How to improve CLABSI maintenance bundle compliance

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Further evaluation of the 2014 CLABSI cases revealed that a majority of the cases (89%) developed after 4 days of insertion, indicating an issue with the maintenance bundle” Allen (2016).

Abstract:

In 2014, the Intensive Care Units of a community hospital experienced a higher number of Central Line Associated Blood Stream Infections (CLABSI) than targeted, despite implementing Central Line Insertion Practices and a maintenance bundle. Further evaluation of the 2014 CLABSI cases revealed that a majority of the cases (89%) developed after 4 days of insertion, indicating an issue with the maintenance bundle. Using this knowledge, it was theorized that a collaboration between nursing and Infection Prevention on appropriate line maintenance would decrease the CLABSI rate.

Reference:

Allen, B. (2016) Reducing Central Line Associated Blood Stream Infection: A Crucial Collaboration with the Intensive Care Units in Relating Process Measures to Outcome Success. American Journal of Infection Control. 44(6), Supplement, p.S98.

DOI: http://dx.doi.org/10.1016/j.ajic.2016.04.129

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