Doing it right the first time: quality improvement and the contaminant blood culture

Author:

Weinbaum F I1,Lavie S1,Danek M1,Sixsmith D1,Heinrich G F1,Mills S S1

Affiliation:

1. Department of Surgery, New York Hospital Medical Center of Queens, Flushing 11355, USA.

Abstract

The aim of the project was to determine whether the rate of contaminant blood cultures could be reduced by using a team of dedicated phlebotomists. Comparisons were made between adult patients requiring blood cultures for suspected bacteremia on medical and surgical units before and after the introduction and withdrawal of a dedicated blood culture team. The results showed that a significant reduction in the contaminant blood culture rate was achieved by the blood culture team (P < 0.001; chi(2) test). Therefore, in our experience, the rate of contaminant blood cultures can be reduced in a teaching hospital by using a team of dedicated phlebotomists. Calculations made with our data and those published by others suggest that cost savings from reducing false-positive blood cultures are greater than the cost of the blood culture team.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference10 articles.

1. Rapid classification of positive blood cultures: prospective validation of a multivariate algorithm;Bates D. W.;JAMA,1992

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3. Sounding board: continuous improvement as an ideal in health care;Berwick D. M.;N. Engl. J. Med.,1989

4. Crobsy P. B. 1979. Quality is free: the art of making quality certain. McGraw-Hill Book Company New York N.Y.

5. Crobsy P. B. 1984. Quality without tears: the art of hassle-free management. McGraw-Hill Book Company New York N.Y.

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