Eliminating CLABSI, A National Patient Safety Imperative. A Progress Report on the National 'On the CUSP: Stop BSI' Project, Neonatal CLABSI Prevention.

摘要

In August 2011, the Health Research & Educational Trust (HRET), partnering with the Perinatal Quality Collaborative of North Carolina (PQCNC), implemented a national, neonatal central line-associated bloodstream infection (NCLABSI) reduction project in Neonatal Intensive Care Units (NICU). This effort was a component of the AHRQ-funded national project to reduce CLABSI, which is a significant contributor to morbidity and mortality for infants as well as adults and to excess costs. This NCLABSI project brought together neonatal State-based networks recruited and led by a neonatologist, also referred to as a State clinical lead. These State clinical leads worked with their State hospital associations and recruited NICUs to participate, submit CLABSI data to PQCNC for real-time feedback, and engage unit teams to improve safety culture using the Comprehensive Unit-Based Safety Program (CUSP). The project had two primary aims: (1) create and support statewide CLABSI collaboratives committed to reducing CLABSI and (2) improve safety culture.