SHM Converge Scientific Abstract ePoster Gallery-Preventing Central Line Associated Bloodstream Infection (Clabsi) at Sanford Health Fargo

Pdf Summary

Sanford Health-Fargo launched a rapid-cycle quality improvement project in January 2021 to reduce central line associated bloodstream infections (CLABSIs), after experiencing 40 CLABSIs in 2020 and a high rate of femoral line use. Because femoral lines carry a higher infection risk than subclavian or internal jugular lines, the team focused on improving central line management practices.<br /><br />A multidisciplinary group of physicians, nurses, quality improvement staff, and infection prevention specialists created an educational intervention for providers and nurses. The session emphasized evidence-based CLABSI prevention, central line placement, and line-care practices, and was offered three times with both in-person and online participation options. The program also provided CME and ANCC credit. To guide the intervention, the team reviewed charts from 80 patients with femoral-line-related CLABSI in 2019 and 2020 to identify opportunities for improvement in line utilization, placement technique, and maintenance. Pre- and post-session surveys measured changes in knowledge.<br /><br />The project was associated with a notable reduction in infections. In 2021, Sanford Health-Fargo recorded 9 CLABSIs compared with 40 in 2020. The average time between CLABSIs increased from 9 days in 2020 to 47 days in 2021. Femoral line utilization also declined, decreasing to 8% per month in 2021 from an average of 15% per month in 2020.<br /><br />Overall, the educational and multidisciplinary QI approach appeared to improve clinician awareness and reduce femoral line use, contributing to fewer CLABSIs at Sanford Health-Fargo.

Asset Subtitle

Hallie Thompson

Meta Tag

Author List Avish Nagpal, Brenda Grandstrand, Gopikrishna Paladugu, Hallie Thompson, Kate Syverson, Lydia Withnell, Steven Daniels

Category Innovations

Concept Catheter-Associated Bloodstream Infection

Concept Risk Factor

Concept Femoral Central Line Placement

Concept Quality Improvement

Concept Mortality

Distinguished Non-Finalist

Presenter Organization University of North Dakota School of Medicine and Health Sciences

Presenting Author Hallie Thompson

Track Patient Safety

Keywords

CLABSI

central line infections

femoral line use

quality improvement

infection prevention

Sanford Health-Fargo

multidisciplinary intervention

provider education

central line management

bloodstream infection reduction

Catheter-Associated Bloodstream Infection

Risk Factor

Femoral Central Line Placement

Quality Improvement

Mortality