Children's Hospitals Today - Summer 2024 - 19

TRENDS / FEATURE
CLABSI
For decades, childrenʼs hospitals have worked to eliminate central
line associated bloodstream infections (CLABSI), continually refining
their efforts as knowledge and technology improve. Now they are
addressing the age-old problem from new vantage points, through
machine learning, and with more diligence.
Zero disparities
Seattle Childrenʼs eliminated CLABSI disparities
for Black patients and patients who use a
language other than English by stratifying data
by race, ethnicity, and language; establishing a
specialized role dedicated to central lines; and
improving translated education for families. The
interventions not only eliminated the disparities
but also reduced the CLABSI infection rate
for hospitalized patients across all groups.
Predictive dashboard
Riley Children's Health created a predictive
dashboard to identify patients most likely to
develop a hospital-acquired condition. It also
identified opportunities to reduce lines overall.
The dashboard predicts the risk of CLABSIs,
hospital-acquired pressure injuries, and catheter-associated
urinary tract infections based
on documented risk factors in the EMR, such
as chlorhexidine gluconate baths, dressing
and linen changes, number of times the line is
accessed, total number of lines, and more. The
dashboard drove a 35% reduction in CLABSIs.
332 days
After discovering 75% of NICU CLABSIs occurred
on double lumen central lines, Children's
Mercy Kansas City began using them only
when medically necessary. They also reduced
the total use of central lines, required parent
handwashing,
conducted multi-disciplinary
rounds several times a day, and created a nurse
group chat to stay informed about central
line patients. At Inova L.J. Murphy Children's
Hospital, staff observed and discussed daily
operations across departments, created a multidisciplinary
team that met regularly to identify
improvements, made daily device rounds, and
educated patients about hygiene practices. The
interventions led to 332 days without a CLABSI
at both hospitals.
Hygiene
Parents and patients are
required to wash hands
and are educated on
hygienic practices.
KEY LESSONS
Top themes
Most CLABSI success
stories include these
four elements.
Multidisciplinary
teams
Staff from technicians
to physicians to
environmental services
meet regularly to review
events and identify areas
for improvement.
Rounds
Teams round on units
multiple times a day
to observe patients,
CYBERSECURITY
Here are five tips from chief
information officers to help safeguard
networks and patient information.
 Educate staff against phishing.
 Continuously manage and audit
vendor risk.
 Segment devices and networks.
 Require multi-factor authentication.
 Build relationships with other
IT professionals.
operations, and devices.
Data
Accurate and
comprehensive data
enables more equitable,
effective metrics that
lead to prevention.
CHILDREN'S HOSPITALS TODAY Summer 2024
19
Children's Hospitals Today - Summer 2024

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