Thursday, August 18, 2016

Do No Harm! Infection Prevention

Here is an article in Vox (no relationship to Vox Medica) that nicely summarizes a critical juncture in current hospital infection prevention. 

We need to truly approach all hospital acquired infections (HAIs), in this instance central line associated bloodstream infections (CLABSIs) as ‘airplane crashes’, meaning that we investigate what went wrong and engineer mechanisms to ensure high reliability performance of infection prevention best practices. 

This is where we have headed with formal drill down tools for all HAIs at VCU Health, regular checklist audits, performance feedback and accountability. 

I am not claiming that the current science of infection prevention can prevent all HAIs. We are, however, responsible for prioritizing and reliably implementing, with documentation, infection prevention best practices. 

Anything less falls way short of a true culture of safety.