Abstract
A national collaborative helped many hospitals dramatically reduce central line-associated bloodstream infections (CLABSIs), but some hospitals struggled to reduce infection rates. This article describes the development of a peer-to-peer assessment process (CLABSI Conversations) and the practical, actionable practices we discovered that helped intensive care unit teams achieve a CLABSI rate of less than 1 infection per 1000 catheter-days for at least 1 year. CLABSI Conversations was designed as a learning-oriented process, in which a team of peers visited hospitals to surface barriers to infection prevention and to share best practices and insights from successful intensive care units. Common practices led to 10 recommendations: executive and board leaders communicate the goal of zero CLABSI throughout the hospital; senior and unit-level leaders hold themselves accountable for CLABSI rates; unit physicians and nurse leaders own the problem; clinical leaders and infection preventionists build infection prevention training and simulation programs; infection preventionists participate in unit-based CLABSI reduction efforts; hospital managers make compliance with best practices easy; clinical leaders standardize the hospital's catheter insertion and maintenance practices and empower nurses to stop any potentially harmful acts; unit leaders and infection preventionists investigate CLABSIs to identify root causes; and unit nurses and staff audit catheter maintenance policies and practices.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 67-78 |
| Number of pages | 12 |
| Journal | Quality Management in Health Care |
| Volume | 25 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2016 |
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Keywords
- Central line-associated bloodstream infection
- CLABSI
- Intensive care unit
- Peer-to-peer assessment
ASJC Scopus subject areas
- Health Policy
- Care Planning
- Health(social science)
- Leadership and Management
Cite this
CLABSI conversations : Lessons from peer-to-peer assessments to reduce central line-associated bloodstream infections. / Pham, Julius Cuong; Goeschel, Christine A.; Berenholtz, Sean; Demski, Renee; Lubomski, Lisa; Rosen, Michael; Sawyer, Melinda D.; Thompson, David; Trexler, Polly; Weaver, Sallie; Weeks, Kristina; Pronovost, Peter J.
In: Quality Management in Health Care, Vol. 25, No. 2, 2016, p. 67-78.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - CLABSI conversations
T2 - Lessons from peer-to-peer assessments to reduce central line-associated bloodstream infections
AU - Pham, Julius Cuong
AU - Goeschel, Christine A.
AU - Berenholtz, Sean
AU - Demski, Renee
AU - Lubomski, Lisa
AU - Rosen, Michael
AU - Sawyer, Melinda D.
AU - Thompson, David
AU - Trexler, Polly
AU - Weaver, Sallie
AU - Weeks, Kristina
AU - Pronovost, Peter J.
PY - 2016
Y1 - 2016
N2 - A national collaborative helped many hospitals dramatically reduce central line-associated bloodstream infections (CLABSIs), but some hospitals struggled to reduce infection rates. This article describes the development of a peer-to-peer assessment process (CLABSI Conversations) and the practical, actionable practices we discovered that helped intensive care unit teams achieve a CLABSI rate of less than 1 infection per 1000 catheter-days for at least 1 year. CLABSI Conversations was designed as a learning-oriented process, in which a team of peers visited hospitals to surface barriers to infection prevention and to share best practices and insights from successful intensive care units. Common practices led to 10 recommendations: executive and board leaders communicate the goal of zero CLABSI throughout the hospital; senior and unit-level leaders hold themselves accountable for CLABSI rates; unit physicians and nurse leaders own the problem; clinical leaders and infection preventionists build infection prevention training and simulation programs; infection preventionists participate in unit-based CLABSI reduction efforts; hospital managers make compliance with best practices easy; clinical leaders standardize the hospital's catheter insertion and maintenance practices and empower nurses to stop any potentially harmful acts; unit leaders and infection preventionists investigate CLABSIs to identify root causes; and unit nurses and staff audit catheter maintenance policies and practices.
AB - A national collaborative helped many hospitals dramatically reduce central line-associated bloodstream infections (CLABSIs), but some hospitals struggled to reduce infection rates. This article describes the development of a peer-to-peer assessment process (CLABSI Conversations) and the practical, actionable practices we discovered that helped intensive care unit teams achieve a CLABSI rate of less than 1 infection per 1000 catheter-days for at least 1 year. CLABSI Conversations was designed as a learning-oriented process, in which a team of peers visited hospitals to surface barriers to infection prevention and to share best practices and insights from successful intensive care units. Common practices led to 10 recommendations: executive and board leaders communicate the goal of zero CLABSI throughout the hospital; senior and unit-level leaders hold themselves accountable for CLABSI rates; unit physicians and nurse leaders own the problem; clinical leaders and infection preventionists build infection prevention training and simulation programs; infection preventionists participate in unit-based CLABSI reduction efforts; hospital managers make compliance with best practices easy; clinical leaders standardize the hospital's catheter insertion and maintenance practices and empower nurses to stop any potentially harmful acts; unit leaders and infection preventionists investigate CLABSIs to identify root causes; and unit nurses and staff audit catheter maintenance policies and practices.
KW - Central line-associated bloodstream infection
KW - CLABSI
KW - Intensive care unit
KW - Peer-to-peer assessment
UR - http://www.scopus.com/inward/record.url?scp=84964091824&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84964091824&partnerID=8YFLogxK
U2 - 10.1097/QMH.0000000000000091
DO - 10.1097/QMH.0000000000000091
M3 - Article
C2 - 27031355
AN - SCOPUS:84964091824
VL - 25
SP - 67
EP - 78
JO - Quality Management in Health Care
JF - Quality Management in Health Care
SN - 1063-8628
IS - 2
ER -