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Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9):856–858. doi:https://doi.org/10.1001/archinternmed.2011.161
Central line–associated bloodstream infections (CLABSIs) are common, costly, and largely preventable and are a target of many recent national initiatives.1-3 One common method of reporting performance is the duration of time without infection,4 a simple technique used for motivating sustained improvement. Despite evidence demonstrating reduced infection rates from evidence-based interventions for CLABSIs, the field has not yet defined the attainable duration of time hospitals can go without a CLABSI. Without understanding “best achievable” time without any infection, hospitals may anchor themselves, and public expectations, to suboptimal performance. Such data are required to establish performance benchmarks that represent best practices, create realistic public expectations, motivate internal improvement efforts, and design fair pay-for-performance policies.
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