Problem: The overarching problem we were trying to solve was to reduce Healthcare Associated Conditions, specifically CAUTI and CLABSI. The intent was to identify system level gaps in processes with the goal of impacting SIR and device utilization.
Measurement: Our Clinical Quality Team created an electronic survey that recorded results from rounding on the patient care units. This survey captured specific standardized information at the patient level related to the assessment, care, and documentation of the indwelling urinary catheters and central lines.
Analysis: We used descriptive statistics to analyze rounding results. In addition, we compared year to year SIR pre- and post-intervention.
Implementation: Implemented a rounding process evaluating the care of lines and devices which could contribute to HAI reduction. Obstacles faced included COVID-19 surges and resistance from staff, which were overcome by establishing key relationships on the units.
Results/Discussion: Sustained a SIR <1 for CAUTI and achieved a SIR <1 for CLABSI during a time when other organizations saw an increase in these infections. Given the success of rounding, we will continue to use the Plan, Do, Study, Act design to develop targeted interventions directly related to HAI reduction.