25. The journey to zero CLABSI: Impact of unit-based CLABSI prevention program

The Central Line Associated Blood Stream Infection (CLABSI) is inevitable contributing factor in increased morbidity and mortality of patients admitted to Intensive Care Units (ICU) worldwide resulting in an increased financial cost and prolonged hospital stay (Ascher et al., 2012; Rosenthal et al., 2012).CLABSI prevention strategies are the important part of improving patient safety and quality of care for patient with central venous line in ICU. The Center for Disease Control and Prevention (CDC) and the National Healthcare Safety Network (NHSN) benchmarked acceptable limits and issued recommendation for reduction of CLABSI to minimum.The poster presentation aims to share our experience and challenges that we faced in reducing CLABSI rate in Pediatric Cardiology Intensive Care Unit (PCICU) Prince Sultan Cardiac Centre, Riyadh.A literature review was conducted to determine the evidence-based approach to successful implementation of CLABSI prevention strategies for pediatric patients. The search of CINAHL, Cochrane, PubMed, Medline revealed 8 studies demonstrating effectiveness of Comprehensive Unit Based Safety Program (CUSP): Stop BSI. The CUSP: Stop BSI prevention program was started in April 2013 in combination with quality improvement model Focus PDSA with aim to reduce CLABSI rate by fifty percent. The intensive education program was started involving nursing staff, maintenance bundle care checklist initiated and audits performed. The above effort resulted in significant reduction to “Zero” CLABSI from July 2013 to December 2013