PICOT STATEMENT2PICOT Statement A central line-associated bloodstream infection is a deadly infection that occurs when germs enter the blood stream through a central line. The Centers for Disease Control and Prevention (2011) states, “Central line-associated bloodstream infections (CLABSIs) result in thousands of death each year and billions of dollars in added costs to the U.S. healthcare system, yet these infections are preventable.” If the reason as to why and how these infections occur is understood, then the possibility of CLABSIs can be prevented. PICOT ComponentsP: Adults with central linesI: Preventive measures for Central line-associated bloodstream infectionsC: Not using preventive measures compared to using preventive measures O: Reduced Central line-associated bloodstream infection ratesT: 6 monthsPICOT Question: Can preventive measures reduce rates for central line-associated blood stream infections in adults?Literature SearchCurlej, M. H. (2016). One Rural Hospital’s Experience Implementing the Society for Healthcare Epidemiology of America Guidelines to Decrease Central Line Infections. Journal of Trauma Nursing, 23(5), 290–297. ABSTRACTIn an effort to take advantage of the Highmark Quality Blue Initiative (N. D. Bastian, H. Kang, H. B. Nembhard, A. Bloschichak, P. M. Griffin, 2016 ) requiring information from hospitals
PICOT STATEMENT3detailing their central line-associated blood stream infections (CLABSIs) surveillance system, quality improvement program, and statistics regarding the CLABSI events, this institution investigated the latest evidence based recommendations to reduce CLABSIs. Recognizing the baseline rate of 2.4 CLABSIs per 1,000 central line days and its effect on patient outcomes and medical costs, this hospital made a commitment to improve their CLABSI outcomes. As a result, the facility adopted the Society for Healthcare Epidemiology of America (SHEA) guidelines. Thepurpose of this article is to review the CLABSI rates and examine the prevention strategies following implementation of the SHEA guidelines. A quantitative, descriptive retrospective program evaluation examined the hospital’s pre- and post-SHEA implementation methods of decreasing CLABSIs and the subsequent CLABSI rates over 3 time periods. Any patient with a CLABSI infection admitted to this hospital July 2007 to June 2010 ( N = 78). CLABSI rates decreased from 1.9 to 1.3 over the study period. Compliance with specific SHEA guidelines was evaluated and measures were put into place to increase compliance where necessary. CLABSI rates at this facility remain below the baseline of 2.4 for calendar year 2013 (0.79), 2014 (0.07), and 2015 (0.33). McAlearney, A. S., & Hefner, J. L. (2014). Facilitating central line–associated bloodstream infection prevention: A qualitative study comparing perspectives of infection control professionals and frontline staff. American Journal of Infection Control, 42, S216-22.