Lessons Learned: Implementing Practices to Improve CLABSI Rates

June 2013 — Children’s Hospital Home Care invested time and focused, sustained efforts in implementing the World Health Organization’s Five Moments for Hand Hygiene as part of a safety initiative in reducing its rate of central line-associated bloodstream infections (CLABSI).

Implementation resulted in:

• A reduction in infection rates
• Lessons learned
• Best practices and changes in mental models, such as a redefinition of “team”
• System-level changes such as innovative, coordinated, community-level educational outreach

Verna Cole, PhD, education and developmental liaison, and Kelly Monacella-Duffy, MSN, RN, home health clinical operations manager, both of Children's Hospital Home Care, published their findings in Patient Safety InSight, the online magazine of the American Society of Professionals in Patient Safety.

Download the full version of Lessons Learned.