CLA-BSI Prevention Resources
Health care-associated infections (HAIs) are infections patients acquire during the course of receiving treatment for other conditions. HAIs account for an estimated 2 million infections, 90,000 deaths, and $4.5 billion in excess health care costs annually . The Healthcare-Associated Infection Work Group (HAIWG) was established to provide recommendations for the surveillance and prevention of selected HAIs in Utah Hospitals, and has representation from the Utah Department of Health (UDOH), the Utah Hospitals and Health Systems Association (UHA), Health Insight, Infection Control Professionals (ICPs) and Infectious Disease Physicians from all major healthcare corporations in Utah.
Selection of an HAI to measure was based on the frequency, severity, preventability of the outcome and the likelihood that the selected HAI could be detected and reported accurately. Although central line-associated bloodstream infections (CLA-BSI) occur at relatively low rates, they are the most easily identified HAI and are associated with substantial morbidity and mortality and excess health care costs. In addition , there are well-established prevention strategies for CLA-BSIs.
In order to standardize the outcome measurement, ICPs from across Utah adopted an objective CLA-BSI case definition that operationalizes the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) criteria. In addition, rather than dictate state-wide implementation of selected prevention processes, the UDOH expects Utah Hospitals to conduct their own local risk assessment with improvement efforts to target the highest risk failure modes.
This site provides:
- The UDOH administrative rule outlining the detection/reporting of CLA-BSI
- A Failure Modes Effect Analysis (FMEA) tool to enable hospitals to conduct their risk assessment for CLA-BSI
- Links to related web sites
- Various resources and tools created at Utah Hospitals to prevent CLA-BSI
- A list of pertinent references
