A Comprehensive Strategy to Eliminate Central Line-Associated Bloodstream Infections in Adult Critical Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/202298
Type:
Presentation
Title:
A Comprehensive Strategy to Eliminate Central Line-Associated Bloodstream Infections in Adult Critical Care
Abstract:
(41st Biennial Convention) Central line-associated bloodstream infections (CLABSI) are a persistent problem in U.S. ICUs, resulting in increased costs, length of stay, and mortality. Research aimed at infection reduction through improved insertion methods has been published; however, little information or research regarding the effect of daily maintenance on infection rates is available. Insertion provides opportunity for contamination, but daily access, maintenance, and environmental practices by staff provide multiple opportunities for contamination each day. The purpose of this study was to determine the best practices to eliminate CLABSI in adult intensive care units (ICUs), as well as barriers to these practices. The final aim of the study was to develop, test, and adopt a comprehensive strategy to eliminate these infections in two ICUs at a community hospital. Based on initial Six Sigma flow mapping of processes, findings in research, and a staff questionnaire, a data collection plan was developed. Three months of observations were collected to pinpoint variations in practice and deviations from best practice. Based on this data, changes were made to policies and documentation. An education module focusing on maintenance was presented to all nurses in the ICUs. Audit and feedback were continued over time and additional problematic data were addressed as needed. CLABSI rates dropped dramatically and remained well-controlled as the process improvement project continued. A multiple method, continuous approach to sustained behavioral change was essential to success. A major advantage of this approach is that it could be tailored for any institution, unit, or problem. The use of staff members to collect data, drive change, and disseminate education likely contributed to both acceptance and sustainability of changes.
Keywords:
Central line associated bloodstream infection; infection prevention; Continuous quality improvement
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Comprehensive Strategy to Eliminate Central Line-Associated Bloodstream Infections in Adult Critical Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/202298-
dc.description.abstract(41st Biennial Convention) Central line-associated bloodstream infections (CLABSI) are a persistent problem in U.S. ICUs, resulting in increased costs, length of stay, and mortality. Research aimed at infection reduction through improved insertion methods has been published; however, little information or research regarding the effect of daily maintenance on infection rates is available. Insertion provides opportunity for contamination, but daily access, maintenance, and environmental practices by staff provide multiple opportunities for contamination each day. The purpose of this study was to determine the best practices to eliminate CLABSI in adult intensive care units (ICUs), as well as barriers to these practices. The final aim of the study was to develop, test, and adopt a comprehensive strategy to eliminate these infections in two ICUs at a community hospital. Based on initial Six Sigma flow mapping of processes, findings in research, and a staff questionnaire, a data collection plan was developed. Three months of observations were collected to pinpoint variations in practice and deviations from best practice. Based on this data, changes were made to policies and documentation. An education module focusing on maintenance was presented to all nurses in the ICUs. Audit and feedback were continued over time and additional problematic data were addressed as needed. CLABSI rates dropped dramatically and remained well-controlled as the process improvement project continued. A multiple method, continuous approach to sustained behavioral change was essential to success. A major advantage of this approach is that it could be tailored for any institution, unit, or problem. The use of staff members to collect data, drive change, and disseminate education likely contributed to both acceptance and sustainability of changes.en_GB
dc.subjectCentral line associated bloodstream infectionen_GB
dc.subjectinfection preventionen_GB
dc.subjectContinuous quality improvementen_GB
dc.date.available2012-01-11T11:20:49Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:20:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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