CSI Project

Flex More Cleaning Power for CLABSI Prevention

Advocate Christ Medical Center, Oak Lawn, Illinois

CSI Summary

Available only to registered AACN.org users.

Summary

CSI Presentation

Available only to registered AACN.org users.

Presentation

CSI Toolkit

Available only to users with a paid AACN membership.

Toolkit

Added to Collection

Project Topic:

Decreasing CLABSI

Hospital, City and State:

Advocate Christ Medical Center, Oak Lawn, Illinois

Unit:

Cardiovascular Thoracic Unit

CSI Participants:

  • Tariq Abdelqader, BSN, RN, CCRN
  • Brenda Cerda, MSN, RN, M.Ed.
  • Aneta Gil, BSN, RN
  • Tyla Wells, BSN, RN, CCRN

Project Goals/Objectives:

  1. Central Line-Associated Bloodstream Infection (CLABSI) reduction 20% in 12 months
  2. High Touch Surface Area disinfection compliance will increase 50% in 12 months
  3. CLABSI prevention bundle compliance will increase 10% in 12 months

Project Outcomes:

  1. Reduced CLABSI by 57% in 12 months.
  2. Increased High Touch Surface Area disinfection by 50% in 12 months.
  3. Increased CLABSI prevention bundle compliance by 3.9% in 12 months.

Project Overview:

Our unit has a consistently high Standard Utilization Rate (SUR) of 1.235, second highest at our site, due to patient population acuity and a very high Standardized Infection Ratio (SIR) of 1.489, almost triple that of the lowest SIR at our site. Prior to intervention, our unit had 7 CLABSI attributed to it. To decrease this incidence, we implemented a project designed to decrease the CLABSI incidence through an increased disinfection of high touch surface areas.

We put in interventions during our project kickoff, conducted surveys, and educated our staff about our project. The project required bedside nurses to complete a high touch surface area disinfection in patient rooms in the last two hours of every shift. Compliance audits were performed on randomly selected rooms throughout the data collection time frame. Post-implementation, the unit CLABSI incidence decreased 57% and we had a 6-month CLABSI free period.

We have had very positive feedback about our project. Our CLABSI incidence has decreased significantly and, after presenting our project to our site, there is a lot of expressed interest from other units wanting to implement it on theirs. It is the team’s hope to have our intervention become standard at our site and enterprise.

Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

Disclaimer
The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.