School of Nursing
Doctor of Nursing Practice (DNP)
Central Line-associated Bloodstream Infections, CLABSI in ICU, CLABSI and Dressing Change Compliance, CLABSI Maintenance Care Bundles, CLABSI and Checklists, Zero CLABSI, Curos Caps, Chlorhexidine Dressing
Medicine and Health Sciences | Nursing
Kilel, Jennifer Khaziga, "Reducing Central Line-Associated Bloodstream Infections in the Intensive Care Unit by Improving Compliance with Dressing Changes and Curos Caps Use" (2019). Doctoral Dissertations and Projects. 2188.
Background: Reducing central line-associated bloodstream Infections (CLABSI) is a topic of global importance due to associated risk of sepsis, increased length of hospital stay, high healthcare cost, and increased morbidity and mortality among critically ill patients in the intensive care unit (ICU). The mortality rate of patients who acquire CLABSI 15-25% The cost of CLABSI treatment per event is greater than US $16,500. Central cine-associated Bloodstream Infections affect the organization’s national ranking in patient quality and safety as well as reimbursement from the Centers for Medicare and Medicaid (CMS). The aim of the quality improvement project was to improve the compliance of dressing changes and Curos caps use using peer validation and surveillance checklist to reduce CLABSIs in ICU. Methods: This was an observational evidence-based project that investigated whether peer validation and and daily surveillance checklist can improve compliance with central line dressing change and Curos cap use in ICU Results:The compliance of dressing changes improved by 55.9% (44.1% to 100%) and the Curos caps use compliance improved by 75.1% during the post intervention period (18% to 98%)