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From CLABSI Awareness to Implementation:
A 12-Month India Initiative

Central line-associated bloodstream infections (CLABSI) represent a critical patient safety challenge in Indian healthcare facilities. This proposal outlines a strategic 12-month initiative to engage Indian intensivists and oncologists in building awareness and advancing evidence-based CLABSI prevention strategies. Our approach transitions stakeholders from acknowledging the problem to implementing proven interventions that reduce avoidable clinical and economic burden.

Evidence-led initiative informed by published Indian surveillance benchmarks (Open Access).

Overview

The Challenge
CLABSI remains a significant patient safety burden with high mortality (52.1%) and AMR risks, yet implementation of prevention bundles varies.
The Intent
Move beyond passive awareness. The goal is to translate surveillance insights into consistent bedside practice and measurable discipline.
The Approach
A practical, non-judgmental loop: Benchmark literacy → Unit Self-Check → Champion-led implementation → Action Labs.

Evidence Snapshot: India Benchmarks

These benchmarks help units move from general awareness to practical implementation. Local surveillance practices and case attribution may vary by setting; the goal is to enable consistent prevention discipline.

8.83
CLABSI rate per 1000 line-days
(Pooled Benchmark)
Adult 8.68
NICU 13.86
ICU-Type Benchmarks
(per 1000 line-days)
87.1%
A. baumannii Carbapenem Resistance
(Tested Isolates)
Source: Published Indian surveillance benchmarks.

Strategic Objective

  • Build CLABSI awareness using Indian and global data and move the conversation from "CLABSI exists" to "What really prevents it".
  • Ensure communication is scientific, credible, and promotion-aligned, without being overtly sales-driven.
  • Enable implementation via practical tools, champions-led adoption, and measurable follow-through.

Program Design: Awareness → Implementation

01
Evidence-led Awareness
Benchmark briefings and KOL snapshots that create informed urgency.
02
Benchmark & Action Hub
Digital entry point for self-checks and unit-level performance visibility.
03
CLABSI Champions
Implementation engine focusing on nurse-led maintenance discipline.
04
Action Labs
Structured unit alignment sessions to drive pilot readiness.

CLABSI Champions Program (4 Weeks)

Implementation that works in India. Low-burden, nurse-led, focus on maintenance.

1
Benchmark Literacy
Understanding definitions & rates
2
Maintenance Discipline
Standard work protocols
3
Micro-Audit Sprint
Process check (no identifiers)
4
30-Day Unit Plan
3 Actions, 3 Owners

12-Month Plan (Phased)

Immediate (Months 1–3)
Launch + Baseline Benchmarking + Cohort 1 Champions + Initial Action Labs.
Mid-Term (Months 4–8)
Expand cohorts + Repeat micro-audits + Implementation stories + Field enablement.
Long-Term (Months 9–12)
Consolidate playbooks + Scale within hospitals + Outcomes review + Roadmap refresh.
M1
Hub + Self-Check Live
M2
Cohort 1 Starts
M3
Impl. Story Published
M4
Cohorts Expand
M6
Mid-Year Review
M8
Cohort 4 Complete
M9
Playbooks v1
M10
Scale (Unit 1→2)
M12
Annual Outcomes

Workflow (Quarterly Planning)

1. Content Calendar
2-3 Weeks
2. Storyboard & KOL
9 Days
3. Client Review
4 Days
4. Design Approval
3 Days
5. Final Design
3 Days
6. Dissemination
7 Days
7. A/B Testing
Ongoing

Analytics: What We Track

Engagement
Tool completions, Toolkit interactions, Champions enrolment.
Implementation
Micro-audit participation, 30-day plans executed.
Adoption
Action Labs completed, Pilot readiness & scale.

We optimise for practice change, not performative numbers.

Illustrative Examples & Tools

Explore the content formats and unit-level tools available in the program. Each component is designed to bridge the gap between awareness and bedside practice.

1. Sample Themes (Oncologist Stream)

Examples of monthly themes designed to keep engagement clinically relevant.

Day 1 • Burden Snapshot
Cancer Care Beyond Tumor Control
  • Pooled rate 8.83/1000 line-days
  • 14-day mortality 40.6%
  • High mortality across pathogens
Day 15 • Infographic
First-Line Vascular Access: An ESMO Road
  • Algorithm for access selection
  • Decision drivers: duration, intensity, thrombosis
  • Practical implementation focus
Day 30 • KOL Video
Utilization vs. Complication Risk
  • Risk of prolonged/frequent access
  • Phlebitis risks with vesicants
  • Individualised line selection
Infographic
CLABSI and DVT Outcomes
  • Interplay of infection & thrombosis
  • Risk stratification prompts
  • Routine unit indicators
Burden Snapshot
Benchmark Meaning for Oncology
  • Reinforce literacy on unit rates
  • Mortality context as prevention driver
  • Bridge to Monday morning action
Infographic
Access Selection Refresh
  • Recall access algorithms
  • Thrombosis risk factors
  • Avoiding implementation pitfalls
KOL Video
Utilization vs. Complication Risk (Deep Dive)
  • Detailed risk assessment
  • Phlebitis/extravasation protocols
  • Maintenance discipline
Podcast
Patient-Reported Side Effects
  • Median time to CLABSI: 8 days
  • Hospital stay impact (19 days)
  • Why early prevention matters
Pathway
Salvaging the Liines?
  • Catheter salvage decision steps
  • Antibiotic Lock Therapy evidence
  • Escalation & governance prompts
Themes illustrative; final topics subject to medical/legal review.

2. Unit Self-Check (Demo)

A quick, non-judgmental way to benchmark your unit and generate a practical 30-day prevention plan.

1
Choose your unit type
2
Enter line-days & CLABSI events
3
Get 30-day plan + Action Lab option
What you'll need: Central line-days (last month/quarter) • CLABSI events for same period • No patient identifiers collected.

3. Unit Toolkit

  • Benchmark Briefings (Short Videos)
  • KOL explainers (scientific commentary)
  • Case-to-practice modules
  • Micro-audit templates
  • 30-day action plan template
  • Committee-ready summary outline
  • Oncology-specific updates
  • Webinars & Podcasts
  • Leave-behind literature (LBLs)

Unit Toolkit Downloads

Micro-audit: 10 obs
30-Day Action Plan
Maintenance Checklist
Committee Outline

FAQs

No. This is for awareness and spot-checks.
No patient identifiers are collected.
It is education first. Product context is separated.
Run Self-Check