CHAIN

    Safety Teams and Organizational Structure
    Access to Information
    Facility Expectations
    Engagement of Patient/Client/Resident and Family

 

 

 

 

 

 

 

Key Items

Road Map to a Comprehensive Healthcare-Associated Infections (HAI) Prevention Program. Complete the HAI road map prior to beginning the gap analysis.

Central Line Associated Blood Stream Infection Prevention Strategies - Gap Analysis. Complete this gap analysis to identify where you need to develop action plans.

Central Line Associated Blood Stream Infections (CLABSI) - a priority healthcare-associated infection

CLABSI Gap Analysis

The Central Line Associated Blood Stream Infection Prevention Strategies - Gap Analysis includes a checklist of core and enhanced prevention strategies. Core prevention strategies should always be in place. Examples include:

  • Provide patient/family education.
  • Implement appropriate central line insertion practices.
  • Implement appropriate central line care and maintenance practices.
  • Implement appropriate removal practices.
  • Institute appropriate documentation practices.
  • Educate staff on central line practices.

Enhanced prevention strategies should be considered in addition to core strategies when there is evidence of:

  • Core strategies not being implemented and adhered to consistently
  • Ongoing transmission of CLABSI
  • CLABSI rates not decreasing
  • Change in pathogenesis (e.g., increased morbidity/mortality among CLABSI patients)

 

 

 

 

 

 

 

Share Your Knowledge/Contribute to this Site

You'll notice that some sections of this website lack supporting materials. We're asking CHAIN participants to share tools and resources to add to this site. Sharing knowledge will help us all provide better care to people in Minnesota.

Send us your tool and resource suggestions.

Be an active member of CHAIN. Together, we can reduce HAI rates.

 

Tools for CLABSI Road Map Topics -
Supporting CLABSI Reduction   

Use these sample tools as templates and to take action in your organization.

Patient and Family Education

Indications

Insertion - Insertion practices

Maintenance - Maintenance practices

Removal - Removal practices

Documentation - Documentation practices

General Resources

Sample Tools - Apply/Take Action

Central Line Insertion Care Team Checklist. Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been shown to reduce these infections. It also stresses the need to document any deviations from the checklist. May 2009

Central Line Insertion Practices (CLIP) Adherence Monitoring. Several centers have found it useful to monitor adherence to evidence-based central line insertion practices as a method for identifying quality improvement opportunities and strategically targeting interventions. (2-page PDF)

Checklist for Prevention of CLABSI. Checklist for clinicians and facilities to prevent CLABSI. CDC. (1-page PDF)

Physician Procedure Note for Invasive Line Insertion. (1-page Word doc)

Pre-Implementation Checklist. For internal use by QI teams to guide their preparation. (1-page Word doc)

Professional Education and Training

CDC CLABSI Resources. This CDC webpage includes resources for patients and healthcare providers, FAQ's, prevention, toolkits, prevention resources for state health departments, and monitoring CLABSIs.

References/Guidelines/Standards

Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011. Developed by the Centers for Disease Control and Prevention (CDC) and Healthcare Infection Control Practices Advisory Committee (HICPAC), these guidelines have been developed for healthcare personnel who insert intravascular catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home healthcare settings. (83-page PDF)

Toward Eliminating CLABSIs: Realities of life on the front lines. John Hopkins Medicine (7-slide PowerPoint)

What is CLABSI? Patient and advocate information on CLABSI from the California Department of Health. Viewed 08/30/12.

Patient Education

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CHAIN is an effort lead by the Association for Professionals in Infection Control and Epidemiology-Minnesota (APIC MN), Minnesota Department of Health, Minnesota Hospital Association, and Stratis Health, which represents Lake Superior Quality Innovation Network in Minnesota.