Many of you have probably already seen this—the HHS Secretary, Kathleen Sebelius, is releasing a series of “healthcare success stories” meant to highlight innovative programs or initiatives. These programs are supposed to be models for how a reformed healthcare system would look.
The first success story is from the world of infection prevention, highlighting the Keystone Project. Yes, this is old news to us: any hospital with an infection prevention program should by now have implemented bundled interventions to reduce device associated infections. The challenge going forward will be to sustain reduced infection rates in the face of daunting financial pressures….if hospital layoffs increase, nurse:patient ratios fall, infection preventionist positions remain unfilled, and morale suffers, the team-based prevention approaches that have been so successful may come undone in some hospitals.
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