Developing Information Model of Central Line-Associated Bloodstream Infection (CLABSI) Prevention

CLABSIs are one of the most lethal and costly types of healthcare associated infections (HAIs). Regulatory organizations have mandated hospitals to submit monthly surveillance reports. However, there is an inaccuracy of presenting this report because of the lack of data standardization. This descriptive qualitative study aimed to develop a CLABSI prevention Information Model (IM) so the CLABSI prevention guidelines can be incorporated into structured nursing documentations. The flowsheet metadata stored in the Clinical Decision Repository was analyzed using an advanced analytics tool. The CLABSI prevention flowsheet data were mapped to 25 concepts, 45 data attributes and over 200 data value sets after organizing hierarchical structures. Seven domains of CLABSI prevention were identified in a CLABSI prevention IM. It would provide tangible benefits to create a practice reminder of the high risk for CLABSIs based on the nursing flowsheet data sets and multidisciplinary Electronic Health Record (EHR).