Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Data Collection and Analysis
Unit teams submitted their baseline data for the months of October 2011 through December 2011. All project data was collected by PQCNC. The data collection system that supported neonatal central line-associated bloodstream infection (NCLABSI) offered participants real time dashboard metrics for key initiative metrics. When possible, participating hospitals were matched to their American Hospital Association (AHA) 2010 Annual Survey which provides hospital level characteristics such as total number of beds, teaching status, and urban status. Results presented in this report utilize data through September 15, 2012 unless otherwise noted. Some catheters do not have removal dates entered in the database indicating the line has not been removed. Lines without removal dates are not included when calculating number of device days.
Due to the rapid initiation of the project, the neonatal National Project Team (NPT) elected not to administer a patient safety cultural measurement tool. However, to better understand some of the barriers the teams were facing in the project, the neonatal NPT developed and administered a monthly Team Check-Up Tool. The tool was developed based on the adult On the CUSP: Stop BSI Team Check-Up Tool. The NCLABSI tool was tailored to the neonatal project and contained 18 questions categorized into 3 sections: 7 questions in Knowledge/Skills, 6 questions in Attitudes/Beliefs and 5 questions in the Resource section. Six of the 18 questions were negatively worded.