A task analysis of central line-associated bloodstream infection (CLABSI) surveillance in home infusion therapy

Background: Barriers for home infusion therapy central line associated bloodstream infection (CLABSI) surveillance have not been elucidated and are needed to identify how to support home infusion CLABSI surveillance. We aimed to (1) perform a goal-directed task analysis of home infusion CLABSI surveillance, and (2) describe barriers to, facilitators for, and suggested strategies for successful home infusion CLABSI surveillance.Methods: We conducted semi-structured interviews with team members involved in CLABSI surveillance at 5 large home infusion agencies to explore work systems used by members of the agency for home infusion CLABSI surveillance. We analyzed the transcribed interviews qualitatively for themes.Results: Twenty-one interviews revealed 8 steps for performing CLABSI surveillance in home infusion therapy. Major barriers identified included the need for training of the surveillance staff, lack of a standardized definition, inadequate information technology support, struggles communicating with hospitals, inadequate time, and insufficient clinician engagement and leadership support. Discussion: Staff performing home infusion CLABSI surveillance need health system resources, particularly leadership and front-line engagement, access to data, information technology support, training, dedicated time, and reports to perform tasks.Conclusions: Building home infusion CLABSI surveillance programs will require support from home infusion leadership (c) 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.

Automated summary

This study identified barriers to home infusion therapy central line associated bloodstream infection (CLABSI) surveillance through semi-structured interviews, including the need for staff training, lack of standardized definition, and inadequate information technology support. Strategies for successful surveillance were also suggested.