Spring Education Exchange (SEE): Implementing Toyota Production System Methodology to Reduce CLABSI Rates: A Quality Improvement Project

Spring Education Exchange (SEE): Day 1, Session 5

Presented By:

Angie Blackwell, MSN, RN, ACCNS-P, CPON

Heather Christensen RN, BSN, CPHON

Session Details: Day 1: May 14, Session 5: 3:30 PM EST (2:30 PM CST/12:30 PM MST/11:30 AM PST

Overview of Session: This session will describe how our institution used improvement science to tackle CLABSI rates in pediatric oncology. We used an 8-step problem-solving method to map out current processes, identify high-risk areas, brainstorm effective strategies, and discontinue ineffective ones. Patient bathing was pinpointed as a key issue, with half of our prior year’s CLABSI events linked to non-compliance with hygiene care. We implemented and evaluated tests of change, including designing a new admission education process, standardizing and simplifying the bathing process, and trialing a bathing tech role to assist with baths at convenient times for families. After implementing these tests of change, bathing compliance increased from 85% to 94%, and we exceeded our SMART goal of reducing the CLABSI rate by 45%, from 2.14 to ≤1.18 per 1,000 line days by June 30, 2024. We have seen sustainment of bathing compliance with our current rate at 94%

Learning Outcomes:

• The learner will be able to recognize the eight-step problem-solving approach used to improve CLABSI outcomes in this project.
• The learner will identify potential root causes that may lead to CLABSIs in the hematology/oncology patient.
• The learner will be able to describe tests of change used to counter the identified potential root causes of CLABSIs.

This contains 2 sections:

1. Webinar Recording Link
2. Post-Session Evaluation

Continuing Education Credit

APHON will provide 0.5 nursing continuing professional development (NCPD) contact hour(s) for the successful completion of this session. Successful completion requires attendance for the entire session and completion of the post-session evaluation. 

Individual Learning Needs Assessment (ILNA) Coding 

This program content has been reviewed by the Oncology Nursing Certification Corporation (ONCC) and is acceptable for recertification points. You may claim 0.5 ILNA in one of the following categories:  

• Care of the Pediatric Hem/Onc Patient 

• Pediatric Hem/Onc Nursing Practice 

• OR Professional Performance. 

Please reach out to the Education Team at education@aphon.org with your name, the email associated with your APHON account, and the above ILNA category you would like to have reflected on your certificate. APHON can update your completion certificate to reflect your choice. 

Spring Education Exchange (SEE) Access 

The SEE session recordings and post-session evaluations will be available for all registered participants until June 19th (11:59 pm EST). 

The Association for Pediatric Hematology Oncology Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. This provider is also approved by the California Board of Registered Nursing, Provider Number 14513. 

None of the planners for this activity have relevant financial relationship(s) to disclose with ineligible companies. 

Questions or concerns? Contact education@aphon.org.

The APHON Spring Education Exchange is sponsored by ONCC.