CAPSTONE PROJECT CHANGE PROPOSAL2Capstone Project Change ProposalCentral line associated blood stream infections (CLABSI’s) are a costly complication in healthcare, one CLABSI can cost on average $46,000 to treat and increases a patient’s risk for mortality (Haddadin & Hariharan, 2019). There are as many as 250,000 CLABSI’s reported eachyear that is an estimated cost of 11.5 million dollars spent each year to treat preventable infections (Haddadin & Hariharan, 2019). It is important to eliminate these costly preventable infections. The Joint Commission has listed CLABSI prevention as one of their 2019 patient safety goals (Joint Commission, 2019). This change proposal will provide the background, problem and purpose of the proposal, the PICOT statement, the employed literature search strategy and change theory, evaluation of supporting literature, the implementation plan and plan for measurement of outcomes as well as the potential barriers and plan to overcome those barriers. BackgroundCentral lines have become the exception and not the norm in acute care hospitals due to the potential complications associated with central lines, the costliest of these being CLABSI. The acute care teaching hospital with level 1 trauma certification this project is targeted for has yet to reach their goal of zero CLABSI’s. Central line care and placement bundles have been introduced, however have not had the intended impact on reducing CLABSI rates audits have shown inconsistent use of the care bundles. Therefore, it is proposed that increased education on central line bundles and implementation of a checklist to ensure the bundle is being carried out properly will increase compliance with the bundles and decrease CLABSI rates.Problem Statement
CAPSTONE PROJECT CHANGE PROPOSAL3All hospitals strive to provide the best patient care possible. With this in mind the hospitalhas a goal of zero CLABSI’s this goal is achievable and maintainable and has been realized inmany acute care settings across the Unites States (US) (Hakko, E., Guvenc, S., Karaman, I.,Cakmak, A., Erdem, T., & Cackmakci, M., 2015). While they have seen improvement inCLABSI rates with the implementation of several strategies to assist in the elimination ofCLABSI the hospital has not reached that goal. According to the Joint Commission (2019)hospitals will see reduced Medicare payment if they are unable to realize this goal.