Patient Safety Topics

Sustained reduction of central line-associated bloodstream infection (CLABSI) remains elusive in many institutions. The key to successful CLABSI reduction is to combine strategies from the available guidelines with the adaptive cultural changes necessary to achieve actionable sustainable results. Renewed focus from hospital leadership, physicians, and nurses is essential to promote a culture of zero tolerance for CLABSI and unsafe practices.

Key Data and Statistics

According to Authority analysis of 2010 event reports, the majority of CLABSIs occurring in Pennsylvania acute care facilities have been late in onset: of the 653 central-line-related infection events reported to NHSN in 2010 by Pennsylvania facilities, 468 (71.7%) occurred after day five (see Figure). Pennsylvania facilities may need to direct their resources toward maintaining CVCs.

Figure. Time Distribution of CLABSI: Pennsylvania NHSN Facilities 2010


Educational Tools

Assessment of a Mandatory Reporting System
This research poster illustrates state and national statistics about central line-associated bloodstream infections, lessons learned from analysis of these statistics, and ongoing efforts to educate healthcare providers about evidence-based best practices and risk reduction strategies.

Assessment of Program for Prevention of CLABSI
This sample assessment worksheet provides a method to measure the level of implementation of an organization’s prevention program for central-line associated bloodstream infections.

Bedside Invasive Procedure
Facilities can use this form for documentation of a bedside procedure time-out.

Central Line Bundle Checklist
Facilities can use this checklist to document compliance with evidence-based practices during central line insertion.

Central Line Insertion Procedure Note
Facilities can use this form to document compliance with insertion practices.

Central Line Outcome and Process Measures Worksheet
This sample worksheet may be used for documenting facility-specific process and outcome measures associated with central-line associated bloodstream infections.

Physician Order Form: Central Line Continuation Orders
Facilities can use this form to document daily necessity of continuation of a central line.

Physician Order Form: Central Line Standing Orders
Facilities can use this form to approve use of a new central line.

Safety Tips for Patients