通过无菌,连续关闭的排水系统来减少与导管相关的尿路感染,不一定是昂贵的
Trevor D Fachko1, Catherine L Robey1, Glenn Cannon2
1Eastern Virginia Medical School, Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, VA, USA.
在儿科重症监护室 (PICU) 进行尿道导管插入的新两名护士协议显著降低了每年38,521美元的成本,而没有增加导管相关尿道感染 (CAUTI) 率. 护士们批准了节省成本的干预措施.
科学领域:
- 医疗保健经济学 医疗经济学
- 感染控制 感染控制
- 儿科护理 儿科护理
背景情况:
- 导管相关的尿路感染 (CAUTIs) 是儿科重症监护病房 (PICU) 患病率和财务负担的重要来源.
- 实施质量改进计划以减少CAUTIs可能是昂贵的,对医疗保健设施构成挑战.
研究的目的:
- 评估一项新的"两部分,两人"尿导管插入方案在儿科四级护理中心PICU的成本效益.
- 评估本协议对CAUTI率和护理满意度的影响.
- 为了确定通过用单独包装的组件取代预先包装的,封闭系统的尿道导管套件而实现的经济节约.
主要方法:
- 实施了"两部分,两人"插入协议,要求两名护士使用单独包装的无菌组件插入内置导管.
- 这项研究包括了所有在2021年4月至2022年3月期间在PICU放置福利导管的患者.
- 测量的主要终点是每插入的成本,CAUTI率 (每1000个福利日),以及护理满意度.
主要成果:
- 新协议预计将在12个月内节省38521美元的成本.
- 在研究期间的CAUTI率 (每1000福利日3.8) 与前6个月相比没有显著增加 (每1000福利日5.65).
- 该协议获得了87%的PICU护士的认可评分.
结论:
- 取消昂贵的预包装尿管套件,取代单个组件,可以降低开支,同时保持质量标准.
- 该协议提供了一种可持续和可接受的干预措施,以提高PICU的护理价值.
- "两部分,两人"方法证明了在儿科重症监护室中降低成本和提供优质护理的成功策略.
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