CLABSI: A Journey to "Never Land"

A central line-associated blood stream infection rate of 1.5 infections per 1,000 patient days was identified and brought to nursing and performance improvement, the medical staff executive committee and board of trustees. A goal of zero CLABSI was established. It was determined that process improvements were needed in assessment, communication, procedures and documentation. Physicians, nurses and patients required education related to the processes improvements. Infection prevention continues to gather data but currently reflects no CLABSI.

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This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)