tag:blogger.com,1999:blog-32053362.post780224037720121438..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Not so fastPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-32053362.post-554239113459648042013-03-14T16:04:00.764-04:002013-03-14T16:04:00.764-04:00Our experience dates back 37 years. I put ALL our...Our experience dates back 37 years. I put ALL our central lines in myself, often 5-6 per week. We had a specific procedure for removing lines, and culturing all potential sites of infection in the event of fever. <br /><br />Our infection rate for central catheters was 3%. The only deaths were attributed to prolonged neutropenia and disease progression (Usually AML and aggressive lymphoma.)<br /><br />As I review the CDC numbers, I see extensive "lumping" of patient categories, potentially biased separation of hospital size and academic affiliation, and no identification of underlying disorder or ongoing disease state. Who put the lines in? Who cared for them? Was care appropriate? <br /><br />It seems inadequate to suggest that all these variables will simply "come out in the wash."<br /><br />The parallel with air safety is interesting in that precipitating events in 1945 were totally unknown. Consequently, a comparison to events in 2011 is no comparison at all. Ditto central lines.Unknownhttps://www.blogger.com/profile/14664659815327078025noreply@blogger.com