Nurses leading the way: Transforming CLABSI prevention

Area of Science:

• Healthcare Quality Improvement
• Patient Safety
• Infection Prevention

Background:

• Central line-associated bloodstream infections (CLABSIs) pose significant risks to patient safety, leading to increased morbidity, mortality, and healthcare costs.
• A cluster of three CLABSIs on a Cardiovascular and Thoracic Surgery unit necessitated an immediate intervention to address patient safety concerns.

Purpose of the Study:

• To eliminate CLABSIs on the unit through a nurse-led quality improvement (QI) initiative.
• To foster a sustainable culture of zero harm by empowering frontline staff to implement evidence-based practices.

Main Methods:

• Utilized the Donabedian and Magnet® models for guidance.
• Conducted a root cause analysis and implemented a multifaceted intervention including education, peer validation, compliance monitoring, and patient engagement.
• Tracked CLABSI rates and bundle compliance using run charts for performance monitoring and continuous improvement.

Main Results:

• Achieved complete elimination of CLABSIs on the unit.
• Sustained a zero-infection rate for over five consecutive years.

Conclusions:

• Empowering frontline nurses in QI initiatives is a highly effective strategy for improving patient safety.
• A "culture of zero" harm is achievable through interprofessional collaboration, data-driven practices, and leadership support.
• The initiative offers a replicable framework for other organizations aiming to eradicate healthcare-associated infections.