一种多学科的综合护理管理方法,用于管相关的血液感染
Lingli Xu1, Leiwen Tang2, Jianfen Qin1
1Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
概括
多学科干预通过改善导管护理实践和减少停留时间,显著减少了与导管相关的血液感染 (CR-BSI). 这项质量改进倡议为其他重症监护病房 (ICU) 提供了根除CR-BSI的模式.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 感染控制 感染控制
- 患者安全 患者安全
背景情况:
- 导管相关的血流感染 (CR-BSI) 是医院感染的主要原因,导致成本和死亡率增加.
- 减少CR-BSI发病率仍然是医疗保健机构的一个持续挑战.
- 基于证据的实践与其在CR-BSI预防方面的实际实施之间存在差距.
研究的目的:
- 评估多学科组织干预在降低CR-BSI率方面的有效性.
- 实施和评估旨在消除CR-BSI的质量改进框架.
主要方法:
- 成立了一个质量改进团队来实施干预措施.
- 分析和改进使用了FOCUS-PDCA持续质量改进模型和鱼骨图.
- 干预的目标是导管插入,维护和移除过程.
主要成果:
- 导管插入,维护和取出导管的操作指标显著改善,超过95%.
- 平均导管停留时间从7.50天减少到3.50天.
- 季度CR-BSI利率从2.328%下降到0.305%. 在此期间,该利率从2.328%下降到0.305%.
结论:
- 实施的质量改进框架成功地减少了手术重症监护室 (ICU) 的CR-BSI.
- 该研究强调了弥合理想实践与实际实施之间的差距的重要性.
- 该框架可以作为其他医疗保健机构的可复制模型,旨在消除CR-BSI.
更多相关视频
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
101
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,...
101
Healthcare Associated Infections II: Preventive Measures
2.5K
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...
2.5K
Pneumonia IV: Management
299
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
299
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.6K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.6K
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559


