Using the agile implementation model to reduce central line–associated bloodstream infections

Central line–associated bloodstream infections (CLABSIs) are among the most common hospital-acquired infections and can lead to increased patient morbidity and mortality rates. Implementation of practice guidelines and recommended prevention bundles has historically been suboptimal, suggesting that...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of infection control 2019-01, Vol.47 (1), p.33-37
Hauptverfasser: Azar, Jose, Kelley, Kristen, Dunscomb, Jennifer, Perkins, Anthony, Wang, Yun, Beeler, Cole, Dbeibo, Lana, Webb, Douglas, Stevens, Larry, Luektemeyer, Mark, Kara, Areeba, Nagy, Ryan, Solid, Craig A., Boustani, Malaz
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 37
container_issue 1
container_start_page 33
container_title American journal of infection control
container_volume 47
creator Azar, Jose
Kelley, Kristen
Dunscomb, Jennifer
Perkins, Anthony
Wang, Yun
Beeler, Cole
Dbeibo, Lana
Webb, Douglas
Stevens, Larry
Luektemeyer, Mark
Kara, Areeba
Nagy, Ryan
Solid, Craig A.
Boustani, Malaz
description Central line–associated bloodstream infections (CLABSIs) are among the most common hospital-acquired infections and can lead to increased patient morbidity and mortality rates. Implementation of practice guidelines and recommended prevention bundles has historically been suboptimal, suggesting that improvements in implementation methods could further reductions in CLABSI rates. In this article, we describe the agile implementation methodology and present details of how it was successfully used to reduce CLABSI. We conducted an observational study of patients with central line catheters at 2 adult tertiary care hospitals in Indianapolis from January 2015 to June 2017. The intervention successfully reduced the CLABSI rate from 1.76 infections per 1,000 central line days to 1.24 (rate ratio = 0.70; P = .011). We also observed reductions in the rates of Clostridium difficile and surgical site infections, whereas catheter-associated urinary tract infections remained stable. Using the AI model, we were able to successfully implement evidence-based practices to reduce the rate of CLABSIs at our facility.
doi_str_mv 10.1016/j.ajic.2018.07.008
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2102338815</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S019665531830751X</els_id><sourcerecordid>2102338815</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-dfbafe593dffa572ddca75101d41d043235f15e4e2da45e4240f3015511ac2583</originalsourceid><addsrcrecordid>eNp9kLtO7DAURS0EguHxAxRXLmkSju04yUg0CPGSkGigtjz2MXjkxHPtDNLt-Af-kC_Bo4FbUu3i7LWlswg5ZVAzYO35stZLb2oOrK-hqwH6HTJjkneV4PN2l8yAzduqlVIckMOclwAwF63cJwcCCtSwZkbUc_bjC51ekeoXH5D6YRVwwHHSk48jHaLFQKdIE9q1QWrKJelAgx_x8_1D5xyN1xNauggx2jwl1AP1o0Oz4fMx2XM6ZDz5ziPyfHP9dHVXPTze3l9dPlSmAZgq6xbaoZwL65yWHbfW6E6WL23DLDSCC-mYxAa51U1J3oATwKRkTBsue3FEzra7qxT_rjFPavDZYAh6xLjOijPgQvQ9k6XKt1WTYs4JnVolP-j0TzFQG7FqqTZi1Uasgk4VsQX6872_Xgxo_yM_JkvhYlvA8uWbx6Sy8TgatD4VF8pG_9v-Fwgei80</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2102338815</pqid></control><display><type>article</type><title>Using the agile implementation model to reduce central line–associated bloodstream infections</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Azar, Jose ; Kelley, Kristen ; Dunscomb, Jennifer ; Perkins, Anthony ; Wang, Yun ; Beeler, Cole ; Dbeibo, Lana ; Webb, Douglas ; Stevens, Larry ; Luektemeyer, Mark ; Kara, Areeba ; Nagy, Ryan ; Solid, Craig A. ; Boustani, Malaz</creator><creatorcontrib>Azar, Jose ; Kelley, Kristen ; Dunscomb, Jennifer ; Perkins, Anthony ; Wang, Yun ; Beeler, Cole ; Dbeibo, Lana ; Webb, Douglas ; Stevens, Larry ; Luektemeyer, Mark ; Kara, Areeba ; Nagy, Ryan ; Solid, Craig A. ; Boustani, Malaz</creatorcontrib><description>Central line–associated bloodstream infections (CLABSIs) are among the most common hospital-acquired infections and can lead to increased patient morbidity and mortality rates. Implementation of practice guidelines and recommended prevention bundles has historically been suboptimal, suggesting that improvements in implementation methods could further reductions in CLABSI rates. In this article, we describe the agile implementation methodology and present details of how it was successfully used to reduce CLABSI. We conducted an observational study of patients with central line catheters at 2 adult tertiary care hospitals in Indianapolis from January 2015 to June 2017. The intervention successfully reduced the CLABSI rate from 1.76 infections per 1,000 central line days to 1.24 (rate ratio = 0.70; P = .011). We also observed reductions in the rates of Clostridium difficile and surgical site infections, whereas catheter-associated urinary tract infections remained stable. Using the AI model, we were able to successfully implement evidence-based practices to reduce the rate of CLABSIs at our facility.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2018.07.008</identifier><identifier>PMID: 30201414</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Catheter-Related Infections - prevention &amp; control ; Catheterization, Central Venous - adverse effects ; Central line–associated bloodstream infections ; Humans ; Implementation science ; Indiana ; Infection Control - methods ; Patient Care Bundles - methods ; Quality improvement ; Sepsis - prevention &amp; control ; Tertiary Care Centers</subject><ispartof>American journal of infection control, 2019-01, Vol.47 (1), p.33-37</ispartof><rights>2018 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-dfbafe593dffa572ddca75101d41d043235f15e4e2da45e4240f3015511ac2583</citedby><cites>FETCH-LOGICAL-c400t-dfbafe593dffa572ddca75101d41d043235f15e4e2da45e4240f3015511ac2583</cites><orcidid>0000-0002-1127-3085</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S019665531830751X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30201414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azar, Jose</creatorcontrib><creatorcontrib>Kelley, Kristen</creatorcontrib><creatorcontrib>Dunscomb, Jennifer</creatorcontrib><creatorcontrib>Perkins, Anthony</creatorcontrib><creatorcontrib>Wang, Yun</creatorcontrib><creatorcontrib>Beeler, Cole</creatorcontrib><creatorcontrib>Dbeibo, Lana</creatorcontrib><creatorcontrib>Webb, Douglas</creatorcontrib><creatorcontrib>Stevens, Larry</creatorcontrib><creatorcontrib>Luektemeyer, Mark</creatorcontrib><creatorcontrib>Kara, Areeba</creatorcontrib><creatorcontrib>Nagy, Ryan</creatorcontrib><creatorcontrib>Solid, Craig A.</creatorcontrib><creatorcontrib>Boustani, Malaz</creatorcontrib><title>Using the agile implementation model to reduce central line–associated bloodstream infections</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Central line–associated bloodstream infections (CLABSIs) are among the most common hospital-acquired infections and can lead to increased patient morbidity and mortality rates. Implementation of practice guidelines and recommended prevention bundles has historically been suboptimal, suggesting that improvements in implementation methods could further reductions in CLABSI rates. In this article, we describe the agile implementation methodology and present details of how it was successfully used to reduce CLABSI. We conducted an observational study of patients with central line catheters at 2 adult tertiary care hospitals in Indianapolis from January 2015 to June 2017. The intervention successfully reduced the CLABSI rate from 1.76 infections per 1,000 central line days to 1.24 (rate ratio = 0.70; P = .011). We also observed reductions in the rates of Clostridium difficile and surgical site infections, whereas catheter-associated urinary tract infections remained stable. Using the AI model, we were able to successfully implement evidence-based practices to reduce the rate of CLABSIs at our facility.</description><subject>Catheter-Related Infections - prevention &amp; control</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Central line–associated bloodstream infections</subject><subject>Humans</subject><subject>Implementation science</subject><subject>Indiana</subject><subject>Infection Control - methods</subject><subject>Patient Care Bundles - methods</subject><subject>Quality improvement</subject><subject>Sepsis - prevention &amp; control</subject><subject>Tertiary Care Centers</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLtO7DAURS0EguHxAxRXLmkSju04yUg0CPGSkGigtjz2MXjkxHPtDNLt-Af-kC_Bo4FbUu3i7LWlswg5ZVAzYO35stZLb2oOrK-hqwH6HTJjkneV4PN2l8yAzduqlVIckMOclwAwF63cJwcCCtSwZkbUc_bjC51ekeoXH5D6YRVwwHHSk48jHaLFQKdIE9q1QWrKJelAgx_x8_1D5xyN1xNauggx2jwl1AP1o0Oz4fMx2XM6ZDz5ziPyfHP9dHVXPTze3l9dPlSmAZgq6xbaoZwL65yWHbfW6E6WL23DLDSCC-mYxAa51U1J3oATwKRkTBsue3FEzra7qxT_rjFPavDZYAh6xLjOijPgQvQ9k6XKt1WTYs4JnVolP-j0TzFQG7FqqTZi1Uasgk4VsQX6872_Xgxo_yM_JkvhYlvA8uWbx6Sy8TgatD4VF8pG_9v-Fwgei80</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Azar, Jose</creator><creator>Kelley, Kristen</creator><creator>Dunscomb, Jennifer</creator><creator>Perkins, Anthony</creator><creator>Wang, Yun</creator><creator>Beeler, Cole</creator><creator>Dbeibo, Lana</creator><creator>Webb, Douglas</creator><creator>Stevens, Larry</creator><creator>Luektemeyer, Mark</creator><creator>Kara, Areeba</creator><creator>Nagy, Ryan</creator><creator>Solid, Craig A.</creator><creator>Boustani, Malaz</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1127-3085</orcidid></search><sort><creationdate>201901</creationdate><title>Using the agile implementation model to reduce central line–associated bloodstream infections</title><author>Azar, Jose ; Kelley, Kristen ; Dunscomb, Jennifer ; Perkins, Anthony ; Wang, Yun ; Beeler, Cole ; Dbeibo, Lana ; Webb, Douglas ; Stevens, Larry ; Luektemeyer, Mark ; Kara, Areeba ; Nagy, Ryan ; Solid, Craig A. ; Boustani, Malaz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-dfbafe593dffa572ddca75101d41d043235f15e4e2da45e4240f3015511ac2583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Catheter-Related Infections - prevention &amp; control</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Central line–associated bloodstream infections</topic><topic>Humans</topic><topic>Implementation science</topic><topic>Indiana</topic><topic>Infection Control - methods</topic><topic>Patient Care Bundles - methods</topic><topic>Quality improvement</topic><topic>Sepsis - prevention &amp; control</topic><topic>Tertiary Care Centers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azar, Jose</creatorcontrib><creatorcontrib>Kelley, Kristen</creatorcontrib><creatorcontrib>Dunscomb, Jennifer</creatorcontrib><creatorcontrib>Perkins, Anthony</creatorcontrib><creatorcontrib>Wang, Yun</creatorcontrib><creatorcontrib>Beeler, Cole</creatorcontrib><creatorcontrib>Dbeibo, Lana</creatorcontrib><creatorcontrib>Webb, Douglas</creatorcontrib><creatorcontrib>Stevens, Larry</creatorcontrib><creatorcontrib>Luektemeyer, Mark</creatorcontrib><creatorcontrib>Kara, Areeba</creatorcontrib><creatorcontrib>Nagy, Ryan</creatorcontrib><creatorcontrib>Solid, Craig A.</creatorcontrib><creatorcontrib>Boustani, Malaz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azar, Jose</au><au>Kelley, Kristen</au><au>Dunscomb, Jennifer</au><au>Perkins, Anthony</au><au>Wang, Yun</au><au>Beeler, Cole</au><au>Dbeibo, Lana</au><au>Webb, Douglas</au><au>Stevens, Larry</au><au>Luektemeyer, Mark</au><au>Kara, Areeba</au><au>Nagy, Ryan</au><au>Solid, Craig A.</au><au>Boustani, Malaz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using the agile implementation model to reduce central line–associated bloodstream infections</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2019-01</date><risdate>2019</risdate><volume>47</volume><issue>1</issue><spage>33</spage><epage>37</epage><pages>33-37</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Central line–associated bloodstream infections (CLABSIs) are among the most common hospital-acquired infections and can lead to increased patient morbidity and mortality rates. Implementation of practice guidelines and recommended prevention bundles has historically been suboptimal, suggesting that improvements in implementation methods could further reductions in CLABSI rates. In this article, we describe the agile implementation methodology and present details of how it was successfully used to reduce CLABSI. We conducted an observational study of patients with central line catheters at 2 adult tertiary care hospitals in Indianapolis from January 2015 to June 2017. The intervention successfully reduced the CLABSI rate from 1.76 infections per 1,000 central line days to 1.24 (rate ratio = 0.70; P = .011). We also observed reductions in the rates of Clostridium difficile and surgical site infections, whereas catheter-associated urinary tract infections remained stable. Using the AI model, we were able to successfully implement evidence-based practices to reduce the rate of CLABSIs at our facility.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30201414</pmid><doi>10.1016/j.ajic.2018.07.008</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-1127-3085</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0196-6553
ispartof American journal of infection control, 2019-01, Vol.47 (1), p.33-37
issn 0196-6553
1527-3296
language eng
recordid cdi_proquest_miscellaneous_2102338815
source MEDLINE; Elsevier ScienceDirect Journals
subjects Catheter-Related Infections - prevention & control
Catheterization, Central Venous - adverse effects
Central line–associated bloodstream infections
Humans
Implementation science
Indiana
Infection Control - methods
Patient Care Bundles - methods
Quality improvement
Sepsis - prevention & control
Tertiary Care Centers
title Using the agile implementation model to reduce central line–associated bloodstream infections
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T13%3A06%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Using%20the%20agile%20implementation%20model%20to%20reduce%20central%20line%E2%80%93associated%20bloodstream%20infections&rft.jtitle=American%20journal%20of%20infection%20control&rft.au=Azar,%20Jose&rft.date=2019-01&rft.volume=47&rft.issue=1&rft.spage=33&rft.epage=37&rft.pages=33-37&rft.issn=0196-6553&rft.eissn=1527-3296&rft_id=info:doi/10.1016/j.ajic.2018.07.008&rft_dat=%3Cproquest_cross%3E2102338815%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2102338815&rft_id=info:pmid/30201414&rft_els_id=S019665531830751X&rfr_iscdi=true