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Machine Learning Prediction of Possible Central Line Associated Blood Stream Infections and Rate of Reduction
Sponsor: Swedish Medical Center
Summary
Prospective, multi-center, cluster-randomized trial of a hospital Infection Preventionist (IP)-led quality improvement study to provide clinical teams with just-in-time clinical education and reinforcement of existing best practices recommendations based on the output of a possible Central Line Associated Blood Stream Infection (CLABSI) Machine Learning (ML) prediction model. The objective is to determine whether providing this model to Infection Preventionists will decrease the CLABSI rates versus routine clinical practice.
Official title: Prediction and Reduction of Central Line Associated Blood Stream Infections: A Machine Learning Improvement Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
17800
Start Date
2025-07-01
Completion Date
2027-12
Last Updated
2025-08-15
Healthy Volunteers
No
Interventions
Infection Preventionist Led Best Practices Reminders
Infection preventionists at each study hospital review a dashboard on a daily basis that contains predictions for the infection preventionist's hospital. If a patient is predicted to have a possible CLABSI by the ML model, the infection preventionist reviews the case and recommends next steps to the care team based on Providence's CLABSI prevention best-practices bundle, which include reviewing the line for necessity and recommending alternate IV access when appropriate. If line-removal isn't possible, the infection preventionist collaborates with the direct care team to ensure that the line maintenance best practices are observed, including maintaining a clean, dry and intact dressing and using daily chlorhexidine baths.
Locations (19)
Providence Alaska Medical Center
Anchorage, Alaska, United States
St. Mary Medical Center
Apple Valley, California, United States
Providence Saint Joseph Medical Center
Burbank, California, United States
St. Jude Medical Center
Fullerton, California, United States
Providence Holy Cross Medical Center
Mission Hills, California, United States
Mission Hospital
Mission Viejo, California, United States
Queen of the Valley Medical Center
Napa, California, United States
St. Joseph Hospital
Orange, California, United States
Santa Rosa Memorial Hospital
Santa Rosa, California, United States
Providence Cedars-Sinai Tarzana Medical Center
Tarzana, California, United States
Providence St. Vincent Medical Center
Portland, Oregon, United States
Covenant Medical Center
Lubbock, Texas, United States
Swedish Medical Center Edmonds
Edmonds, Washington, United States
Providence Regional Medical Center Everett
Everett, Washington, United States
Providence St. Peter Hospital
Olympia, Washington, United States
Kadlec Regional Medical Center
Richland, Washington, United States
Swedish Medical Center Cherry Hill
Seattle, Washington, United States
Swedish Medical Center First Hill
Seattle, Washington, United States
Providence Sacred Heart Medical Center
Spokane, Washington, United States