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Consumer Reports: Zero Tolerance
Consumer Reports: Zero Tolerance
Tolerance
Theres a type of hospital
infection thats often
deadlyand almost entirely
preventable. Though rates have
dropped, too many institutions
are still needlessly exposing
patients to dangerous bacteria,
our investigation reveals. Here,
which hospitals do a good
joband which dont. Plus,
how to keep yourself and
your family safe.
By Hallie Levine
32
PHOTOGRAPHS BY ED KASHI
33
More than
75percent of
hospitals in Kansas,
Minnesota, and
Wisconsin met
the target.
Eighty-nine
percent of hospitals
in Hawaii met the
target, the highest
in the U.S.
34
CR.ORG
Only a third
of Louisiana
hospitals met the
target, the lowest
in the nation.
0 0 0 0 0
WORSEBETTER
JANUARY 2017
JANUARY 2017
CR.ORG35
Success Story
Jeanne Rowe, M.D., (middle)
helped turn New Jerseys Shore
Medical Center into one of the
best in the country at preventing
central-line infections, in part
by appointing safety captains like
Jocelyn Sampson (right).
36
CR.ORG
JANUARY 2017
Continued on page 40
JANUARY 2017
THE PRONOVOST
PRINCIPLES
CR.ORG37
Hospital Name
City, State
2011
2012
2013
2014
2015
0
4
4
0
3
0
4
0
4
0
4
0
3
0
3
0
5
0
3
0
3
0
3
0
3
0
3
0
4
0
4
0
3
0
4
0
4
0
3
0
4
0
3
0
4
0
3
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
0
4
4
0
4
0
4
0
4
0
4
0
4
0
4
0
5
0
4
0
4
0
3
0
3
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
5
0
4
0
4
0
5
0
0
4
4
0
4
0
3
0
4
0
4
0
5
0
4
0
5
0
4
0
4
0
4
0
4
0
4
0
5
0
4
0
4
0
4
0
3
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
3
0
4
0
4
0
4
0
0
4
4
0
4
0
4
0
4
0
4
0
4
0
4
0
3
0
4
0
5
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
5
0
4
0
4
0
4
0
0
4
4
0
4
0
4
0
4
0
4
0
4
0
4
0
3
0
4
0
4
0
5
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
3
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
4
0
Park Ridge, IL
Milwaukee, WI
Philadelphia, PA
Scottsdale, AZ
Brooklyn, NY
Odessa, TX
Baltimore, MD
Pawtucket, RI
Memphis, TN
Cambridge, MA
New York, NY
Manhasset, NY
New Orleans, LA
Columbus, OH
Columbus, OH
Livingston, NJ
San Francisco, CA
Norfolk, VA
Ypsilanti, MI
Bethlehem, PA
Staten Island, NY
Toledo, OH
Orange, CA
Worcester, MA
Chicago, IL
Columbia, MO
Knoxville, TN
Dallas, TX
Seattle, WA
Syracuse, NY
Morgantown, WV
38
CR.ORG
JANUARY 2017
1 2 3 4 5
WORSEBETTER
Hospital Name
City, State
2011
2012
2013
2014
2015
0
3
2
0
4
0
3
0
3
0
3
0
2
0
3
0
3
0
1
0
3
0
4
0
4
0
4
0
4
0
3
0
4
0
2
0
2
0
2
0
3
0
4
0
3
0
3
0
4
0
3
0
4
0
3
0
3
0
2
0
2
0
0
3
3
0
3
0
3
0
4
0
3
0
3
0
2
0
2
0
2
0
3
0
1
0
3
0
3
0
3
0
3
0
3
0
2
0
3
0
3
0
3
0
3
0
3
0
2
0
2
0
2
0
3
0
3
0
1
0
2
0
3
0
0
4
3
0
2
0
3
0
4
0
4
0
3
0
2
0
2
0
3
0
3
0
3
0
3
0
3
0
2
0
3
0
4
0
2
0
2
0
3
0
3
0
2
0
3
0
4
0
3
0
2
0
3
0
2
0
3
0
3
0
3
0
0
3
3
0
2
0
3
0
3
0
2
0
3
0
2
0
2
0
3
0
3
0
2
0
3
0
3
0
2
0
2
0
2
0
2
0
3
0
3
0
3
0
3
0
3
0
4
0
3
0
3
0
3
0
2
0
3
0
2
0
3
0
0
2
3
0
2
0
2
0
2
0
3
0
3
0
2
0
3
0
3
0
3
0
2
0
3
0
3
0
2
0
3
0
2
0
3
0
3
0
2
0
3
0
3
0
3
0
1
0
3
0
2
0
3
0
1
0
3
0
2
0
3
0
Atlanta, GA
Tucson, AZ
Brooklyn, NY
Fresno, CA
Camden, NJ
Lebanon, NH
Atlanta, GA
Eskenazi Health
Indianapolis, IN
Washington, DC
Atlanta, GA
Silver Spring, MD
Washington, DC
Flint, MI
Indianapolis, IN
New Orleans, LA
Long Beach, CA
MacNeal Hospital
Berwyn, IL
Portland, ME
Phoenix, AZ
Omaha, NE
Columbia, SC
New Brunswick, NJ
Los Angeles, CA
Brooklyn, NY
Kansas City, MO
New Orleans, LA
San Diego, CA
UF Health Jacksonville
Jacksonville, FL
University Hospital
Newark, NJ
El Paso, TX
Iowa City, IA
A Tale of 3 Hospitals
In the fight against central-line infections,
OhioHealth Riverside Methodist Hospital, in
Columbus, stands out, by having close to
zero infections each year between 2011 and
2015. SUNY Downstate Medical Center
University Hospital in Brooklyn, N.Y., and
the University Medical Center of El Paso,
Texas, on the other hand, are trending in the
wrong direction, showing rising central-line
infection rates in recent years.
TWO TIMES
WORSE THAN
HISTORIC
AVERAGE
University Medical
Center of El Paso
OhioHealth Riverside
Methodist Hospital
HISTORIC
AVERAGE
NATIONAL
TARGET
ZERO
INFECTIONS
2011
JANUARY 2017
2012
2013
2014
2015
CR.ORG
39
Surgical-Site
Infections
Central-Line
Infections
50 PERCENT
REDUCTION
ZERO
INFECTIONS
2008
2009
2010
2011
2012
2013
2014
Central-line infections were once seen as inevitable when dealing with patients in intensive-care units. We thought we could
maybe cut them by 10percent, says Srinivasan, at the CDC.
But in 2004, Pronovost, at Johns Hopkins, put his checklist to
40
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JANUARY 2017