Related Experiment Video

Updated: Apr 2, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

14.0K

The Effect of Electronic Health Record-Based Central Line Maintenance Documentation on CLABSI Rates across Intensive

İlker Devrim1, Hincal Ozbakir1, Yeliz Oruc2

  • 1Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Diseases and Surgery Training and Research Hospital, İzmir, Türkiye.

Applied Clinical Informatics
|March 31, 2026
PubMed

Insights

Transitioning to electronic health records for central line care significantly reduced bloodstream infections in pediatric intensive care units. This digital shift improved compliance and patient safety, especially in neonatal intensive care units.

Area of Science:

  • Infection Control and Prevention
  • Health Informatics
  • Pediatric Critical Care Medicine

Background:

  • Central line-associated bloodstream infections (CLABSIs) pose a significant threat in pediatric intensive care units (PICUs), increasing patient morbidity and limiting treatment options.
  • Effective monitoring of CLABSI prevention bundles is crucial, but data from pediatric settings are scarce.
  • Electronic health record (EHR) systems offer potential for enhanced documentation and compliance monitoring.

Purpose of the Study:

  • To evaluate the impact of transitioning from paper-based to EHR-based documentation for central line maintenance on CLABSI rates in pediatric ICUs.
  • To assess changes in CLABSI prevention bundle compliance following the implementation of EHR-based documentation.
  • To compare CLABSI rates between paper-based and EHR-based documentation periods across different pediatric intensive care settings.

Main Methods:

  • A retrospective cohort study comparing pre- and post-transition periods in neonatal (NICU), pediatric surgery (PSICU), and pediatric (PICU) ICUs.
  • CLABSI prevention bundle compliance was assessed via manual checklists (paper-based) and EHR documentation (EHR-based).
  • CLABSI rates were calculated per 1,000 catheter-days, with statistical analysis of changes observed.

Main Results:

  • Overall CLABSI rates decreased significantly from 5.32 to 2.46 per 1,000 catheter-days (p=0.008) after the transition to EHR-based documentation.
  • Specific reductions were noted in the NICU (6.20 to 2.13, p=0.028) and PSICU (1.45 to 0).
  • While rates decreased in the PICU (5.38 to 3.24), the change was not statistically significant (p>0.05).

Conclusions:

  • Transitioning to EHR-based documentation for central line maintenance is associated with a significant reduction in CLABSI rates in pediatric ICUs, particularly the NICU.
  • EHR systems enhance compliance monitoring, promote standardization of care, and serve as an effective tool for infection prevention.
  • The findings underscore the value of health informatics in improving patient safety and outcomes in critical pediatric care settings.

More Related Videos

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

21.0K
Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness09:17

Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness

Published on: May 2, 2017

9.5K

Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.5K
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.6K
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.9K
Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
2.6K
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
1.7K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
1.0K