How to achieve zero CLABSI rates in your ICU

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Abstract:

Central line-associated bloodstream infections (CLABSIs) prolong hospital stays and increase cost, morbidity, and mortality. An intensive care unit (ICU) in a suburban Baltimore hospital reduced CLABSI rates to zero in 2012, by revising central venous access device policies and initiatives, which included a bloodstream infection alert system, bundle compliance monitoring and routine evaluation, and use of positive displacement needleless connectors. The hospital’s ICU infection rate decreased from 2.9/1000 central-line days in 2010 to 0.8 by 2011, 0 by 2012, and 0.91 in 2013. The utilization ratio was 0.64 in 2011, 0.60 in 2012, and 0.58 in 2013. CLABSI prevention involves all disciplines and requires staff accountability for patient safety.

Reference:

Wallace, M.C. and Macy, D.L. (2015) Reduction of Central Line-Associated Bloodstream Infection Rates in Patients in the Adult Intensive Care Unit. Journal of Infusion Nursing. 39(1), p.47-55.

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