Central Line Associated Blood-Stream Infection (CLA-BSI) rate
CLA-BSI defined using CDC case definition.
| Indicators | |
| Indicator: | Central Line Associated Blood-Stream Infection (CLA-BSI) rate |
| Created/Raw: | Created |
| Program: | Critical Care |
| Start Date: | |
| End Date: | |
| Reports: | Directors Quarterly and Annual Report (Critical Care), STB ICUs VAP Rate, CLIBSI Rate Summary, WRHA ICU Hospital-Acquired Conditions |
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital
QI domain
- Safe
Significance
CLA-BSIs increase morbidity, mortality and costs. It can be prevented using evidence-based interventions. This measure can be used to detect changes related to implementation or lack of adherence to these best practices.
Sampling Plan / Procedure
- 100% for all patients with one or more Central Lines (CL) as indicated by the presence of T - Central Venous Catheter at 2300 (TISS Item)
- Starting Oct 1, 2020, the T - Central Venous Catheter at 2300 (TISS Item) is no longer collected . The presence of CVC at 2300 hour is imputed or assigned by inference using this method - if patient is present at 23HR and the T17 - Central venous catheter (TISS Item) is marked, then the patient is assumed to have CVC at 2300 hour.
- See Central Line for a definition.
- 100% sampling for all cases with CLA-BSI incidence following the criteria listed in CLA-BSI
Definition
The definition follows the definition Central Line.
Frequency
- Recording the date the CLA-BSI occurred.
- Daily recording of dates patients have CL or CVC
- Total number of Central Line days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
- Time Reference is calendar month, quarter or year.
Definition and Derivation
CLA-BSI per 1000 Central line days.
Numerator
Number of CLA-BSI incidence during the ICU stay of a reporting period
Denominator
Total Number of Central Line days at 2300 HR of a reporting period
Data Sources
- Starting 2019, CLA-BSI is part of the ICD10 collection with code T82.70 Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) under the Acquired Diagnosis / Complication. The date is the Dx Date of the Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) diagnosis.
- Before 2019, the dates when CLA-BSI occurred were taken from the Tmp project QA Infection.
- Central Line (CVC) days are taken from TISS28 item#46 Central Venous Catheter at 2300 (TISS Item)
SAS Program
- The SAS program to get the CLA_BSI is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
- The SAS program to get the Ventilator Days is X:\Julie\SAS_CFE\CFE_macros\\Prep_CCI_TISS.sas
- Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas
Report Users
- Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
- St Boniface Cardiac Sciences Program (STB site only)
- HSC Infection Prevention & Control (HSC site only)
- WRHA Infection Prevention & Control
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