Based on the . 1, Hospital A). •Blood culture contamination rates in the emergency department regularly exceed the national standard of less than 3%. This can delay early targeted treatment and be detrimental to patient care. Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings. The study objective was to develop and . Blood culture contamination can lead to overuse and misuse of antibiotics. The College of American Pathologist set a national benchmark for blood culture contamination rate at 3%. Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings. Steripath is a pre-assembled, sterile blood culture system designed to divert and sequester the initial 1.5 to 2.0 mL of blood prior to culture bottle inoculation.Credit: Magnolia Medical Tech. Blood culture contamination in emergency departments (ED) that experience a high volume of patients has negative impacts on optimal patient care. Current evidence suggests that the emergency department (ED) often has blood culture contamination (BCC) rates above the recommended 3%, contributing to increased hospital length of stay, unnecessary or inappropriate antimicrobial treatment, and increased economic burden. Objectives Blood culture contamination is a common problem in the emergency department (ED) that leads to unnecessary patient morbidity and health care costs. T.R., Paul, B.R., Collins, S.P . Pediatrics. 1, Hospital A). . There was a significant increase in our monthly blood culture contamination rates, over a 3 month period of time, which exceeded a recommended standard of <3%, as high as 4.35%. To promote proper technique related to blood culture specimen collection in an effort to reduce contamination, educational interventions have been examined. J . The study, therefore, was undertaken to improve the BC collection in the ED. Methods • Rates of blood culture contamination can be as high as 6%2. Blood culture contamination rates decreased from 3.39% to 2.6%. Design: This was a quality initiative for our department to reduce blood culture contaminations in the emergency department. High peripheral blood culture contamination rates (BCCR) in the emergency department (ED) contribute to overuse and harm. Interventions Interventions to reduce blood culture contamination, including prep kits . Steps to lowering blood culture contamination rates in the ED. © 2019 Wolters Kluwer Health, Inc. . Blood culture collection remains the gold standard to diagnose bacteraemia. Pediatrics, 131(1), e292-e297. 26 27 Faced with these contamination rates clinicians cannot be sufficiently confident in initial positive BC results to alter patient management. (2006). With Magnolia Medical's Steripath® Gen2 Initial Specimen Diversion Device® (ISDD®), hospitals now have an extra layer of contamination protection. Objectives: To reduce the contamination rate of blood cultures taken in the Accident and Emergency (A&E) department. Both RNs and EDTs were also required to participate in an annual refresher program for proper BC collection. 1 Contamination of blood cultures contribute to unnecessary return visits, diagnostic studies, and . Discussion: The results show that reducing blood culture contamination rates through the use of a structured plan and teamwork is feasible in the fast-paced emergency department. This represents a 44% decrease moving from 1.82% to 1.01% in hospital-wide BC contamination rates and an annualized cost avoidance of approximately $614,000. Using Shared Governance to Reduce Blood Culture Contamination Rates in the Emergency Department. Blood culture contamination is a common problem in the emergency department (ED) that leads to unnecessary patient morbidity and health care costs. Blood cultures in the emergency department (ED) are frequently overused and their use does not follow recommendations and guidelines. For ED and inpatient cultures combined, the rate dropped from 2.46 percent to 1.70 percent. Blood culture contamination rates in emergency departments (ED) . Background Blood culture contamination in emergency departments (ED) that experience a high volume of patients has negative impacts on optimal patient care. This can delay early targeted treatment and be detrimental to patient care. 2. Blood culture contamination in the pediatric population remains a significant quality and safety issue because false-positive blood cultures lead to unnecessary use of resources and testing. Same-site collection rates decreased from 15.13% to 4.14%. Infect . The ED BC contamination rate spike . Article Google Scholar Harding AD, Bollinger S. Reducing blood culture contamination rates in the emergency department. collection system in reducing blood culture contamination rates. Methods 1, Issue. The task force included an emergency physician cham- pion, an ED nurse champion, the chief hospital epidemi- ologist, ED administrators, ED nursing leadership, microbiology laboratory personnel, and infection control personnel. Conclusions: The interventions effectively reduced blood culture contamination rates and same-site blood culture collections in the ED, enhancing the quality of care for patients with BSIs. Given the negative impact this could have on patient outcomes, a quality improvement project was developed in order to ensure delivery of the highest quality of care. PMID: 22727270. . The study objective was to develop and evaluate the effectiveness of a quality improvement (QI) intervention for reducing blood culture contamination in an ED. Results: There was a statistically significant reduction in the number of contaminants (p . Several suggestions have been proposed for ways to reduce blood culture contamination rates. Contaminant blood cultures and resource utilization. Conclusions The interventions effectively reduced blood culture contamination rates and same-site blood culture collections in the ED, enhancing the quality of care for patients with BSIs. The blood culture is an essential tool in clinical medicine for detecting bacteremia and guiding antibiotic therapy. Perhaps the most striking result is that 97% of positive cultures represented true positives with the diversion device, compared to 81% without the diversion device. Effectiveness of a Novel Specimen Collection System in Reducing Blood Culture Contamination Rates. Blood cultures are commonly performed in the emergency department (ED) due to the important diagnostic and prognostic information they can provide to clinicians. Blood-culture results may affect clinical decision making. From January 2013 to November 2014 inclusive, the contamination rate was 4.74% in our Emergency Department, responsible for initial management and investigation of over 40 cases of sepsis per month. Compared with 2008, BCC rates for the ED showed steady reduction from 5.52 to 1.42% in 2011 and leveled out consistently below 1.6%. Subsequent data over 1 year revealed the contamination rates ranged from 0.2% to 1.51%, with a mean of 0.87%. Confidential . A. Current evidence suggests that the emergency department (ED) often has blood culture contamination (BCC) rates above the recommended 3%, contributing to increased hospital length of stay, unnecessary or inappropriate antimicrobial treatment, and increased economic burden. Fig. This represents a 44% decrease moving from 1.82% to 1.01% in hospital-wide BC contamination rates and an annualized cost avoidance of approximately $614,000. EDs' positive BC rates have been shown to range from 3.4%-7.9% with contamination rates 0.6-7.9%. Methods: The standard blood culture sampling kit was supplemented with an instruction sheet on the optimal method for drawing blood cultures and a large 62% ethyl alcohol impregnated wipe. Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings Abstract Background and objective: Blood culture contamination in the pediatric population remains a significant quality and safety issue because false-positive blood cultures lead to unnecessary use of resources and testing. After reviewing the literature, it was clear that a procedure that is feasible in the fast paced Emergency Department and ensures maximum efficacy of the chlorhexidine for site prep is essential. Same-site collection rates decreased from 15.13% to 4.14%. (Fig. Blood cultures are commonly ordered in the emergency department (ED) setting to evaluate for bacteremia. Journal of Emergency Nursing, 39(5), 459-464. the blood culture is an essential tool for diagnosing bloodstream infections and guiding antibiotic therapy. 2-8 Patients . Modification of Blood Test Draw Order to Reduce Blood Culture Contamination.Clin Infect Dis. collection system in reducing blood culture contamination rates. Same-site collection rates decreased from 15.13% to 4.14%. The balancing measure was the proportion of pathogenic bacteremia cases at ED return visits before and after PDSA3 implementation. 2013 Sep;39(5):459-64. doi: 10.1016/j.jen.2012.03.006. All PDSA cycle data on the project measures were extracted from the lab information system to be analyzed and presented on run and control charts. Reducing the Rate of Blood Culture Contamination in the Emergency Department of a University Teaching Hospital. From January 1, 2015 to December 31, 2015, the contamination rate of blood culture in our emergency department was 5.63%, which exceeded the maximum of 3% suggested by the American Society for Microbiology and the clinical laboratory at our hospital. It is therefore important to identify risk factors associated with blood culture contamination in EDs. Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings. This study describes 2 years of quality improvement (QI) interventions that aimed to decrease a high BCCR in a pediatric ED. Setting: Busy 32 bed ED. 2 - 8 patients who … . Clinical Microbiology Reviews, 19(4), 788-802. (Fig. We hypothesized that the introduction of a standardized sterile collection process would reduce the pediatric emergency department's peripheral blood culture contamination rate and unnecessary use of resources. Typical interventions to reduce blood culture contamination, such as ongoing training and education on best practices, cannot address the skin and skin plug contamination and have shown only modest and . (2006). From January 2013 to November 2014 inclusive, the contamination rate was 4.74% in our Emergency Department, responsible for initial management and investigation of over 40 cases of sepsis per month. The aim of this review is to identify effective . Of note, none of the three antiseptic agents was associated with a lower blood culture contamination rate when assessed by univariate and multivariate analysis and in subgroup analysis among older . 2 The negative consequences of blood culture contamination on . Both RNs and EDTs were also required to participate in an annual refresher program for proper BC collection. We hypothesized that the introduction of a standardized . BACKGROUND AND OBJECTIVE:. •The contamination rate standard of less than 3% has been established by the American society of microbiology •Many studies have shown a range of expense to an organization related to blood culture contamination of $4000 to greater than $10000 per patient . Purpose Baseline measurement The November data of the blood culture contamination rate in the emergency department and the national average are two distinct data that are available at this stage of the paradigm. 1 Unfortunately, blood culture contamination is common, leading to increased morbidity and overall cost burden. 1, p. Hence, it is imperative that the rate of contamination is minimized in order for blood culture testing to be considered cost-effective. August 25, 2021. Methods that should be employed to decreased blood culture contamination include the following: Patient selection: Blood cultures should only be . 1 Local problem: Blood culture contamination rates trailed the national threshold of less than 3% in one southeastern US emergency department (ED). From January 1, 2015 to December 31, 2015, the contamination rate of blood culture in our emergency department was 5.63%, which exceeded the maximum of 3% suggested by the American Society for . The associated cost of contamination per blood culture is estimated to range between $2844 . 1, Issue. EDs with high blood culture contamination rates should strongly consider evidence-based strategies to reduce contamination . The commitment from our team was considered the most valuable asset and strategy. 2-7 These contaminated blood cultures have significant negative consequences for individual patients . the . Blood culture contamination is a common problem in the emergency department (ED) that leads to unnecessary patient morbidity and health care costs. Same-site and single-set collection issues were . Go to: Baseline measurement In total, 8,525 blood culture sets were received in January-March 2019; of these, the EDs contributed 2,799 sets (32.8%). The study objective was to develop and evaluate the effectiveness of a quality improvement (QI) intervention for reducing blood culture contamination in an ED. Compared with 2008, BCC rates for the ED showed steady reduction from 5.52 to 1.42% in 2011 and leveled out consistently below 1.6%. Hall RT, Domenico HJ, Self WH, Hain PD. Clinical Microbiology Reviews, 19(4), 788-802. Blood culture contamination rates in emergency departments (ED) . Hospital leaders need to be aware of the national movement toward a new blood culture contamination benchmark of 1%. conducted from the perspective of a hospital leadership team selecting a blood culture collection strategy for an adult emergency department (ED) with 8,000 cultures drawn annually. Bates DW, Goldman L, Lee TH. The blood culture is an essential tool for diagnosing bloodstream infections and guiding antibiotic therapy. In 2015, Houston Methodist Willowbrook Emergency Department blood culture contamination rate was 6.23% due to lack of training and inconsistent technique. 1 Unfortunately, false‐positive blood culture results due to specimen contamination with skin bacteria are also common in the ED. All 13 studies reported sustained contamination rates of 1% or below when Steripath was used in the emergency department, . DISCUSSION: The results show that reducing blood culture contamination rates through the use of a structured plan and teamwork is feasible in the fast-paced emergency department. 26 27 Faced with these contamination rates clinicians cannot be sufficiently confident in initial positive BC results to alter patient management. A Quality Improvement team was created to try to reduce contamination rates to the recommended target. The total blood culture contamination rate in January-March 2019 decreased to 3.1%. Marini, M. (2013, September). The commitment from our team was considered the most valuable asset and strategy.