ArticleBMJ open quality2021
Bundle approach used to achieve zero central line-associated bloodstream infections in an adult coronary intensive care unit.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 59 citations in OpenAlex.
- Nursing-Led Knowledge Translation Strategies to Improve Patient Safety in Hospital Settings: A Scoping Review.Journal of advanced nursing · 2026Article
- Knowledge, attitude, and practice of central line-associated bloodstream infection prevention among intensive care unit nurses in Hebei Province, China: a cross-sectional study.Frontiers in public health · 2026Article
- Clinical outcomes and care for spontaneous bacterial peritonitis: A national cohort study.Hepatology (Baltimore, Md.) · 2025Article
- Importance of Infection Control in Anesthesiology.Cureus · 2025Review
- Implementation of a care bundle improves PBC management.JHEP reports : innovation in hepatology · 2025Article
- Prevalence of Healthcare-Associated Infections in Patients with Cardiovascular Diseases: A Literature Review.Journal of clinical medicine · 2025Review
- Effect of catheter dwell time on the risk of central line-associated bloodstream infections in central venous catheters and peripherally inserted central catheters.Antimicrobial resistance and infection control · 2025Article
- Incidence, Compliance, and Risk Factor Associated with Central Line-Associated Bloodstream Infection (CLABSI) in Intensive Care Unit (ICU) Patients: A Multicenter Study in an Upper Middle-Income Country.Antibiotics (Basel, Switzerland) · 2025Article
- Evaluating the Adequacy of Central Line-Associated Bloodstream Infection As a Quality Measure: A Cross-Sectional Analysis at a Single Tertiary Care Center.Critical care explorations · 2025Article
- Bacteremia in the Gulf Cooperation Council Region: A Review of the Literature 2013-2023.Infection and drug resistance · 2025Review
- Bundle care approach to reduce device associated infections in post-living-donor-liver transplantation in a tertiary care hospital, Egypt.BMC infectious diseases · 2024Article
- Innovative Approaches to Monitor Central Line Associated Bloodstream Infections (CLABSIs) Bundle Efficacy in Intensive Care Unit (ICU): Role of Device Standardized Infection Rate (dSIR) and Standardized Utilization Ratio (SUR)-An Italian Experience.Journal of clinical medicine · 2024Article
- Significant Reduction in External Ventricular Drain-Related Infections After Introducing a Novel Bundle Protocol: A Before and After Trial.Journal of Korean medical science · 2023Article
- Reducing the rate of central line-associated bloodstream infections; a quality improvement project.BMC infectious diseases · 2023Article
- Ten-year incidence and impact of coronavirus infections on incidence, etiology, and antimicrobial resistance of healthcare-associated infections in a critical care unit in Western Qatar.Qatar medical journal · 2023Article
- Impact of the COVID-19 pandemic on the incidence, etiology, and antimicrobial resistance of healthcare-associated infections in a critical care unit in Western Qatar.Qatar medical journal · 2023Article
- Strategies to reduce hospital-associated bloodstream infections in a limited resource setting: Preventing Infections in Neonates (PIN) collaborative.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Can inverse probability treatment weighting (IPTW) be used to assess differences of CRBSI rates between non-tunneled femoral and jugular CVCs in PICU patients?BMC infectious diseases · 2022Article
- Don't just do it-Conducting and publishing improvement science in infection prevention and antibiotic stewardship.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Review
- Adherence to central venous catheter maintenance bundle in an intensive care unit.Revista da Escola de Enfermagem da U S P · 2022Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCentral venous catheterisation is commonly used in critical patients in intensive care units (ICU). It may cause complications and attribute to increase mortality and morbidity. At coronary ICU (CICU) of cardiac hospital, central line-associated bloodstream infection (CLABSI) rate was 2.82/1000 central line days in 2015 and 3.11/1000 central line days in 2016. Working in collaboration with Institute for Healthcare Improvement (IHI), we implemented evidence-based practices in the form of bundles in with the aim of eliminating CLABSI in CICU.
methodsIn collaboration with IHI, we worked on this initiative as multidisciplinary team and tested several changes. CLABSI prevention bundles were tested and implemented, single kit for line insertion, simulation-based training for line insertions, standardised and real-time bundle monitoring by direct observations are key interventions tested. We used model for improvement and changes were tested using small Plan-Do-Study-Act cycles. Surveillance methods and CLABSI definition used according to National Healthcare Safety Network.
resultsThe CLABSI rate per 1000 patient-days dropped from 3.1 per 1000 device-days to 0.4 per 1000 device-days. We achieved 757 days free of CLABSI in the unit till December 2018 when a single case happened. After that we achieved 602 free days till July 2020 and still counting.
conclusionsImplementation of evidence-based CLABSI prevention bundle and process monitoring by direct observation led to significant and subsequently sustained improvement in reducing CLABSI rate in adult CICU.
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