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"The unit achieved and sustained >90% compliance with both CHG bathing treatments and K-card door tag processes. The CLABSI rate decreased from 2.15 to 0.41, an 81% reduction" Spinks et al (2025).

Abstract:

Abstract:

Background: Central line-associated bloodstream infection (CLABSI) is a preventable complication of central venous catheters (CVC) that can result in prolonged hospitalization, increased cost, and mortality.

Local problem: CLABSI rates in a solid organ transplant unit were above the National Database of Nursing Quality Indicators target.

Methods: Evidence-based CLABSI prevention interventions were implemented using the Plan-Do-Study-Act process.

Interventions: A stepwise approach was used to implement CVC maintenance bundle pole cards, chlorhexidine gluconate (CHG) bathing treatments, and Kamishibai card (K-card) door tag processes for all patients with CVCs.

Results: The unit achieved and sustained >90% compliance with both CHG bathing treatments and K-card door tag processes. The CLABSI rate decreased from 2.15 to 0.41, an 81% reduction.

Conclusions: CLABSI reduction in a transplant unit can be achieved through the systematic implementation of evidence-based practices.


Reference:

Spinks R, Berhanu W, Buenvenida R, Henry S, Lo D, Yun M. Reduction of Central Line-Associated Bloodstream Infections on a Transplant Unit. J Nurs Care Qual. 2025 Mar 11. doi: 10.1097/NCQ.0000000000000854. Epub ahead of print. PMID: 40073111.

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