Open and closed models of intensive care unit have different influences on infectious complications in a tertiary care center: A retrospective data analysis.

Authors

• Karim El-Kersh
• Juan Guardiola
• Rodrigo Cavallazzi
• Timothy L Wiemken
• Jesse Roman
• Mohamed Saad

Publication/Presentation Date

12-1-2016

Abstract

Infectious complications in the intensive care unit (ICU) are associated with higher morbidity, mortality, and increased health care use. Here, we report the results of implementing 2 different models (open vs closed) on infectious complications in the ICU. The closed ICU model was associated with 52% reduction in ventilator-associated pneumonia rate (P = .038) and 25% reduction in central line-associated bloodstream infection rate (P = .631). We speculate that a closed ICU model allows clinical leadership centralization that further facilitates standardized care delivery that translates into fewer infectious complications.

Volume

44

Issue

12

First Page

1744

Last Page

1746

ISSN

1527-3296

Published In/Presented At

El-Kersh, K., Guardiola, J., Cavallazzi, R., Wiemken, T. L., Roman, J., & Saad, M. (2016). Open and closed models of intensive care unit have different influences on infectious complications in a tertiary care center: A retrospective data analysis. American journal of infection control, 44(12), 1744–1746. https://doi.org/10.1016/j.ajic.2016.04.240

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

27397908

Department(s)

Administration and Leadership

Document Type

Article