Process-Focused Approach to Reduce Central Line Bloodstream Infections in the Pediatric Population.

Publication Title

Journal for healthcare quality : official publication of the National Association for Healthcare Quality

Authors

Lacey Kovar, Infection Prevention Covenant Children's Hospital, Lubbock, TXFollow
Tiffany Patterson, Providence St. Joseph Health Central Division Clinical Education and Professional Practice TeamFollow
Amber Cline, Covenant Children's Hospital NPDS PICU/Peds Float PoolFollow
Brittany Hilton, Covenant Children's Hospital NPDS PediatricsFollow
Kelsey Seigman, Covenant Children's Hospital NPDS NICUFollow
Sarah McMenamy, Covenant Children's Hospital Quality Improvement SpecialistFollow
Kimberly Malinowski, Covenant Children's Hospital Director of Risk ManagementFollow

Document Type

Article

Publication Date

4-1-2025

Keywords

texas; covenant; Humans; Catheter-Related Infections; Catheterization, Central Venous; Child; Hand Hygiene; Cross Infection; Infection Control; Quality Improvement; Infant, Newborn; Female

Abstract

OBJECTIVE: In 2022, our pediatric and women's medical center observed a 166.67% increase in central line bloodstream infections (CLABSIs) in the pediatric population. A quality-focused group was initiated to implement changes to reduce CLABSIs.

METHODS: Hand hygiene compliance, creating resource tools, implementing CLABSI prevention competencies, and CLABSI bundle audits were used as interventions.

RESULTS: Our institution's CLABSI rate decreased 71% from 1.59 CLABSIs per 1,000 central line days in 2022 to 0.46 CLABSIs per 1,000 central line days in 2023.

CONCLUSIONS: A multifaceted approach with unit focus allowed our institution to decrease the number of CLABSIs in the pediatric and neonatal units.

Area of Special Interest

Women & Children

Specialty/Research Institute

Nursing

Specialty/Research Institute

Pediatrics

Specialty/Research Institute

Quality

DOI

10.1097/JHQ.0000000000000470