2021
DOI: 10.1177/17571774211012471
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Reduction of central line-associated bloodstream infections in a large acute care hospital in Midwest United States following implementation of a comprehensive central line insertion and maintenance bundle

Abstract: Background: Central line-associated bloodstream infection (CLABSI) is a preventable medical condition that results in increased patient morbidity and mortality. We describe the impact of various quality improvement interventions on the incidence of CLABSI in an 848-bed community teaching hospital from 1 January 2013 to 31 December 2017. Aim: To reduce CLABSI rates after implementation of a comprehensive central line insertion and maintenance bundle. Methods: A comprehensive bundle of interventions was implemen… Show more

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Cited by 9 publications
(6 citation statements)
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“…Our process measures of using CL insertion checklists and use of capped lumens both have shown previous success and good uptake locally 22–25 . During our implementation, some limitations to adoption were noted.…”
Section: Discussionmentioning
confidence: 97%
See 1 more Smart Citation
“…Our process measures of using CL insertion checklists and use of capped lumens both have shown previous success and good uptake locally 22–25 . During our implementation, some limitations to adoption were noted.…”
Section: Discussionmentioning
confidence: 97%
“…Our process measures of using CL insertion checklists and use of capped lumens both have shown previous success and good uptake locally. [22][23][24][25] During our implementation, some limitations to adoption were noted. Given COVID-related staffing shortages, increased locum physician presence may not have received the same training as the regular physicians.…”
Section: Discussionmentioning
confidence: 99%
“…This outcome is consistent with a similar outcome from other publications for the performance improvement projects conducted in ICUs and non-ICUs. [ 14 16 ]…”
Section: Discussionmentioning
confidence: 99%
“…14 Recent evidence also shows that standardization of the day of the week for central line dressing changes plays a role in decreasing CLABSI rates. 15 Based on this evidence, Central Line Sunday was initiated in the CTICU to align with the hospital's policy regarding central line dressing changes. Therefore, nurses changed all central line dressings on Sundays, even if that day was less than seven days from the previous central line dressing change.…”
Section: Methodsmentioning
confidence: 99%
“…This allowed for the evidence-based standardization of central line care and its proper documentation 14. Recent evidence also shows that standardization of the day of the week for central line dressing changes plays a role in decreasing CLABSI rates 15. Based on this evidence, Central Line Sunday was initiated in the CTICU to align with the hospital's policy regarding central line dressing changes.…”
Section: Methodsmentioning
confidence: 99%