scholarly journals Long-term sustainability of zero central-line associated bloodstream infections is possible with high compliance with care bundle elements

2015 ◽  
Vol 21 (4) ◽  
pp. 293-298 ◽  
Author(s):  
E. Hakko ◽  
S. Guvenc ◽  
I. Karaman ◽  
A. Cakmak ◽  
T. Erdem ◽  
...  
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle ◽  
High Compliance

Reducing central catheter-associated infections in pediatric surgery clinic: Implementation of a care bundle

2021 ◽  
Vol 11 (1) ◽  
pp. 57-65
Author(s):  
Eda Dolgun ◽  
Okgün Alcan Aliye ◽  
Ayşe Islamoğlu ◽  
Birsen Eroğlu ◽  
Meltem Polat ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Healthcare Professionals ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Recovery Process ◽  
Central Line ◽  
Care Bundle ◽  
Central Venous ◽  
Implementation Period ◽  
Bundle Compliance

Purpose: Central line care bundle comprises a few evidence-based interventions for improving patients' outcomes and recovery process. This semi-experimental study aimed to determine the effect of pediatric central line care bundle implementation on central line-associated bloodstream infections (CLABSI) rates. Materials and methods: A central line care bundle was implemented for pediatric surgery patients (n=70). Baseline observations were made to determine the central line care bundle compliance of healthcare professionals for 435 catheter days. Subsequently, physicians and nurses were educated about the central line care bundle. After the implementation period, 722 catheter days were observed to determine post-implementation compliance. Baseline CLABSI rates were compared with post-implementation CLABSI rates. Results: It was found that the entire central line care bundle compliance was 32.4% pre-implementation and 86.3% post-implementation. After education, the physicians' and nurses' central line care bundle compliance showed statistically significant improvement (p= 0.0001). There were five CLABSI events in the pre-implementation period and three CLABSI events in the post-implementation period. It was determined that the number of CLABSI decreased in the post-implementation period compared to the pre-implementation period, but this difference was not statistically significant (p= 0.207). Conclusions: Central line care bundle implementation decreased the CLABSI rates. It is recommended the Implementation of a central line care bundle on the care of pediatric surgery patients with the central venous catheter.

Effectiveness of a care bundle to reduce central line‐associated bloodstream infections

2015 ◽  
Vol 203 (3) ◽  
pp. 138-138 ◽  
Author(s):  
Damoon Entesari‐Tatafi ◽  
Neil Orford ◽  
Eugene Athan
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

scholarly journals Effect of Care Bundle Education Program on Nurses’ Performance Regarding Central Line-Associated Blood Stream Infection in High Risk Neonates

2020 ◽  
Vol 2 (2) ◽  
pp. 13
Author(s):  
Safaa A. F. Abou Zed ◽  
Amira A. Mohammed
Keyword(s):  
High Risk ◽  
Bloodstream Infection ◽  
Education Program ◽  
Bloodstream Infections ◽  
Structured Interview ◽  
Central Line ◽  
Care Bundle ◽  
Post Test ◽  
And Performance ◽  
Nurses Knowledge

Context: Catheter-related bloodstream infections are the most common type of nosocomial infections among those populations. Central line-associated bloodstream infection (CLABSI) is a preventable complication of the use of CVC. Aim: This study aimed to evaluate the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infections in high-risk neonates. Through the following: assessing nurses' knowledge and performance regarding central line-associated bloodstream infection in high-risk neonates, designing, implementing and evaluating the effect of the care bundle education program on nurses' performance regarding central line-associated bloodstream infection in high-risk neonates. Methods: A quasi-experimental (pre/post-test) design was utilized to conduct this study at neonatal intensive care units affiliated to Ain Shams University Hospitals and Teaching Hospitals in Cairo. A convenient sample of forty-five 45 nurses was included in the study as a single study group. A structured interview questionnaire, nurses’ observation checklists were used to evaluate the effect of care bundle education on nurses’ performance regarding central line-associated bloodstream infection in high-risk neonates. The care bundle education program was premeditated as reference guidelines for nurses. Results: There were statistically significant differences between mean scores of the pre and post-test as regards nurses’ knowledge and practices regarding central line-associated bloodstream infection in high-risk neonates. Conclusion: The study revealed an unsatisfactory knowledge as well as an incompetent practice among nurses regarding central line-associated bloodstream infections in high-risk neonates before the care bundle education program. The research hypotheses are supported, and the care bundle education program achieved a significant improvement in nurses’ knowledge and performance regarding CLABSI in high-risk neonates. The current study recommended establishing educational centers in all hospitals for educating and updating the knowledge and performance of new nursing staff working in NICUs and supporting them by instructional brochure and illustrative booklets.

scholarly journals Central line-associated bloodstream infections in the intensive care unit: importance of the care bundle

2016 ◽  
Vol 69 (6) ◽  
pp. 599 ◽  
Author(s):  
Aynur Atilla ◽  
Zahide Doğanay ◽  
Hale Kefeli Çelik ◽  
Leman Tomak ◽  
Özgür Günal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle

2010 ◽  
Vol 38 (6) ◽  
pp. 430-433 ◽  
Author(s):  
Karen Guerin ◽  
Julia Wagner ◽  
Keith Rains ◽  
Mary Bessesen
Keyword(s):  
Bloodstream Infections ◽  
Central Line ◽  
Care Bundle

Orchestrated Testing

2016 ◽  
Vol 32 (1) ◽  
pp. 87-92
Author(s):  
Eugenia K. Pallotto ◽  
John Chuo ◽  
Anthony J. Piazza ◽  
Lloyd Provost ◽  
Theresa R. Grover ◽  
...  
Keyword(s):  
Health Care Quality ◽  
Bloodstream Infections ◽  
Central Line ◽  
Care Quality ◽  
Care Bundle ◽  
Care Bundles ◽  
Health Care Quality Improvement ◽  
Quality Improvement Collaboratives ◽  
Quantitative Impact ◽  
Specific Health

Health care quality improvement collaboratives implement care bundles to target critical parts of a complex system to improve a specific health outcome. The quantitative impact of each component of the care bundle is often unknown. Orchestrated testing (OT) is an application of planned experimentation that allows simultaneous examination of multiple practices (bundle elements) to determine which intervention or combination of interventions affects the outcome. The purpose of this article is to describe the process needed to design and implement OT methodology for improvement collaboratives. Examples from a multicenter collaborative to reduce central line–associated bloodstream infections highlight the practical application of this approach. The key components for implementation of OT are the following: (1) define current practice and evidence, (2) develop a factorial matrix and calculate power, (3) formulate structure for engagement, (4) analyze results, and (5) replicate findings.

Achieving Zero Central Line-Associated Bloodstream Infections: Connector Design Combined with Practice in the Long-Term Acute Care Setting

2012 ◽  
Vol 17 (2) ◽  
pp. 75-77
Author(s):  
Debra Lynch
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Bloodstream Infections ◽  
Central Line ◽  
Central Venous Line ◽  
Complex Patient ◽  
Sample Data ◽  
Needleless Connector ◽  
Rare Opportunity

Abstract Reducing central line-associated bloodstream infections (CLABSI) to zero is especially challenging in long-term acute care (LTAC) hospitals because patients usually have the line in place at admission. The central venous line may have been in place from days to weeks before admission. The LTAC thus has no control over the site selection, catheter selection, insertion protocol, and care and maintenance the catheter received before admission. Using comprehensive practice-based evidence for clinical practice improvement, our LTAC used different needleless connectors during a 3-year period to achieve zero CLABSIs. The sample data offers a rare opportunity to compare different needleless connectors and in a wide sample of complex patient diagnoses. Needleless connector design in combination with nursing care and management can achieve zero CLABSI,s even in the challenging LTAC environment.

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