Central Line Associated Blood Stream Infection (CLABSI)* is one of the most deadly hospital-acquired infections in the U.S. with a mortality rate of 12% – 25%. CLABSI can add up to 20 days to a patient’s hospital stay and carry additional healthcare costs estimated at $16,550 per case.

Proven prevention techniques can reduce CLABSI incidence by 65% – 70%. Health First (Rockledge, Florida, U.S.A.) and Blessing Hospital (Quincy, Illinois, U.S.A.) shared in a recent client webinar how they are using Allscripts SunriseTM and best practices to decrease CLABSI.

Blessing Intensive Care Unit (ICU) has had zero CLABSI cases in 3 years

Blessing ICU Nurse Manager Kim Buck, RN, described how her organization uses Sunrise to guide clinicians through best-practice central line protocols. “Monitoring and charting patients through Allscripts Sunrise has contributed to our ability to have zero infections,” she said.

Four key process steps to ensure best practices include:

1. Present on Admission Documentation – This step enables clinicians to document an infection if it’s present upon arrival or triage.

2. Insertion/Removal Documentation – Requires adding a date, time and reasons for insertion and removal. If an indication field is missing, the clinician will receive an alert when he tries to save the flowsheet.

3. Protocol Adherence – Reminds clinicians to follow evidence-based guidelines, proven to reduce incidence of CLABSI, including hand hygiene, appropriate insertion site and a required request for line discontinuation after seven days.

4. Reporting – Dashboards help clinicians view patient information in multiple ways, which can help clinicians quickly address any variations from standard protocols.

According to Health First Director of Infection Control Paul Yates, “Across our Integrated Delivery Network including four-hospitals, we want to leverage the EHR [electronic health record] with every patient, every central line, every day.” He notes that while better outcomes for patients is Health First’s top priority however, there are also financial aspects to consider. Payments can be denied when CLABSIs are billed as a complication.

CLABSI cases are decreasing across the country, and I believe improved technology workflows are playing a role in that achievement. Thanks to both Health First and Blessing Hospital for sharing their best practices through our Client Outcomes Collaboration Program.

If you’re interested in learning more about successful workflows in Allscripts Sunrise, join the conversation in our ClientConnect community today. Our next webinar on Pediatric Dose Range Checking featuring Phoenix Children’s Hospital will occur on May 27 at noon ET. Click here to join.

* Source for all CLABSI statistics: US Centers for Disease Control and Prevention. Vital signs: Central line–associated blood stream infections—United States, 2001, 2008, and 2009. MMWR Morb Mortal Wkly Rep. 2011 Mar 4; 60 (8):243–248. 

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About the author

Salman Naqvi, MD, MPH is the Director of Client Value and Outcomes program at Allscripts. He has been with the company for more than 10 years and has led various teams across Clinical Content, Sunrise Consulting and Implementation in Acute, Emergency, Ambulatory care areas in more than 35 hospitals and healthcare systems in the United States, Canada, and Asia Pacific; and managed various Optimization and Outcomes Improvement initiatives. Born and trained as a doctor in Pakistan, Dr. Naqvi served at a Presidential Task Force on Health Sector improvements in Pakistan and has a Masters in Public Health from Harvard T.H Chan School of Public Health.

3 COMMENTS on Allscripts Sunrise workflow can help eliminate common hospital-acquired infections

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Shari Wood says:

05/22/2015 at 12:31 pm

Hospital for Special Care will be presenting a session at ACE titled “Achieving Patient Centered Specialty Practice Recognition through successful EMR Implementation.” Hospital for Special Care (HSC) presents its’ unique approach to successful EMR implementation based on the National Committee for Quality Assurance (NCQA), Primary Care Specialty Practice (PCSP) recognition requirements. HSC was the first PCSP recognized in Connecticut and the first PCSP recognized for Autism in the nation.

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Dr. Abijeet says:

05/28/2015 at 5:57 am

Clear and structured documentation of patient events goes long way in identifying HAIs, this in turn helps in implementing better protocols to reduce HAI.

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transitional services @calgary says:

07/13/2015 at 5:11 am

CLABSI is no doubt a deadly condition and it severely affects the patient under care. It is really great to know that Blessing ICU has no incidents of CLABSI in the last three years. It stands for their quality of service.

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