Patient safety as a measure of resilience in US hospitals: central line-associated bloodstream infections, July 2020 through June 2021

• DOI: 10.1017/ice.2024.167
• Publication Date: 2025-02-14T04:05:36Z
• Authors: Mathew R.P. Sapiano; Margaret A. Dudeck; Prachi R. Patel; Alison M. Binder; Aaron Kofman; David T. Kuhar; Satish K. Pillai; Matthew J. Stuckey; Jonathan R. Edwards; Andrea L. Benin
• Keywords: Staffing; Pandemic; Stressor

Abstract Objective: Resilience of the healthcare system has been described as ability to absorb, adapt, and respond stress while maintaining provision safe patient care. We quantified impact that stressors associated with COVID-19 pandemic had on safety, measured by central line-associated bloodstream infections (CLABSIs) reported Centers for Disease Control Prevention’s National Healthcare Safety Network. Design: Acute care hospitals were mandated report markers resource availability (staffing hospital occupancy inpatients) federal government between July 2020 June 2021. These data used community levels develop a statistical model assess factors influencing rates CLABSIs among inpatients during pandemic. Results: After risk adjustment characteristics, increased CLABSIs. Staff shortages more than 10% days per month statistically significant increase 2 10,000 line versus reporting staff less month. higher inpatient rate; when was 20% or more, there 5 referent (less 5%). Conclusions: Reporting pertaining operations afforded an opportunity evaluate resilience US hospitals. demonstrate how staffing high numbers patients negatively impacted demonstrating poor resilience. Understanding in may allow development policies support drive