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.