减少中线相关的血流感染 (CLABSI):在一家专门的三级医院的改进项目
Fadwa Abu Mostafa1, Khaled Alnafee1, Khadijah Al Shanqiti1
1King Faisal Specialist Hospital and Research Centre, Saudi Arabia.
Global journal on quality and safety in healthcare
|June 1, 2023
概括
一家医院通过一项绩效改进项目,成功地将中线相关的血液感染 (CLABSI) 减少了35%. 这一举措涉及标准化程序,员工培训和患者参与,导致感染率大幅降低.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防和控制感染的预防和控制.
- 医院流行病学 医院流行病学
背景情况:
- 中枢线相关的血流感染 (CLABSI) 是医院感染的重要原因,导致长时间住院和增加成本.
- 根据2017年144个CLABSI活动的基线,强调了需要有针对性的绩效改进计划的需要.
研究的目的:
- 实施和评估一项旨在减少医院环境中CLABSI事件的绩效改进项目.
- 降低与中央静脉导管相关的医院获得感染的发生率.
主要方法:
- 利用头脑风暴和驱动图来产生变革的想法.
- 雇员计划-做-研究-行动 (PDSA) 周期用于代执行和监控.
- 实施了一系列干预措施,包括标准化的中央线路程序,基于模拟的医生培训,宣传活动,根本原因分析和电子健康记录文档.
主要成果:
- 与2017年的基线相比,CLABSI事件总体减少了35%.
- 降低了每1000个设备日的CLABSI率,从1.5降至1.03
- 10个单位在2018年和2019年报告了零CLABSI事件,其中4个高利用单位实现了这一结果.
结论:
- 实施的干预措施有效地显著减少了CLABSI事件.
- 计划继续监测和实施进一步的干预措施,以在所有医院单位实现零CLABSI.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.3K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.3K
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
232
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
232
Standard Precaution
2.0K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.0K
Continuous Renal Replacement Therapy
56
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
56


