Central Line Associated Blood Stream Infections (CLABSI) - a priority healthcare-associated infection
CLABSI Gap Analysis
The Central Line Associated Blood Stream Infection Prevention Strategies - Gap Analysis includes a checklist of core and enhanced prevention strategies. Core prevention strategies should always be in place. Examples include:
- Provide patient/family education.
- Implement appropriate central line insertion practices.
- Implement appropriate central line care and maintenance practices.
- Implement appropriate removal practices.
- Institute appropriate documentation practices.
- Educate staff on central line practices.
Enhanced prevention strategies should be considered in addition to core strategies when there is evidence of:
- Core strategies not being implemented and adhered to consistently
- Ongoing transmission of CLABSI
- CLABSI rates not decreasing
- Change in pathogenesis (e.g., increased morbidity/mortality among CLABSI patients)
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Tools for CLABSI Road Map Topics -
Supporting CLABSI Reduction
Use these sample tools as templates and to take action in your organization.
Patient and Family Education
Indications
Insertion - Insertion practices
Maintenance - Maintenance practices
Removal - Removal practices
Documentation - Documentation practices
General Resources
Sample Tools - Apply/Take Action
. Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been shown to reduce these infections. It also stresses the need to document any deviations from the checklist. May 2009
. Several centers have found it useful to monitor adherence to evidence-based central line insertion practices as a method for identifying quality improvement opportunities and strategically targeting interventions. (2-page PDF)
. Checklist for clinicians and facilities to prevent CLABSI. CDC. (1-page PDF)
Physician Procedure Note for Invasive Line Insertion. (1-page Word doc)
Pre-Implementation Checklist. For internal use by QI teams to guide their preparation. (1-page Word doc)
Professional Education and Training
. This CDC webpage includes resources for patients and healthcare providers, FAQ's, prevention, toolkits, prevention resources for state health departments, and monitoring CLABSIs.
References/Guidelines/Standards
. Developed by the Centers for Disease Control and Prevention (CDC) and Healthcare Infection Control Practices Advisory Committee (HICPAC), these guidelines have been developed for healthcare personnel who insert intravascular catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home healthcare settings. (83-page PDF)
Toward Eliminating CLABSIs: Realities of life on the front lines. John Hopkins Medicine (7-slide PowerPoint)
Patient and advocate information on CLABSI from the California Department of Health. Viewed 08/30/12.
Patient Education
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