Implementing Strategies to Reduce Central Line-Associated Blood Stream Infections on an Inpatient Pediatric Unit

Authors

Sherryann St. Pierre, Maine Medical CenterFollow
Nicole Manchester, Maine Medical CenterFollow
Jessica Howe, Maine Medical Center
Melanie Lord, Maine Medical Center
Mark Parker, Maine Medical CenterFollow
Suneela Nayak, Maine Medical CenterFollow
Ruth Hanselman, Maine Medical Center
Stephen Tyzik, Maine Medical CenterFollow
Amy SparksFollow
Barbara Bush Children's Hospital

Document Type

A3

Publication Date

10-2018

Institution/Department

Pediatrics, Nursing, Maine Medical Center

Abstract

STRATEGIES TO REDUCE CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS

Every central line associated bloodstream infection (CLABSI) leads to poor outcomes, increased mortality and increased healthcare costs. A pediatric care team in an academic tertiary medical center set a goal to reduce the number of these infections on their unit.

The team’s research showed that daily bathing greatly decreases CLABSI. Their baseline metrics demonstrated an unacceptable level of those with central lines being bathed. A root cause analysis revealed that patient and family refusal was the leading cause for those who did not bathe.

A performance improvement plan was initiated that consisted of several KPIs. Post their rollout, a marked increase in the number of patients with central lines receiving baths was realized, as was a decrease in central line associated infections.

Next steps include becoming a model for other patient care units and Maine Health associated hospitals.

Recommended Citation

St. Pierre, Sherryann; Manchester, Nicole; Howe, Jessica; Lord, Melanie; Parker, Mark; Nayak, Suneela; Hanselman, Ruth; Tyzik, Stephen; Sparks, Amy; and Barbara Bush Children's Hospital, "Implementing Strategies to Reduce Central Line-Associated Blood Stream Infections on an Inpatient Pediatric Unit" (2018). Operational Transformation. 6.
https://knowledgeconnection.mainehealth.org/opex/6