Prevention of central line associated blood stream infection (CLABSI) in neurosurgical patients admitted to Neurosurgical Intensive Care Unit at Tan Tock Seng Hospital
Care Process & Redesign
Asian Hospital Management Award
National Healthcare Group
31 December 2019
To reduce CLABSI rates in neurosurgical ICU patients from a median of 6.9 per 1,000 central line days to 0 per 1,000 central. Interventions successfully reduced CLABSI, resulting in improved patient safety, reduced morbidity, and substantial cost savings.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Value Based Care, Safe Care, Risk Management, Preventive Approach
About this Content
Aims
To reduce CLABSI rates in neurosurgical ICU patients from a median of 6.9 per 1,000 central line days to 0 per 1,000 central line days in 1 year.
Background
CLABSI is associated with significant morbidity, mortality, and financial burden. TTSH ICUs reported the highest CLABSI cases in 2017 compared to restructured hospitals.
Methods
Interventions included education on chlorhexidine drying time, changing OT drapes, and adding CVL reviews to ICU daily ward rounds. Conducted PDSA cycles and monitored adherence.
Results
CLABSI rates reduced from 6.9 to 3.95 per 1,000 central line days. ICU bed day savings: 8.2 days per infection prevented. Cost savings: $17,056 per prevented infection and $1,699.39 per patient.
Conclusion
Interventions successfully reduced CLABSI, resulting in improved patient safety, reduced morbidity, and substantial cost savings.
Lessons Learnt
Buy-in from all stakeholders, root cause analysis using flowcharts and Pareto diagrams, and sustained interventions ensured success.
Additional Information
Awarded 2019 Asian Hospital Management Award (Gold) for Patient Safety.
Keywords
Clinical Improvement, Safe Care, Cost Savings, Infection Control, PDSA, Pareto Chart, ICU, Neurosurgery, CLABSI Prevention, TTSH
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Asian Hospital Management Award |
Healthcare Professional Group(s) | Medical, Nursing |
Applicable Specialty or Discipline | Neurology, Surgery, Intensive Care Medicine, Infectious Diseases |
Project Lead(s) | Lee Rui Min |
Project Member(s) | Tan Hui Ling |
Connect with this contributor!
Dr Lee Rui Min - rui_min_lee@ttsh.com.sg
Project Attachment
357_TTSH_AHMA_2019_Prevention_of_central_line_associated_blood_stream_infection_combine.pdf