Thesis
Reviewing efficacy of a new central line bundle
Master of Science (M.S.), Drexel University
Jun 2019
DOI:
https://doi.org/10.17918/8x35-5t67
Abstract
Introduction: Reviewing efficacy of a new central line bundle in reducing central line associated bloodstream infection (CLABSI) as compared to the old central line bundle. Using evidence-based research to develop a new bundle to include curos caps, povidone-iodine nasal swabs, and daily CHG wipes on all patients with central lines. Design: Retrospective chart review Methods: A microsystem assessment was conducted on a 32-bed transitional medical unit. Collaborated with the CLABSI value improvement team and the infection prevention team to review the data on CLABSI for 3 separate months in fiscal year 18 and fiscal year 19. A CLABSI safety analysis tool was used to screen infections to ensure they met the inclusion criteria for CLABSI. It was determined that the new bundle reduced CLABSI occurrence. Results: All the charts that indicated possible CLABSI were analyzed thoroughly using the CLABSI safety analysis tool. It was determined that there were two CLABSIs for the FY18 and zero for FY19 when compared month to month. The new bundle was estimated to increase cost by $34,382 for the entire year which is approximately $2,865 per month. At a cost of $18, 079 per CLABSI, that would have been $36,158 for the two cases. The unit spent about $8,595 on prevention for a potential net cost savings of $27,563. Conclusion: The new bundle adds to the operating expense of the unit but significantly reduces the overall cost. It also improved patient outcome by implementing evidence-based practice that reduced CLABSI occurrence. Keywords: new central line bundle, CLABSI, patient outcome, infection prevention, central line
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Details
- Title
- Reviewing efficacy of a new central line bundle
- Creators
- Bolanle Folarin - DU
- Contributors
- Alicemarie R. Poyss (Advisor) - Drexel University (1970-)Sonya Stover (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Science (M.S.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 27 pages
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 10932; 991014632305604721