Barriers to CLABSI bundle implementation


Intravenous literature: Maureen J. Hodson, Gail E. Cormier, Plutarco E. Castellanos, David Bebinger (2011) Making a List and Checking it Twice: A Community Hospital’s “Journey to Zero” While Implementing a CLABSI Bundle and Checklist Protocol. AJIC: American Journal of Infection Control. 39(5), p.E143-E144.


It is well documented that healthcare-acquired CLABSI is a costly adverse event that can result in poor patient outcomes. Regulatory agencies recognize the success of using a checklist featuring a bundle of best practice elements for insertion and care of central lines for CLABSI prevention. Barriers to implementation can occur such as a lack of organizational resources, education, and staff resistance to change. Our 150-bed community hospital faced these challenges, but used a multi-disciplinary taskforce and quality improvement process to reduce CLABSIs to zero for greater than 2 years in our 10-bed ICU.

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