Prevention efforts win UVM Children’s Hospital high marks

Hospital keeps pediatric units free of bloodstream infections for one year

July 19, 2016, marked a milestone for the UVM Children’s Hospital: a year free of central line-associated bloodstream infections (CLABSIs) in our neonatal ICU (NICU), pediatric ICU and pediatric inpatient units.

This is an accomplishment that reflects our longstanding focus on infection prevention, with the support of The Jeffords Institute for Quality, and specific steps taken to increase education and awareness among UVM Children’s Hospital staff. As a result of this work, we have been identified as a top performing hospital for our work in CLABSI prevention with the Solutions for Patient Safety, a network of over 100 children’s hospitals.

CLABSI prevention has been an area of strength for the UVM Medical Center and the UVM Children’s Hospital for several years.

A central line is a long, flexible tube used to give medicines, fluids, nutrients or blood products to a patient over a long period of time. CLABSIs are preventable bloodstream infections that can occur when bacteria or other germs travel down a central line and enter the blood. Over the past year we have built on our existing strengths in preventing central line infections by:

  • Using a special checklist in our electronic health record, we can ensure we are strictly adhering to the national central line insertion safety standards
  • Performing audits to ensure that we are consistently using best practices
  • Using a checklist in our electronic health record that provides a set workflow for central line insertion
  • Ensuring staff proficiency: A core group of staff in the NICU routinely perform all insertions and maintenance of central lines, creating an expertise that increases reliability

These efforts were further supported by organizational factors, including our culture of safety and focus on patient- and family-centered care.

CLABSI prevention has been an area of strength for the UVM Medical Center and the UVM Children’s Hospital for several years. Staff from those areas work collaboratively to ensure that our patients benefit from the highest standards of care.

This video explains more about infection prevention efforts across the hospital.