作者
Kurt R Herzer, Louis Niessen, Dagna O Constenla, William J Ward, Peter J Pronovost
发表日期
2014/9/1
期刊
BMJ open
卷号
4
期号
9
页码范围
e006065
出版商
British Medical Journal Publishing Group
简介
Objective
To assess the cost-effectiveness of a multifaceted quality improvement programme focused on reducing central line-associated bloodstream infections in intensive care units.
Design
Cost-effectiveness analysis using a decision tree model to compare programme to non-programme intensive care units.
Setting
USA.
Population
Adult patients in the intensive care unit.
Costs
Economic costs of the programme and of central line-associated bloodstream infections were estimated from the perspective of the hospital and presented in 2013 US dollars.
Main outcome measures
Central line-associated bloodstream infections prevented, deaths averted due to central line-associated bloodstream infections prevented, and incremental cost-effectiveness ratios. Probabilistic sensitivity analysis was performed.
Results
Compared with current practice, the programme is strongly dominant and reduces bloodstream infections and …
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KR Herzer, L Niessen, DO Constenla, WJ Ward… - BMJ open, 2014