Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide

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Outcomes

Pediatric Units

Section Summary

Data from 72 pediatric units were examined.
CLABSI rates reduced from 2.742 at baseline to 1.702 at quarter six, a relative reduction of 38 percent.

Although the intervention was tailored to adult ICUs, other hospital units that stood to benefit from participating in the intervention were encouraged to register. A total of 76 pediatric units reported at least one data point. Units that formally withdrew were excluded (n=4)⁵, and all other units reported at least one post-baseline data point, resulting in a final analytic sample of 72 units. On average, units had less than one missing post-baseline quarter worth of data (mean=0.35; stdev=0.98; median=0).

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Overall

Overall CLABSI rates over time can be found in Figure 15. Table 9 illustrates the number of units reporting for each time period. Figure 16 illustrates the percentage of units reporting a rate of zero (shown in dark blue) or less than one (shown in light blue) during each time period. At baseline 28 percent of units reported a rate of zero. At quarter six, this percentage increased to 59 percent of units reporting a rate of zero. Summary results for all pediatric units can be found in Table 10.

Figure 15. Pediatric CLABSI rate overall over time

A line graph shows the overall CLABSI rate among participating pediatric units over time. The rate decreased from 2.742 at baseline to 1.702 at quarter 6.

Table 9. Number of pediatric units reporting data at each time point

Baseline	Q1	Q2	Q3	Q4	Q5	Q6
65	71	70	70	68	65	63

Figure 16. Percent of reporting pediatric units with CLABSI rate of zero or less than one

This bar graph shows the percentages of participating pediatric units with CLABSI rates of zero or less than one for each reporting period. At baseline, 28 percent of pediatric units reported a CLABSI rate of zero, and 32 percent reported a rate of less than one. At quarter 1, 54 percent of pediatric units reported a rate of zero, and 54 percent reported a rate of less than one. At quarter 2, 49 percent of pediatric units reported a rate of zero, and 50 percent reported a rate of less than one. At quarter 3, 61 percent of pediatric units reported a CLABSI rate of zero, and 63 percent reported a rate of less than one. At quarter 4, 68 percent of pediatric units reported a CLABSI rate of zero, and 68 percent reported a rate of less than one. At quarter 5, 57 percent of pediatric units reported a CLABSI rate of zero, and 58 percent reported a rate of less than one. At quarter 6, 59 percent reported a rate of zero, and 59 percent reported a rate of less than one.

* Percentage of units calculated as number of units with a rate of zero or less than one divided by the total number of units reporting during the time period.

Table 10. Summary for pediatric units cohorts 1-6 through quarter 6

	Pre-Intervention	Post-Intervention
	Baseline	Q1	Q2	Q3	Q4	Q5	Q6
	12 Months	Months 1-3	Months 4-6	Months 7-9	Months 10-12	Months 13-15	Months 16-18
Number of States Reporting	24	25	25	26	26	25	25
Number of Units Reporting	65	71	70	70	68	65	63
Average CLABSIs/Unit	4.477	0.887	1.143	0.714	0.485	0.677	0.762
Average CL Days/Unit	1633	426	489	443	465	462	448
Rate: (Infections/Days) x 1,000	2.742	2.082	2.339	1.613	1.043	1.466	1.702
Relative Reduction	n/a	-24%	-15%	-41%	-62%	-47%	-38%

^5. This number does not reflect units that formally withdrew but had not submitted any data. For details regarding project withdrawal see Participation section.

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