PICOT: Central Line-Associated Bloodstream Infections

Central Line-Associated Bloodstream Infections
Date
Background
The Central Line-Associated Bloodstream Infections (CLABSI) are one of the hospital-acquired infections or nosocomial infections (HAIs), that are costly and are associated with a long stay in the hospital. According to the Center for Disease Control and Prevention (CDC) (2011), CLABSI accounts for 5% of the re-hospitalization rates and 12-25% of the mortality rates. Even as the CLABSI rates have increased, especially in the surgical units, these infections are mostly preventable when there is better hygiene like proper hand hygiene, prevention bundles as well as patient and staff education.
                                                            Problem statement
Improving nursing practice to reduce the risk of bloodstream infections improves patient outcomes and patient safety.    Even as nurses follow workplace policies, procedures, and prevention bundles, CLABSIs are still a problem, and the bloodstream infections increase healthcare costs while compromising the health of patients. If the interventions are effective in reducing CLABSIs, there are lower risks of complications as the evidence-based interventions are associated with quality improvements (Bundy et al., 2014). Adherence to bundles, implementing better prevention practices and selecting a healthcare team tasked with supervising the central line insertion is implemented to determine the impact on CLABSI rates.
                                                Purpose of the change proposal
Evidence-based practice supports best practices in the CLABSIs prevention strategies to improve quality improvement interventions and patient outcomes. If changes in central line insertion practices result in better patient safety and quality of care, they would be implemented to reduce the CLABSI rates. Additionally, central bundle practices are implemented based on the best evidence available since this will lower the mortality and morbidity associated with CLABSIs.
PICOT
For the patients in the Intensive Care Unit, dedicated staff to supervise the central line insertion compared to either bedside nurses will reduce CLABSI infection rates during the time of hospitalization

• P – Patient/ population, in this study, who is the patient becomes the question. In the situation, it is the in-patient.


• I – Intervention, this study is utilizing a team of dedicated staff to supervise the central line insertion.


• C – Comparison here is to find out if it is either bedside nurses are going to be accountable for the...