Method used in software development reduced CLABSI by 30%

A method borrowed from software development, called 'agile implementation,' helped significantly reduce central line-associated bloodstream infections in a hospital setting, according to a study to be published in American Journal of Infection Control.

Agile implementation, an eight-step model, focuses on selecting the best evidence-based solutions using feedback from participants. The model can be used to localize and apply change methodology. The participants consider three questions:

• What do we do that works well?
• What does not work well?
• What do we plan to do differently based on what we have learned?

Researchers tested the method at two urban hospitals. They found it helped lower central-line blood stream infections by 30 percent, as well as reduced rates of Clostridium difficile infection.

"We borrowed Agile Implementation from the world of software development and created a novel blueprint for change management in healthcare because we see a huge need for rapid implementation of evidence-based solutions to pressing problems in current healthcare delivery," said Malaz Boustani, MD, senior author of the study, a scientist at Indianapolis-based Regenstrief Institute and Indiana University Center for Aging Research and founding director of the Center for Health Innovation and Implementation Science at Regenstrief Institute.

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