Date of Graduation

Spring 5-21-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Marcianna Nosek

Abstract

Central line associated blood stream infections (CLABSI) are considered preventable healthcare acquired infections, and are associated with significantly increased morbidity, mortality, and length of hospital stay. The CLABSI rate in an inpatient unit is a meaningful metric in relation to the safety and quality of care in that microsystem. This quality improvement project examines the efficacy of a CLABSI prevention bundle in reducing CLABSI events and improving adherence to central line care policy within a medical surgical adult intensive care unit. The target areas the bundle aimed to improve were unit processes, awareness of CLABSI and central line policies, and surveillance. The percentage of documented central line dressing changes by the weekly deadline was measured for a total of sixteen weeks, and the interventions were implemented over a total of seven weeks. The percent change in documentation rate from before and after the implementation period was a 32.9% increase and staff surveying before and after the implementation indicated an increase in staff knowledge of the hospital’s policies surrounding central line care. This project demonstrates how a CLABSI prevention bundle can be used in a high-risk setting to decrease infection rates and improve quality of care, which has meaningful implications for other units looking to achieve similar results.

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