FISHBONE DIAGRAM FOR CLABSI
PATIENT PROCESS MAN
sometimes scrub the hub failed Inadequate training
Multiple lines
Fogging of goggles may have led Inadequate glove hygiene while
Comorbidities
to not being able to practice handling lines
complete asepsis. Central line
Inadequate Scrub the hub
Patient on steroids associated Blood
stream infections
Long drape was not used during
Environmental cleaning insertion PPE causing hindrance in visibility
Limited lighting due to Fogging of goggles poor visibility Frequent monitoring of
PPE site not possible
Site selection not appropriate Insufficient Drapes
ENVIRONMENT PROCEDURE EQUIPMENT