Amal Metab Alotibi
Aim: This review aims to assess the effect of quality improvement initiatives on reducing the rate of CLABSI.
Method: This study used Whittemore and Knafl's method to enable researchers to systematically and organize a search for studies. Whittemore and Knafl's integrative approach structure consists of five stages (problem recognition, literature search, data assessment, data interpretation, and presentation). The empirical literature on quality improvement projects and initiatives on reducing the rate of CLABSI was reviewed and analyzed based on Whittemore and Knafl's framework to draw an overall conclusion about what is effective over the quality improvement projects in the infection rate.
Finding: Nine articles fit the study inclusion criteria 7 were Q.I., and two were a mixed method. The nine articles' findings were classified into two themes: (1) Central line bundle care and (2) Education on CLBSAI insertion and maintenance.
Conclusion: This review found quality improvement projects decrease the incidence of CLABSI, improve patients’ mortality, and reduce hospitalization days. Therefore, care bundles should be performed as a routine protocol. To be more successful, bundles of care should concentrate on these risks. During the catheter insertion, compliance with barrier precautions is desirable to minimize the probability of infections. Staff education and training positively impact the prevalence rate, utilizing maximal sterile obstacle safety measures that include sterile full-body drapes, sterile gloves, sterile gowns, masks, and caps, all central venous catheters are placed.
