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Quality and Patient Safety:


Quality/Patient Safety Goal:

Reducing CLABSI

Why this measure is important

Central Line-Associated Blood Stream Infection (CLABSI) causes delayed healing, longer recovery times and in some cases can result in patient death. Given the serious nature and complications that can result, we are working tirelessly to completely eliminate these infections.

Proper care during insertion and ongoing care of the central venous catheter contributes significantly to the reduction of infections.

How we measure

We measure the number of related infections per 1,000 catheter line days. Each day the patient has a catheter in place counts as one catheter day.

A central line-associated bloodstream infection

What are we doing to improve?

Implementing standardized practices that have been shown to minimize infections.

Monitoring and reporting proper hand washing practices for physicians, nurses and other health care providers.

Participating in the national improvement collaborative, Solutions for Patient Safety, aimed at eliminating all patient harm. Participants share ideas and data to create learning opportunities and accelerate improvement among hospitals nationally.

Using Kamishibai Cards in real-time to evaluate adherence to the bundle of care, and intervening with staff to correct any variances in bundle of care.

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