Summary

Description

Special Care Areas (SCA) are nursing care areas which specialize in patients who undergo bone marrow (stem cell) transplant for the treatment of various disorders; or require management and treatment for cancer and/or blood disorders; or require postoperative care after solid organ transplant. This table shows the hospital-specific central line-associated bloodstream infection (CLABSI) data by patient care locations in Special Care Areas. The CLABSI data for each hospital patient care location include number of CLABSIs, central line-days and patient days, CLABSI rates per 1000 line days and their 95% confidence intervals. We also performed a statistical analysis to determine if the rates are statistically higher, lower, or no different than California average rates. California average rates for 2013 can be found at http://www.cdph.ca.gov/programs/hai/Documents/2013-CLABSI-T1.pdf. CLABSI rates are affected by clinical and infection control practices related to central line insertion and maintenance practices, patient-based risk factors, and surveillance methods. While stratifying CLABSI rates by patient care location makes rates more comparable, it cannot control for all individual patient factors that can affect CLABSI rates. A low CLABSI rate may reflect greater diligence with infection prevention or may reflect less effective surveillance methods that detect fewer infections, including failure to appropriately apply standardized surveillance definitions and protocols. Similarly, a high rate may reflect failure to consistently implement all recommended infection prevention practices or more aggressive infection surveillance including more consistent application of standardized surveillance definitions and protocols. Finally, readers should consider comparisons between two time periods cautiously, as more time is needed to determine if changes will be sustained, and therefore, more meaningful. To link the CDPH facility IDs with those from other Departments, like OSHPD, please reference the "Licensed Facility Cross-Walk" Open Data table at https://chhs.data.ca.gov/Facilities-and-Services/Licensed-Facility-Cross.... A list of healthcare facilities can be found at: https://cdph.data.ca.gov/Facilities-and-Services/Healthcare-Facility-Loc...