Target CLAB Zero – A National Celebration
On 6-7 March 2013 56 team members from 17 DHBs attended the third and final learning session for Target CLAB Zero.
It was an opportunity for people to celebrate their success and take a well deserved pat on the back for making the collaborative a major success.
And what a success it has been, nine weeks after the collaborative began in September 2012, 18 DHBs came on board – an amazing result in such a short period of time.
17 months on and 18 DHBs and 23 Intensive Care Units are implementing the insertion and maintenance bundles to prevent CLAB, and working within agreed operational data definitions. As Suzanne Proudfoot, Projects and Campaigns Manager says, “Everyone is speaking the same language and moving in the same direction – it’s been a wonderful team effort.”
The results speak for themselves with 35 CLABs being avoided nationally in the period April to December 2012, with a potential saving of $700,000. The most rewarding result has been the ability to reduce harm to our patients. By preventing CLAB patients have a speedier recovery.
“In the beginning it was a challenge to get all of the DHBs to agree that participating in Target CLAB Zero was something that they wanted to pursue and I have to commend the project and clinical leads on their amazing effort to keep people engaged and motivated,” says Suzanne. “This didn’t happen overnight and required a lot of hard work, persistence and at the beginning a fair big of nagging and persuasion, however over time people began to take on a real sense of ownership of their project and adapted it to their requirements.
The importance of a multi-disciplinary approach, and being able to record and measure accurate data were pivotal in highlighting what was working well and what needed to change. As Catherine Hocking, Critical Care Centre Nurse Educator from Middlemore hospital says, “Without data you don’t know how you are doing or where you need to go.” This programme effectively moved teams from anecdote to evidence.
The ability to network with other DHBs and openly share knowledge and information has been valuable,” says Shawn Sturland, National Clinical Lead for Target CLAB Zero. “We have all listened and learnt from one another and as a consequence have made the programme work in and across our DHB’s. It’s been an amazing effort. “
So what next? With Target CLAB Zero being such a success the natural question is what now? And while there is still work to be done to increase Central Line insertion and maintenance compliance rates even further, the skills, methodology and resources learnt from this collaborative will help to guide future healthcare improvement initiatives in New Zealand. As Geraint Martin, CEO, Counties Manukau Health says “If we can do it here with CLAB and be successful just think what else we can do.”