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A collaborative rounding team improved prevention of central line-associated bloodstream infections (CLABSIs). Despite challenges, this approach enhanced awareness and fostered a safety culture, reducing infection rates.

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Area of Science:

  • Healthcare-associated infections
  • Quality Improvement in Healthcare
  • Infection Prevention and Control

Background:

  • Central line-associated bloodstream infections (CLABSIs) pose significant risks, including increased mortality and healthcare costs.
  • Sustaining reductions in CLABSI rates has proven challenging in healthcare settings.

Purpose of the Study:

  • To evaluate the effectiveness of a collaborative rounding approach in improving CLABSI rates.
  • To address challenges in long-term sustainment of CLABSI prevention efforts.

Main Methods:

  • Implementation of a quality improvement project utilizing collaborative rounding with specialty nursing roles.
  • Application of evidence-based interventions, performance audits, and targeted educational tools.

Main Results:

  • Increased audit completion, reflecting high engagement, correlated with CLABSI reductions.
  • CLABSI rate peaks occurred during high COVID-19 hospitalization volumes, coinciding with decreased audit frequency.

Conclusions:

  • A collaborative rounding team effectively promotes awareness and adherence to CLABSI prevention strategies.
  • This approach fosters a culture of safety, even amidst challenges like the COVID-19 pandemic.