title: Decreasing central line-associated bloodstream infections in the Non-ICU population.
abstract: Central line-associated bloodstream infection (CLABSI) rates above the national average precipitated a quality improvement project aimed at reducing this trend. We implemented daily chlorhexidine bathing and used 4 strategies to promote a change in practice and culture in our medical/surgical units. These strategies include the following: (1) staff education, (2) leadership support, (3) resource availability, and (4) increased awareness and accountability. Since implementing these strategies, there has been a significant reduction in CLABSI rates in the medical/surgical units.
authors.affiliation: Telemetry, Renown Regional Medical Center (Ms Medina), and Orvis School of Nursing (Drs Serratt and Pelter) and Speech Pathology and Audiology (Dr Brancamp), The University of Nevada, Reno, Nevada.
authors.forename: Alma
authors.initials: A
authors.lastname: Medina
authors.forename: Teresa
authors.initials: T
authors.lastname: Serratt
authors.forename: Michele
authors.initials: M
authors.lastname: Pelter
authors.forename: Tami
authors.initials: T
authors.lastname: Brancamp
mesh_terms: D026683:Advisory Committees; D016470:Bacteremia / Q000517:prevention & control*; D055499:Catheter-Related Infections / Q000517:prevention & control*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002710:Chlorhexidine / Q000494:pharmacology*; D003428:Cross Infection / Q000517:prevention & control*; D004202:Disinfectants / Q000494:pharmacology*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D009505:Nevada; D015279:Organizational Culture; D016730:Program Development; D058996:Quality Improvement
chemical_list: D004202:Disinfectants; D002710:Chlorhexidine