Hospital-acquired infections affect approximately two million people annuallyRML works vigilantly to minimize the risk of infection among our vulnerable patient population, performing better than approximately two-thirds of reporting hospitals.
Incidence of Patient Infections Related to Indwelling Catheters
The life-saving protocols and treatments of today’s medicine would have been unthinkable even a few decades ago. Unfortunately, many of these treatments carry some degree of risk to the patient. One of these risks is the risk of infection. According to the Centers for Disease Control (CDC), nosocomial or hospital-acquired infections affect approximately two million people annually.
Safe ways to perform invasive procedures are paramount to the staff at RML Specialty Hospital. Research shows that straightforward steps can be taken to reduce the incidence of infection. We are vigilant in our continuing efforts to minimize these risks to the patients we serve.
Based on the medical complexity of our patients and the widespread use of catheters and other devices in their treatment, we closely monitor the occurrence of three major types of infections: catheter-associated urinary tract infections (CAUTIs), central line infections (CLABSIs), and ventilator-associated pneumonias (VAPs).
To gauge our performance, RML uses comparative data from the National Healthcare Safety Network (NHSN), the surveillance system database of the Centers for Disease Control (CDC). Currently, there is no mandatory database for long-term acute care hospitals. Data reflected in the NHSN data base is reported on a voluntary basis.
When making comparisons of the various rates, it should be noted the NHSN data is not risk- adjusted. Some LTCHs have the capabilities of taking very complex patient populations, transplant patients for instance, or patients with multiple organ system failure. These complex patients are at much greater risk for developing complications and infections because of the very nature of their illnesses. Hospitals that provide care for these more complex patients may or may not have higher (non risk-adjusted) rates of infections than hospitals that do not care for such complex patients.
The NHSN calculation for each infection is as follows:
The 50th percentile marks the national median. This means that half of the hospitals reporting have lower rates of infection and half have higher.
Catheter-associated Urinary Tract Infections (CAUTIs)
NHSNís data from 2010 reflects the top 25% have a rate of 0.8 and the top 50% of LTCHs have a rate of 2.4. For fiscal year 2012, RMLís CAUTI rate was 1.4
Catheter Associated Blood Stream Infections (CLABSIs)
Ventilator-associated Pneumonias (VAPS)
NHSNís 2010 data reflects the top 25% and 50% of hospital reporting no Ventilator Associated Pneumonia (VAP) infections. In fiscal year 2012, RMLís VAP rate was 3.6.