Quality and Safety Highlights Central Line-Associated Bloodstream Infection (CLABSI)A central line-associated bloodstream infection (CLABSI) is an infection occurring when bacteria travel along the IV tubing into the bloodstream. The National Healthcare Safety Network (NHSN) calculates standardized rate (SIR) based on the national aggregate NHSN data from 2015. It is risk adjusted for location, hospital beds, medical school affiliation type and facility type. The rate is reported out as Better than Expected, As Expected, or Worse than Expected. What we are doing to improve? At Connecticut Children’s we utilize CLABSI maintenance and insertion care bundles which when implemented result in a decrease in this type of infection from occurring. Discussions regarding the necessity of the line occurs during daily rounds. Catheter-Associated Urinary Tract Infection (CAUTI)A catheter-associated urinary tract infection (CAUTI) is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney, from use of a bladder catheter. A bladder catheter is a tube that is inserted into the bladder. It may be needed when a patient has trouble urinating on their own, or if physicians need an exact measurement of urine volume to assist in patient care. Bacteria can travel along this tube and lead to an infection in the bladder or kidney. What we are doing to improve? At Connecticut Children’s we utilize CAUTI maintenance and insertion care bundles which when implemented result in a decrease in this type of infection from occurring. Discussions regarding the necessity of the line occurs during daily rounds. We incurred zero CAUTIs for more than two years (February 2017-March 2019), which is a significant achievement. Emergency Department: Left Without Being Seen (LWBS)Left without being seen (LWBS) is defined as a patient who is registered in the Emergency Department but leaves before being seen by a healthcare provider. What are we doing to improve? At Connecticut Children’s we have many initiatives in place to decrease the number of registered patients leaving the Emergency Department before being seen. These initiatives include: improved triage workflow and patient registration process, improved patient experience by keeping patients and families updated on wait times, and increased staffing during busier times. Flu VaccinationInfluenza, commonly known as the flu, is a highly contagious viral infection of the upper respiratory system, which includes the nose, bronchial tubes, and lungs. Many who contract influenza will be sick for only a few days, but some have a more serious illness and may need to be hospitalized. Achieving high influenza vaccination rates of children and health care personnel is a critical step in preventing transmission of influenza. According to current national guidelines, unless contraindicated, all people aged 6 months and older should be screened and vaccinated unless contraindicated by their physician. What are we doing to improve? At Connecticut Children’s we recognize that annual vaccination is the most important measure to prevent seasonal influenza infection. During the months of October through March the health care team will screen all patients who are admitted to the hospital and will offer the influenza vaccine if indicated. In efforts to minimize and prevent the spread of influenza to the patients and families cared for at Connecticut Children’s, employees are required to receive the influenza vaccine annually. Hand HygienePracticing hand hygiene is a simple yet effective way to prevent infections. In 2018, our hand hygiene compliance was 91.2% organization-wide. What we are doing to improve? At Connecticut Children’s we are focused on hand hygiene practices with all the staff. We have a program in place which instructs healthcare providers to “wash in, wash out” every time they come in contact with a patient. We also have a 200% accountability motto which states that a healthcare provider is not only accountable for washing their own hands but they are accountable for assuring that other healthcare providers they are working with are doing the same. This also includes a reminder to create an atmosphere of kindness by thanking anyone who reminds the staff member to wash their hands.