the same as those presented in “Section 2 – Central line‐associated bloodstream infections (CLABSI)”; please refer to that section for more information. Recall that if the number of procedures (or central‐line days for central‐line bloodstream infections or catheter days for catheter‐associated urinary tract infections) at a hospital did not meet a minimum threshold number, the number of infections and surgeries would be presented but not the rate. For surgical site infections, the minimum threshold is 20 surgeries for a reporting period. In the example above (Table 3), there were less than 20 abdominal hysterectomies performed. Therefore, the surgical site infections rate for abdominal hysterectomy was not included in the table. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 6 In the accompanying Figure 3, the hospital rate and 95% confidence interval were not presented. Section 5 – Commentary from Hospital This section is an opportunity for hospitals to comment on healthcare‐associated infections and infection control activities in their hospital. There is a 690 character limit (including spaces) therefore hospitals may have chosen to provide a link to their hospital website to provide lengthier comments. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report ‐ January 2013 7 III. Hospital‐Specific Summary Reports Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 4,691 Patient Days in 2011: 19,027 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 1 405 2.47 Infections Line Days Rate Total for Reporting ICUs 0 687 0 Infections Catheter Days Rate ARHS-Watauga Medical Center, Boone, Watauga County Abdominal hysterectomy 0 5 . Colon surgery 0 15 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 8 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2 Patient Days in 2011: 46,125 Number of Beds: 238 Number of ICU Beds: 32 Infection Preventionists: 1 Total for Reporting ICUs 2 1,268 1.58 Infections Line Days Rate Total for Reporting ICUs 6 1,512 3.97 Infections Catheter Days Rate Alamance Regional Medical Center, Burlington, Alamance County Abdominal hysterectomy 0 98 0 Colon surgery 0 60 0 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 9 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,780 Patient Days in 2011: 22,562 Number of Beds: 134 Number of ICU Beds: 9 Infection Preventionists: 1 Total for Reporting ICUs 0 384 0 Infections Line Days Rate Total for Reporting ICUs 1 659 1.52 Infections Catheter Days Rate Albemarle Health Authority, Elizabeth City, Pasquotank County Abdominal hysterectomy 1 36 2.78 Colon surgery 1 40 2.5 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 10 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,063 Patient Days in 2011: 13,704 Number of Beds: 78 Number of ICU Beds: 12 Infection Preventionists: 1 Total for Reporting ICUs 0 197 0 Infections Line Days Rate Total for Reporting ICUs 1 579 1.73 Infections Catheter Days Rate Annie Penn Hospital, Reidsville, Rockingham County Abdominal hysterectomy 0 7 . Colon surgery 1 16 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 11 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 721 Patient Days in 2011: 2,186 Number of Beds: 30 Number of ICU Beds: 0 Infection Preventionists: 1 Anson Community Hospital, Wadesboro, Anson County Abdominal hysterectomy 0 0 . Colon surgery 0 1 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals This hospital does not have any reporting intensive care units (ICUs). A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 12 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 7,306 Patient Days in 2011: 27,411 Number of Beds: 101 Number of ICU Beds: 6 Infection Preventionists: 1 Total for Reporting ICUs 0 321 0 Infections Line Days Rate Total for Reporting ICUs 0 666 0 Infections Catheter Days Rate Betsy Johnson Regional, Dunn, Harnett County Abdominal hysterectomy 0 29 0 Colon surgery 0 13 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 13 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 2,057 Patient Days in 2011: 8,501 Number of Beds: 131 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 127 0 Infections Line Days Rate Total for Reporting ICUs 0 409 0 Infections Catheter Days Rate Blue Ridge Healthcare Hospitals - Valdese Campus, Valdese, Burke County Abdominal hysterectomy 0 0 . Colon surgery 0 33 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Valdese. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 14 Hospital Type: Acute Care Hospital Medical Affiliation: Graduate Profit Status: Not for Profit Admissions in 2011: 5,931 Patient Days in 2011: 23,517 Number of Beds: 184 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 197 0 Infections Line Days Rate Total for Reporting ICUs 0 676 0 Infections Catheter Days Rate Blue Ridge Healthcare Hospitals, Inc. - Morganton Campus, Morganton, Burke County Abdominal hysterectomy 0 10 . Colon surgery 0 20 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Blue Ridge Healthcare Hospitals Morganton. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 15 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 2,183 Patient Days in 2011: 6,661 Number of Beds: 46 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 0 61 0 Infections Line Days Rate Total for Reporting ICUs 1 201 4.98 Infections Catheter Days Rate Blue Ridge Regional Hospital, Spruce Pine, Mitchell County Abdominal hysterectomy 0 2 . Colon surgery 0 3 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 16 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 3,640 Patient Days in 2011: 11,920 Number of Beds: 60 Number of ICU Beds: 5 Infection Preventionists: 1 Total for Reporting ICUs 0 167 0 Infections Line Days Rate Total for Reporting ICUs 0 419 0 Infections Catheter Days Rate Brunswick Community Hospital, Supply, Brunswick County Abdominal hysterectomy 0 11 . Colon surgery 2 33 6.06 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 17 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,060 Patient Days in 2011: 18,281 Number of Beds: 110 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 830 0 Infections Line Days Rate Total for Reporting ICUs 1 1,107 0.9 Infections Catheter Days Rate Caldwell Memorial Hospital, Lenoir, Caldwell County Abdominal hysterectomy 0 1 . Colon surgery 0 10 . Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 18 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 29,287 Patient Days in 2011: 155,939 Number of Beds: 535 Number of ICU Beds: 90 Infection Preventionists: 4 Total for Reporting ICUs 4 4,613 0.87 Infections Line Days Rate Total for Reporting ICUs 8 5,069 1.58 Infections Catheter Days Rate Cape Fear Valley Health System, Fayetteville, Cumberland County Abdominal hysterectomy 1 123 0.81 Colon surgery 1 140 0.71 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 19 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 15,504 Patient Days in 2011: 66,443 Number of Beds: 350 Number of ICU Beds: 33 Infection Preventionists: 3 Total for Reporting ICUs 1 1,364 0.73 Infections Line Days Rate Total for Reporting ICUs 9 1,947 4.62 Infections Catheter Days Rate CarolinaEast Medical Center, New Bern, Craven County Abdominal hysterectomy 1 59 1.69 Colon surgery 1 58 1.72 Type of Surgery Infections* Surgeries Rate The overall healthcare associated infection rates for CarolinaEast are very low. The data for catheter associated urinary tract infections for this time period is not reflective of the overall Infection Prevention practices for our organization. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 20 Hospital Type: Acute Care Hospital Medical Affiliation: Major Profit Status: Not for Profit Admissions in 2011: 52,282 Patient Days in 2011: 271,498 Number of Beds: 880 Number of ICU Beds: 290 Infection Preventionists: 5 Total for Reporting ICUs 17 14,286 1.19 Infections Line Days Rate Total for Reporting ICUs 52 13,613 3.82 Infections Catheter Days Rate Carolinas Medical Center, Charlotte, Mecklenburg County Abdominal hysterectomy 1 378 0.26 Colon surgery 5 240 2.08 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 21 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 4,105 Patient Days in 2011: 17,248 Number of Beds: 101 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 1 299 3.34 Infections Line Days Rate Total for Reporting ICUs 0 778 0 Infections Catheter Days Rate Carolinas Medical Center - Lincoln, Lincolnton, Lincoln County Abdominal hysterectomy 0 23 0 Colon surgery 1 6 . Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 22 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,264 Patient Days in 2011: 40,462 Number of Beds: 170 Number of ICU Beds: 30 Infection Preventionists: 1 Total for Reporting ICUs 3 1,411 2.13 Infections Line Days Rate Total for Reporting ICUs 3 1,881 1.59 Infections Catheter Days Rate Carolinas Medical Center- Mercy, Charlotte, Mecklenburg County Abdominal hysterectomy 0 31 0 Colon surgery 2 57 3.51 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 23 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 24,746 Patient Days in 2011: 106,692 Number of Beds: 435 Number of ICU Beds: 54 Infection Preventionists: 3 Total for Reporting ICUs 2 2,437 0.82 Infections Line Days Rate Total for Reporting ICUs 6 2,894 2.07 Infections Catheter Days Rate Carolinas Medical Center - Northeast, Concord, Cabarrus County Abdominal hysterectomy 1 176 0.57 Colon surgery 0 116 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 24 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 10,863 Patient Days in 2011: 39,353 Number of Beds: 109 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 1 811 1.23 Infections Line Days Rate Total for Reporting ICUs 2 1,214 1.65 Infections Catheter Days Rate Carolinas Medical Center- Pineville, Charlotte, Mecklenburg County Abdominal hysterectomy 0 139 0 Colon surgery 3 58 5.17 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 25 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 9,602 Patient Days in 2011: 40,252 Number of Beds: 165 Number of ICU Beds: 14 Infection Preventionists: 2 Total for Reporting ICUs 1 673 1.49 Infections Line Days Rate Total for Reporting ICUs 0 1,165 0 Infections Catheter Days Rate Carolinas Medical Center - Union, Monroe, Union County Abdominal hysterectomy 1 39 2.56 Colon surgery 0 29 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 26 Hospital Type: Acute Care Hospital Medical Affiliation: Limited Profit Status: Not for Profit Admissions in 2011: 7,399 Patient Days in 2011: 23,883 Number of Beds: 130 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 0 580 0 Infections Line Days Rate Total for Reporting ICUs 4 756 5.29 Infections Catheter Days Rate Carolinas Medical Center- University, Charlotte, Mecklenburg County Abdominal hysterectomy 1 47 2.13 Colon surgery 0 33 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Carolinas Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 27 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 6,980 Patient Days in 2011: 24,561 Number of Beds: 135 Number of ICU Beds: 8 Infection Preventionists: 2 Total for Reporting ICUs 1 225 4.44 Infections Line Days Rate Total for Reporting ICUs 1 601 1.66 Infections Catheter Days Rate Carteret General Hospital, Morehead City, Carteret County Abdominal hysterectomy 0 18 . Colon surgery 1 36 2.78 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 28 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 11,668 Patient Days in 2011: 48,263 Number of Beds: 200 Number of ICU Beds: 28 Infection Preventionists: 2 Total for Reporting ICUs 2 1,234 1.62 Infections Line Days Rate Total for Reporting ICUs 2 1,412 1.42 Infections Catheter Days Rate Catawba Valley Medical Center, Hickory, Catawba County Abdominal hysterectomy 0 42 0 Colon surgery 2 53 3.77 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 29 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: For Profit Admissions in 2011: 465 Patient Days in 2011: 1,654 Number of Beds: 112 Number of ICU Beds: 8 Infection Preventionists: 1 Total for Reporting ICUs 0 484 0 Infections Line Days Rate Total for Reporting ICUs 0 557 0 Infections Catheter Days Rate Central Carolina Hospital, Sanford, Lee County Abdominal hysterectomy 0 24 0 Colon surgery 0 33 0 Type of Surgery Infections* Surgeries Rate No comments provided. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 30 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 9,772 Patient Days in 2011: 35,345 Number of Beds: 241 Number of ICU Beds: 18 Infection Preventionists: 1 Total for Reporting ICUs 0 1,064 0 Infections Line Days Rate Total for Reporting ICUs 2 1,863 1.07 Infections Catheter Days Rate Cleveland Regional Medical Center, Shelby, Cleveland County Abdominal hysterectomy 1 37 2.7 Colon surgery 0 40 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Cleveland County Healthcare System hospitals. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 2. Number of Infections and Rate of CAUTI, Jan-June 2012. Note: Rate per 1,000 catheter days. Rate was not calculated if less than 50 catheter days. A catheter-associated urinary tract infection (CAUTI) is an infection of the urethra, bladder, ureters, or kidneys that occurs when germs enter through a catheter (tube) that has been inserted into the bladder to drain urine. What you can do: • Understand why the catheter is needed and ask your healthcare provider frequently if the catheter is still needed. • Always clean your hands before and after touching the catheter and make sure your healthcare providers do the same. • Make sure the bag used to collect urine is always below the level of the bladder and the tubing is not twisted or kinked. Surgical Site Infections (SSI) Figure 3. Rates and 95% Confidence Intervals for Abdominal Hysterectomies, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Figure 4. Rates and 95% Confidence Intervals for Colon Surgeries, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 3. Number of Infections and Rate of SSI, Jan-June 2012. *Infections from deep incisional and/or organ space. Note: Rate per 100 inpatient surgeries. Rate was not calculated if less than 20 inpatient surgeries. A surgical site infection (SSI) is an infection that occurs after surgery in the part of the body where the surgery took place. What you can do: • Ask your healthcare providers what steps they are taking to prevent an infection. • Tell your doctor about other medical problems you have such as allergies, diabetes, and obesity. • Make sure your healthcare providers clean their hands before taking care of you or touching the area of your surgery. Commentary from Hospitals: Refer to Section IV of the NC HAI Prevention Program - Quarterly Report October 2012 for further explanation of presented statistics (epi.publichealth.nc.gov/cd/hai/figures.html). Data as of December 27, 2012. NC Division of Public Health, HAI Prevention Program NC HAI Quarterly Report - January 2013 31 Hospital Type: Acute Care Hospital Medical Affiliation: No Profit Status: Not for Profit Admissions in 2011: 5,759 Patient Days in 2011: 23,894 Number of Beds: 107 Number of ICU Beds: 10 Infection Preventionists: 1 Total for Reporting ICUs 0 225 0 Infections Line Days Rate Total for Reporting ICUs 0 470 0 Infections Catheter Days Rate Columbus Regional Healthcare System, Whiteville, Columbus County Abdominal hysterectomy 1 38 2.63 Colon surgery 0 28 0 Type of Surgery Infections* Surgeries Rate The prevention and reduction of healthcare associated infections is a top priority at Columbus Regional Healthcare System. To accomplish this, infection prevention strategies are continually assessed and measures implemented to decrease the risk for infection. These measures are based on evidence based practices and clinical guidelines. A comprehensive program is provided that encompasses patient care and patient safety. North Carolina Healthcare-Associated Infections Report Data from January 1 – June 30, 2012 2011 Hospital Survey Information Central Line-Associated Bloodstream Infections (CLABSI) Figure 1. Rates and 95% Confidence Intervals, Jan-June 2012 Hospital Simlarly-sized NC Hospitals Table 1. Number of Infections and Rate of CLABSI, Jan-June 2012. Note: Rate per 1,000 central line days. Rate was not calculated if less than 50 central line days. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a central venous catheter (tube) that doctors place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. What you can do: • Ask your healthcare providers what steps they are taking to prevent a bloodstream infection. • Make sure your healthcare providers clean their hands with soap and water or an alcohol-based hand rub before taking care of you or touching your central line. • If you have a central line, ask your healthcare providers how to care for it and how to spot early signs of infection. Catheter-Associated Urinary Tract Infections (CAUTI) Figure 2. Rates and 9 |
OCLC number | 839548860 |