Zero CLABSIs: White Memorial Medical Center

00:03:29,411 "If you stop any doctor from doing something 71 00:03:29,411 --> 00:03:30,622 "that you think is unsafe 72 00:03:30,622 --> 00:03:33,262 "and he or she gives you a hard time, 73 00:03:33,262 --> 00:03:36,128 "you call me, and I will back you." 74 00:03:36,128 --> 00:03:40,128 (optimistic instrumental music) 75 00:03:41,906 --> 00:03:43,692 - In our hospital, we have reduced mechanical 76 00:03:43,692 --> 00:03:45,065 complications to zero. 77 00:03:45,065 --> 00:03:49,036 - In 2012, here at White Memorial in our critical care unit, 78 00:03:49,036 --> 00:03:53,190 we had a zero infection rate for central lines. 79 00:03:53,190 --> 00:03:54,426 The more days here in the ICU, 80 00:03:54,426 --> 00:03:56,363 the more it costs and the more 81 00:03:56,363 --> 00:03:59,665 the hospital may or may not be reimbursed 82 00:03:59,665 --> 00:04:03,095 for that care, so I think what's really been 83 00:04:03,095 --> 00:04:05,940 important for us is having a good 84 00:04:05,940 --> 00:04:08,426 central line program in our hospital 85 00:04:08,426 --> 00:04:12,647 that limits the complications for patients. 86 00:04:12,647 --> 00:04:16,482 - As we meet with our colleagues in other facilities, 87 00:04:16,482 --> 00:04:19,602 often time we share our infection rate, 88 00:04:19,602 --> 00:04:22,925 and I think they're a little jealous of us. 89 00:04:22,925 --> 00:04:26,394 - Well, last year when Leapfrog released 90 00:04:26,394 --> 00:04:29,305 the hospital ratings, we came in at a B. 91 00:04:29,305 --> 00:04:31,372 Not real happy with a B, but I'll take a B. 92 00:04:31,372 --> 00:04:34,126 So this year when they released the hospital ratings, 93 00:04:34,126 --> 00:04:36,230 we had moved from a B to an A, 94 00:04:36,230 --> 00:04:38,734 so I looked into the details behind why, 95 00:04:38,734 --> 00:04:40,849 and a lot of them are right around 96 00:04:40,849 --> 00:04:43,633 those safety indicators, one of them being 97 00:04:43,633 --> 00:04:46,959 our bloodstream infections and those complications 98 00:04:46,959 --> 00:04:50,425 associated with those type of procedures. 99 00:04:50,425 --> 00:04:52,013 I think one of the great things 100 00:04:52,013 --> 00:04:53,692 about having a project like this 101 00:04:53,692 --> 00:04:55,398 is it changes your fundamental belief 102 00:04:55,398 --> 00:04:58,038 about what's acceptable and what's unacceptable. 103 00:04:58,038 --> 00:05:00,040 And now, for us at White Memorial, 104 00:05:00,040 --> 00:05:01,673 central line infections and complications 105 00:05:01,673 --> 00:05:03,595 are not acceptable. 106 00:05:03,595 --> 00:05:05,815 - Anybody and everybody in health care 107 00:05:05,815 --> 00:05:08,588 really has to believe that anything's possible. 108 00:05:08,588 --> 00:05:12,088 You'll never get the outcome that you're expecting 109 00:05:12,088 --> 00:05:14,050 if you never start to try to think 110 00:05:14,050 --> 00:05:17,075 about the possibilities of changing your process. 111 00:05:17,075 --> 00:05:20,088 And change is hard and difficult, 112 00:05:20,088 --> 00:05:23,755 but if you never start, you'll never finish. "/>
White Memorial Medical Center, in Los Angeles, California, instituted a central-line-management program resulting in zero CLABSIs & an A on their Leapfrog score.