Date of Conferral

2020

Degree

Ph.D.

School

Public Health

Advisor

Aaron Mendelsohn

Abstract

Healthcare-associated infections, specifically central line-associated bloodstream infections (CLABSI), continue to remain a serious public health concern in the United States. Though CLABSI can often be prevented, healthcare professionals struggle to have a positive impact on CLABSI rates. The primary purpose of this study was to determine whether CLIP Bundle adherence has an impact on CLABSI standardized infection ratio (SIR) rates in various patient care areas in California. The research questions were focused on assessing whether there was an association between patient care areas, CLABSI rates, and CLIP Bundle adherence scores. A quantitative, cross-sectional study design utilizing secondary data was used to assess the association between CLIP Bundle adherence and CLABSI rates. Quantile regression analyses indicated CLIP Bundle adherence was consistent across all patient care areas, but that critical care area was significantly negatively associated with CLABSI SIR rates. In addition, quantile regression analysis indicated there was no statistically significant difference between critical care areas and general care areas as compared with neonatal care area with regard to CLIP Bundle adherence. Results from ANOVA analyses indicated there was a statistically significant association between patient care area and SIR, but not between patient care area and CLIP Bundle adherence. Results indicated that reduced infection rates were associated with an increased CLIP Bundle adherence. The study positively impacts positive social change by encouraging health care providers to implement the CLIP Bundle to improve patient care in their healthcare facilities nationwide to reduce the national incidence of CLABSI rates.

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Epidemiology Commons

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