Self WH, Mickanin J, Grijalva CG, Grant FH, Henderson MC, Corley G, Blaschke Ii DG, McNaughton CD, Barrett TW, Talbot TR, Paul BR.
Acad Emerg Med. 2014 Mar;21(3):274-82.
Vanderbilt University School of Medicine, Nashville, TN.
- Measured the effect of implementing a sterile blood culture collection process.
- At Hospital A, during the baseline period, 165 of 3,417 (4.83%) cultures were contaminated as compared to 142 of 5,238 (2.71%) during the intervention period. At Hospital B, during the baseline, 63 of 2,509 (2.51%) cultures were contaminated. But with the full sterile process, 51 of 1,865 (2.73%) cultures were contaminated.
- Hospital B experienced poor adherence. So, a simplified sterile process used during intervention period 2 was associated with a significant reduction in contamination, with 17 of 1,860 (0.91%) cultures contaminated.
- Monitoring the implementation process was important to identify and overcome operational challenges.