Checklists decrease CLABSI rates in ICU
Abstract:
Central line-associated bloodstream infections (CLABSIs) are common types of hospital acquired infections (HAIs) that can place heavy financial and medical burdens on healthcare practices and facilities. In the medical intensive care unit (ICU) of a medical center, the CLABSI rate rose to 6.60.
Purpose: The purpose of this project was to develop and implement an evidence-based central line clinical protocol (paper checklist) to prevent CLABSIs in the ICU.
Methods: A quality improvement project was implemented in a 16-bed medical ICU. The project focused on the use of a nine-question checklist and education on the use of the checklist to decrease the occurrence of CLABSIs in ICU patients.
Results: During the eight weeks of the pre-intervention period, the CLABSI rates were 6.13 and 5.68. During the eight weeks of the post-intervention period, the CLABSI rates were 4.41 and 0.0.
Conclusions: Implementation of this intervention showed a decrease in CLABSI rates.
Reference:
Reynolds CS, Cunningham JL, Ng YC, Dean CL. Using a Checklist to Decrease Central Line Infections in the Intensive Care Unit. Crit Care Nurs Q. 2025 Oct-Dec 01;48(4):337-344. doi: 10.1097/CNQ.0000000000000568. Epub 2025 Aug 22. PMID: 41021678.