Description
Title: Implementing Toyota Production System Methodology to Reduce CLABSI Rates: A Quality Improvement Project
Presented By: Angie Blackwell, MSN, RN, ACCNS-P, CPON
Heather Christensen RN, BSN, CPHON
Overview of the Course: Presented at the 2025 Spring Education Exchange (SEE) this course presents 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%
This Course will Explore:
- How improvement science and an 8‑step problem‑solving method were applied to reduce CLABSI rates in pediatric oncology
- Identification of high‑risk processes, including the role of bathing non‑compliance in CLABSI events
- Tests of change such as redesigned admission education, standardized bathing workflows, and the introduction of a bathing tech role
- Measurable outcomes, including increased bathing compliance and significant reductions in CLABSI rates
- Strategies for sustaining process improvements and maintaining high compliance over time
Upon successful completion of this course, nurses will earn .50 NCPD hours associated with this activity.
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. Provider approved by the California Board of Registered Nursing, Provider Number 14513.
Individual Learning Needs Assessment (ILNA) Coding
The program content has been reviewed by the Oncology Nursing Certification Corporation (ONCC) and is acceptable for recertification points. You may claim .50 NCPD in one of the following ILNA categories: Care of the Pediatric Hem/Onc Patient, Pediatric Hem/Onc Nursing Practice, 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, and APHON can update your completion certificate to reflect your choice.
Any questions? Contact education@aphon.org
