• M J Pita, C Díaz-Agero, A Robustillo, I Prieto, P Gómez, and V Monge.
• Servicio de Medicina Preventiva, Hospital Ramón y Cajal, Madrid, España. mjose.pitalo@salud.madrid.org
• Rev Calid Asist. 2012 Mar 1;27(2):103-7.

ObjectiveTo estimate quality healthcare indicators in an intensive care unit (ICU).MethodsA prospective observational study was conducted on all patients referred to the medical ICU of Ramón y Cajal hospital (Madrid) for more than 48 hours, from January 1 2008 to December 31 2009.ResultsA total of 503 patients were included, of whom 7.4% developed a healthcare-associated infection (HAI) attributable to their stay in the ICU. The median length of stay was 5 days. A ventilator-associated pneumonia (VAP) was observed in 1.9% of patients, with a VAP rate of 3.8 per 1,000 ventilator-days. A catheter-associated urinary tract infection (CAUTI) was found in 3.6% of the patients, with a CAUTI rate of 4.5 per 1,000 catheter-days. The cumulative incidence of central line-associated bloodstream infection (CLABSI) was 1.8%, with a CLABSI rate of 2.2 per 1,000 central line-days.ConclusionsOur results are similar to those of other studies using the same methodology. An HAI surveillance system is a key factor for implementing a healthcare quality improvement system. The obtained indicators allow intra-comparison over time and with other similar hospitals, the monitoring of infection control measures, and thus an effective improvement in healthcare quality and patient safety.Copyright © 2010 SECA. Published by Elsevier Espana. All rights reserved.

43 keywords...

hide…