Reporting - CLI-BSI

Patient safety remains the most important priority for TDMH and this involves ensuring that patients are not at risk for contracting healthcare-associated infections.

We have a number of practices in place to help prevent and control infections, including a comprehensive hand hygiene program. As of April 30, 2009, all Ontario hospitals are required to post quarterly Central Line Associated Blood Stream Infection (CLI-BSI) rates to further promote accountability and transparency within the health system.

What is a Central-Line Associated Blood Stream Infection (CLI-BSI)?
When a patient requires long-term access to medication or fluids through an IV, a central line is put in place. A central line BSI can occur when bacteria and/or fungi enters the blood stream, causing a patient to become sick. The bacteria can come from a variety of places (e.g., skin, wounds, environment, etc.), though it most often comes from the patient’s skin.

Hospitals follow best practices on how to prevent bacteria from entering into a central line. Patients in the ICU often require a central line since they are seriously ill, and will require a lot of medication, for a long period of time.

What will be publicly reported?

  • The number of CLI cases that developed in the ICU. Where the number is zero or where the cases total 5 or more, the number will be posted. If the cases are fewer than 5 (e.g., 1 to 4 cases), it will state “<5 cases”.  
  • The CLI rate (per 1000 central line days)

All hospitals will use the following formula to report the rate:
total # of ICU related BSIs after 48 hours of central line placement X 1000
total # of central line days for ICU patients 18 years and older

What is the rate at TDMH?

The TDMH rate for January – March 2018 is 0 per 1000 central line days.  This represents 0 cases  
The TDMH rate for October 1 - December 31, 2017 is 0 per 1000 central line days.  This represents 0 cases
The TDMH rate for July 1 - September 30, 2017 is 0 per 1000 central line days.  This represents 0 cases   
The TDMH rate for April 1 - June 30, 2017 is 0 per 1000 central line days.  This represents 0 cases 
The TDMH rate for January 1 - March 31, 2017 is 0 per 1000 central line days.  This represents 0 cases