Targeting Zero: Sustained Rate of Zero Central Line-Associated Blood Stream Infections in a Surgical Intensive Care Unit

Rochester General Hospital's infection prevention team partnered with the surgical intensive care unit staff and leadership in response to increased central line-associated blood stream infection rates. After evaluating current practice, the team developed a comprehensive approach to central line insertion, line care, maintenance, and daily evaluation, engaging frontline staff. Standardization and ownership of practice, protocols and policies were keys to drive improvement. Standardized equipment, creation of insertion and line care protocols, multidisciplinary weekly meetings, daily rounding, immediate feedback, critical event analysis and staff accountability for patient outcomes were incorporated into this plan. To showcase progress and motivate staff, rates and results were evaluated weekly and prominently displayed in highly visible areas.