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Enhanced Interventions to Prevent CLABSI

1 Enhanced Interventions to Prevent CLABSIP resenterKaren Jones, RN, MPH, CICC linical Research CoordinatorUniversity of MichiganContributions byVineet Chopra, MD, MSc University of MichiganKristi Felix, RN, BSN, CRRN, CICM adonna Rehabilitation HospitalLen Mermel, DO, ScM, AM (Hon)Medical School of Brown UniversityRuss Olmsted, MPH, CIC, FAPICT rinity Health, Livonia MIPayal Patel, MD, MPHU niversity of Michigan2 Learning Objectives Outline the Tier 2 Interventions to Prevent CLABSI Describe when implementation of Tier 2 Interventions may be necessary Identify strategies to overcome barriers to CLABSI prevention interventions3 Tiers of CLABSI Prevention*4 Multidisciplinary RoundsDiverse perspectives improve decision-makingPatient-centered model of care5(How-to Guide: Multidisciplinary Rounds, IHI, 2015)Multidisciplinary Rounds to Assess CVC NecessityAudit for CVC necessity Tailor care plan for each patient s specific needs Clarify patient goals while identifying safety risksProvide educational opportunities and process improvement strategiesUnderstand and follow protocols Goal of rounding is to identify and remove unnecessary CVCs6(Eliminating CLABSI , A National Patient Safety Imperative, AHRQ, 2013; Chopra V, AHRQ, 2013)Example of a Daily Safety Checklist7 Multidisciplinary Rounds barriers and SolutionsBarriers: Limited time, unable to incorporate into daily

Barrier: Unsure of how to effectively present data ... The first set of learning modules on CLABSI prevention focused on Tier 1 interventions, outlined on the top portion of this slide. ... Tier 1 approach was the prompt removal of CVCs. Here, in Tier 2, the team should routinely perform multidisciplinary rounds to

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