Emergency Department, Lab, and Antimicrobial Stewardship: Connecting the Dots

Addressing a Clinical Decision Dilemma at the Source

  • Event Date:
  • Event Time: Noon Central

Learn the downstream impacts of false positive blood cultures in the emergency department, and how to virtually eliminate blood culture contamination and false positive diagnostic results for sepsis.

Thirty-five to 50 percent of positive blood culture results indicating sepsis are actually falsely positive. This is the direct result of contamination of the blood specimen at the time of collection due to touch point contamination and/or skin and skin plug contamination that cannot be eliminated by conventional skin antisepsis. Manual diversion methods to remove contaminants prior to specimen collection have shown only minimal and unsustainable reductions in contamination rates. An average-sized hospital may have more than 300 patients impacted by false positive blood cultures every year in the ED alone, resulting in over $1 million dollars in avoidable costs.

Most of these patients are treated with unnecessary antibiotics with attendant risks of secondary infection due to C. difficile, MDROs and other antibiotic-related complications. Inappropriate antibiotic usage is the principal driver of antimicrobial resistance; a significant and growing global problem.

Hear how a closed-system mechanical initial specimen diversion device has been clinically proven in peer-reviewed published studies to virtually eliminate blood culture contamination and false positive diagnostic results for sepsis in the ED and significantly reduce vancomycin days of therapy.

Attendees Will Learn:

  • The downstream impact of false-positive blood cultures, with a focus on antimicrobial stewardship in this age of antibiotic resistance
  • The strengths and weakness of rapid diagnostic in bacteremia diagnosis
  • Other intervention methods that have been applied, and their limited impact
  • A solution (Steripath Gen2 Initial Specimen Diversion Device®) that can address this diagnostic error at the source

Sponsored By:

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Thought Leaders

Christopher D. Doern, Ph.D.(ABMM)
Associate Professor, Pathology and Pediatrics, Director of Clinical Microbiology
Virginia Commonwealth University Health System
Christopher D. Doern, Ph.D.(ABMM) image

Not Available

Lindsey Nielsen, ASCP(M, MB), PhD
CPEP Fellow
University of Nebraska Medical Center
Lindsey Nielsen, ASCP(M, MB), PhD image

Not available.

Barbara DeBaun, RN, MSN, CIC
Improvement Advisor
Cynosure Health
Barbara DeBaun, RN, MSN, CIC image

Barbara DeBaun has over 35 years of experience in the field of infection prevention and quality improvement.  She is currently an Improvement Advisor for Cynosure Health where she provides vision and leadership in the development, implementation and facilitation of infection prevention and quality improvement initiatives for healthcare organizations.  Previously, she was an Improvement Advisor for BEACON, the Bay Area Patient Safety Collaborative, and was the Director of Patient Safety and Infection Control at California Pacific Medical Center in San Francisco.   She is currently adjunct faculty at Dominican University of California.  Barbara is a certified Infection Control Practitioner and holds a Bachelor’s degree in nursing from Pace University in New York and a Master of Science Degree in Nursing from San Francisco State University.

Barbara is an active member of APIC, the Association for Professionals in Infection Control and Epidemiology and recently served two years as an elected member of APIC Board of Directors. Prior to her board service, she served as APIC’s liaison to the Centers for Disease Control’s Hospital Infection Control Practices Advisory Committee (HICPAC).  Barbara has lectured nationally and internationally on a variety of patient safety and infection control topics and has published over a dozen articles and several book chapters.  In 2008, she was selected as Infection Control Today’s Educator of the Year. 

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