Hospitals in pursuit of excellence

CLABSI Bundle Implementation: From the Top Down and Multidisciplinary

In 2005, Mount St. Mary's Hospital and Healthcare Center's leadership directed implementation of the central line-associated blood stream infection bundle as part of a strategic effort to decrease mortality, prevent avoidable harm, and increase patient safety. The directors of the intensive care unit and infection control led the multidisciplinary team consisting of physicians, nursing, interventional radiology, coding, central service, and information technology. The processes put in place led to the ability to pinpoint who, what, where, when, and why bundle non-compliance occurred for targeted re-education, as CLABSI bundle implementation rolled out from ICU to the patient care floors, peri-operative services, and finally interventional radiology. The director of infection control worked closely with central services to develop a bundle kit containing all required components.