1, p. Global Journal on Quality and Safety in Healthcare, Vol. Effectiveness of a Novel Specimen Collection System in Reducing Blood Culture Contamination Rates. 1 Contamination of blood cultures contribute to unnecessary return visits, diagnostic studies, and . Hospital leaders need to be aware of the national movement toward a new blood culture contamination benchmark of 1%. 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. Objectives: To reduce the contamination rate of blood cultures taken in the Accident and Emergency (A&E) department. Contaminated blood cultures add an exorbitant financial . Blood cultures in the emergency department (ED) are frequently overused and their use does not follow recommendations and guidelines. Methods: The study was conducted for 1 year divided into two phases of 6 months each: Preintervention phase and intervention phase (regular and phlebotomist groups). Blood culture contamination rates decreased from 3.39% to 2.6%. Same-site collection rates decreased from 15.13% to 4.14%. 17 Manual diversion of the initial volume of blood • Peer-reviewed published data has shown only modest unsustainable reductions in contamination • Lowest published contamination rate achieved is 2.0%1 (best case controlled clinical study scenario) 1Zimmerman, et al. J . The commitment from our team was considered the most valuable asset and strategy. 1 We hypothesized that the introduction of a standardized . Local problem: Blood culture contamination rates trailed the national threshold of less than 3% in one southeastern US emergency department (ED). Why Do We Care? August 25, 2021. The ED BC contamination rate spike . 26 27 Faced with these contamination rates clinicians cannot be sufficiently confident in initial positive BC results to alter patient management. To promote proper technique related to blood culture specimen collection in an effort to reduce contamination, educational interventions have been examined. Infect . J . Journal of Emergency Nursing, 39(5), 440-456. 2-8 Patients . 2013;131(1):e292-7. . Same-site collection rates decreased from 15.13% to 4.14%. 1, Issue. 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%. contamination rates in the emergency department. OBJECTIVES Blood culture contamination is a common problem in the emergency department . EDs with high blood culture contamination rates should strongly consider evidence-based strategies to reduce contamination . However, more recent studies have demonstrated that contamination rates of less than 1% are readily achievable. Confidential . 2. OBJECTIVES: Blood culture contamination is a common problem in the emergency department (ED) that leads to unnecessary patient morbidity and health care costs. The peripheral blood culture contamination rate was reduced from 3.9% during the baseline period to 1.6% during the intervention . 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. Global Journal on Quality and Safety in Healthcare, Vol. 2-7 These contaminated blood cultures have significant negative consequences for individual patients . 1 Unfortunately, blood culture contamination is common, leading to increased morbidity and overall cost burden. With Magnolia Medical's Steripath® Gen2 Initial Specimen Diversion Device® (ISDD®), hospitals now have an extra layer of contamination protection. Practical steps to lower blood culture contamination rates in the emergency department. 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. the blood culture is an essential tool for diagnosing bloodstream infections and guiding antibiotic therapy. Updated review of blood culture contamination. All 13 studies reported sustained contamination rates of 1% or below when Steripath was used in the emergency department, . • Rates of blood culture contamination can be as high as 6%2. 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. A Quality Improvement team was created to try to reduce contamination rates to the recommended target. Methods Wednesday, February 5, 2014. . 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. Both RNs and EDTs were also required to participate in an annual refresher program for proper BC collection. 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%). Objectives Blood culture contamination is a common problem in the emergency department (ED) that leads to unnecessary patient morbidity and health care costs. The study objective was to develop and evaluate the effectiveness of a quality improvement (QI) intervention for reducing blood culture contamination in an ED. Blood culture contamination can lead to overuse and misuse of antibiotics. Marini, M. (2013, September). 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. collection system in reducing blood culture contamination rates. Methods Yes, according to literature, 20% to 50% are likely false positives.¹ Blood culture contamination rates should not exceed the recommended 3% of all blood culture collections according to the American Society for Microbiology (ASM) and the Clinical Laboratory Standards Institute (CLSI).¹. Bates DW, Goldman L, Lee TH. 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 . 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. . 2 The negative consequences of blood culture contamination on . Blood cultures are commonly ordered in the emergency department (ED) setting to evaluate for bacteremia. 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. (2006). . Introduction: The blood culture (BC) contamination was a significant problem in our hospital, especially in the emergency department (ED). Pediatrics. 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 study describes 2 years of quality improvement (QI) interventions that aimed to decrease a high BCCR in a pediatric ED. Current literature Magnolia Medical Technologies, Inc., inventors of Steripath®, the only FDA 510(k)-cleared device platform specifically indicated to reduce blood culture contamination for sepsis testing accuracy . . 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. Methods: The QI team created a Key Driver Diagram with multiple Plan-Do-Study-Act (PDSA) cycles. The study, therefore, was undertaken to improve the BC collection in the ED. Blood culture contamination rates in emergency departments (ED) . Developing a plan that is evidence-based and feasible in the fast paced Emergency Department can . PMID: 22727270. . Steps to lowering blood culture contamination rates in the ED. All 13 studies reported sustained contamination rates of 1% or below when Steripath was used in the emergency department, . 1, p. . cost of $1.4 to $1.8 million. Using Shared Governance to Reduce Blood Culture Contamination Rates in the Emergency Department. 2 - 8 patients who … 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. 3% blood culture contamination rate in an Emergency Department Cultures / month: Contamination Rate: Patients impacted by false positives / month: . Pediatrics. 1 however, false positive blood cultures due to specimen contamination with skin bacteria are a common problem that leads to unnecessary patient morbidity, increased hospital costs, and health care system inefficiencies. MeSH terms Blood Culture* T.R., Paul, B.R., Collins, S.P . Results: There was a statistically significant reduction in the number of contaminants (p . Blood-culture results may affect clinical decision making. 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. 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. Blood culture collection remains the gold standard to diagnose bacteraemia. Several suggestions have been proposed for ways to reduce blood culture contamination rates. J Emerg Nurs. The study objective was to develop and . Journal of Emergency Nursing, 39(5), 459-464. A financial measure estimated the savings in charges between the observed and expected contaminants in PDSA3. 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%. Fig. The associated cost of contamination per blood culture is estimated to range between $2844 . 1, p. Modification of Blood Test Draw Order to Reduce Blood Culture Contamination.Clin Infect Dis. Discussion: The total hospital BC contamination rate never rose above the 3% benchmark, which illustrates the importance of tracking ED-specific data. (2006). 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. Reducing false-positive peripheral blood cultures in a pediatric emergency department. •Blood culture contamination rates in the emergency department regularly exceed the national standard of less than 3%. High peripheral blood culture contamination rates (BCCR) in the emergency department (ED) contribute to overuse and harm. 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. Reducing the Rate of Blood Culture Contamination in the Emergency Department of a University Teaching Hospital. Article Google Scholar Harding AD, Bollinger S. Reducing blood culture contamination rates in the emergency department. EDs' positive BC rates have been shown to range from 3.4%-7.9% with contamination rates 0.6-7.9%. 2013;131(1):e292-7. 1, Hospital A). Journal of Emergency Nursing, 44(6): 570-575. Hence, it is imperative that the rate of contamination is minimized in order for blood culture testing to be considered cost-effective. Clinical Microbiology Reviews, 19(4), 788-802. 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. The blood culture is an essential tool in clinical medicine for detecting bacteremia and guiding antibiotic therapy. collection system in reducing blood culture contamination rates. Reducing the Rate of Blood Culture Contamination in the Emergency Department of a University Teaching Hospital. Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings. 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. Blood culture contamination carries risks for patients, such as unnecessary antimicrobial therapy and other additional hazards and costs. Purpose BACKGROUND AND OBJECTIVE:. The study objective was to develop and evaluate the effectiveness of a quality improvement (QI) intervention for reducing blood culture contamination in an ED. In addition, few studies describe interventions to reduce peripheral blood culture contamination rates in this population. 10 Hall, K. K., & Lyman, J. 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. The median contamination rate by clinical assessment (2.1%) was significantly lower (P = .005), primarily because of a lower proportion of cultures with coagulase-negative Staphylococcus that were interpreted as contaminants when only one of multiple specimens was positive. Impact of novel blood culture collection bundle to reduce blood culture contamination rates: An important continuous quality improvement indicator of . In the past, a blood culture contamination rate of less than 3% was deemed acceptable. 1 However, false positive blood cultures due to specimen contamination with skin bacteria are common and lead to patient morbidity and escalation of healthcare costs. This can delay early targeted treatment and be detrimental to patient care. The study objective was to develop and . Same-site collection rates decreased from 15.13% to 4.14%. the aim of reducing the blood culture contamination rate in our ED to less than 3% and sustaining this low rate. 10 Hall, K. K., & Lyman, J. 2013 Sep;39(5):459-64. doi: 10.1016/j.jen.2012.03.006. Methodology/Principal Findings A prospectively observational study in a university-affiliated hospital were conducted between August . Pediatrics, 131(1), e292-e297. Fig. •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 . Blood culture contamination rates decreased from 3.39% to 2.6%. The College of American Pathologist set a national benchmark for blood culture contamination rate at 3%. 1, Issue. 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. 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. Blood cultures are commonly performed in the emergency department (ED) due to the important diagnostic and prognostic information they can provide to clinicians.