Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide

"Eliminating CLABSI, A National Patient Safety Imperative: Final Report on the National On the CUSP: Stop BSI Project" presents key findings of the On the CUSP: Stop BSI initiative. This report discusses project background, implementation, impact, and lessons learned and provides data on rates, costs, and survey instruments administered throughout the course of the project with an emphasis on adult intensive care units (ICUs). The following document serves as a companion guide to the primary On the CUSP: Stop BSI final report.

This companion guide provides supporting documentation for the On the CUSP: Stop BSI Final Report. This document is broken into four primary sections: Methods, Participation, Outcomes, and Moderating Factors. In addition, a number of appendices supplement the text.

Within the Methods section, a data collection schedule and details on calculations can be found. The Participation section highlights characteristics of participants at both the hospital and unit levels. In addition, data submission through the course of the project is examined as is project penetration. The Outcomes section is comprised of four sub-sections: adult ICUs; adult non-ICUs; pediatric units; and infections avoided, excess costs averted, and changes in mortality rate. While the majority of registered units are adult ICUs and are the focus of the final report, any units that could benefit from the initiative were encouraged to register. As such, data on non-ICUs can be found in detail within these sections. 

The section "Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate," analyzes the change in the CLABSI rate over time to infer project impact. The project undertook a systematic review of the literature on attributable cost of CLABSI among adults in the United States health care system and details about this search are highlighted in this section. In addition, assumptions used in calculating excess costs averted and changes in mortality can be found in this section. Finally, the Moderating Factors section examines variation in CLABSI rates found in the project. Moderators of interest include hospital characteristics, findings in the baseline and follow-up Hospital Survey on Patient Safety Culture (HSOPS) at the unit level, utilization of the Team Checkup Tool among units as well as performance on the Readiness Assessment.