Development and implementation of a clinical decision support system-based quality initiative to reduce central line-associated bloodstream infections.

ABSTRACT:

Background

Central venous lines (CVLs) are frequently utilized in critically ill patients and confer a risk of central line-associated bloodstream infections (CLABSIs). CLABSIs are associated with increased mortality, extended hospitalization, and increased costs. Unnecessary CVL utilization contributes to CLABSIs. This initiative sought to implement a clinical decision support system (CDSS) within an electronic health record (EHR) to quantify the prevalence of potentially unnecessary CVLs and improve their timely removal in six adult intensive care units (ICUs).

Methods

Intervention components included: (1) evaluating existing CDSS' effectiveness, (2) clinician education, (3) developing/implementing an EHR-based CDSS to identify potentially unnecessary CVLs, (4) audit/feedb

SUBMITTER: Spiegel MC 

PROVIDER: S-EPMC11428117 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature