Article C2561

Interprofessional Approach to Reducing Central Line–Associated Bloodstream Infections in a Cardiac Surgical Intensive Care Unit

Author(s): Michael Mazzeffi, MD, MPH, Marcia P. White, MSN, MHA, RN, CNML, Ashley Wade, RN, Jacob Jordan, RN, Akram Zaaqoq, MD, MPH, Emily Schneiderman, AG-ACNP, Tiffany Phillips, RN, Claire Davis, MD, Jolian Dahl, MD, John McNeil, MD, MBA, Karen Singh, MD, Joan Buckner, RN, Costi D. Sifri, MD

Contact Hours 1.00

CERP A 1.00

Expires Jun 01, 2028

Topics: Quality Improvement

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Central line-associated bloodstream infection (CLABSI) is associated with longer hospital stays and increased morbidity and mortality. An academic cardiothoracic intensive care unit had a high CLABSI incidence. The hospital’s executive leadership team (chief nursing officer, chief medical officer, and chief of quality and performance improvement) directed intensive care unit leaders to reduce the infection ratio. Interprofessional CLABSI reduction efforts were formulated based on the plan-do-check-act cycle. Unit leaders (nurses, physicians, advanced practice providers, and allied health professionals) met every 2 weeks for 2 years to formulate CLABSI reduction efforts. The efficacy of CLABSI reduction efforts was evaluated with the standardized infection ratio. Interprofessional CLABSI reduction efforts can be effective in a cardiac surgical intensive care unit and improve patient safety. Keys to success include teamwork, accountability, acceptance from intensive care unit staff, and support from hospital executive leaders.

Objectives

  • Describe CLABSIs impact on patient outcomes and cost of care.
  • Summarize reportable measures of CLABSI incidence and central venous catheter utilization such as the SIR and SUR
  • List strategies that may be useful in helping to reduce CLABSI in cardiac surgical patients

Continuing Education Disclosure Statement

Successful Completion

Learners must complete the entire activity and the associated evaluation to be awarded contact hours AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

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Activities meet the standards for most states that require mandatory continuing education for license and/or certification renewal. AACN recommends consulting with your own state board of nursing or credentialing organization before submitting your certificate of completion.

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