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Preventing Central Line Associated Infections
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Book Synopsis Peripherally Inserted Central Venous Catheters by : Sergio Sandrucci
Download or read book Peripherally Inserted Central Venous Catheters written by Sergio Sandrucci and published by Springer. This book was released on 2014-07-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.
Book Synopsis Vessel Health and Preservation: The Right Approach for Vascular Access by : Nancy L. Moureau
Download or read book Vessel Health and Preservation: The Right Approach for Vascular Access written by Nancy L. Moureau and published by Springer. This book was released on 2019-06-10 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
Book Synopsis Infections in Hematology by : Georg Maschmeyer
Download or read book Infections in Hematology written by Georg Maschmeyer and published by Springer. This book was released on 2014-12-13 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infections are among the most frequent complications in patients with hematological malignancies and in those undergoing high-dose chemotherapy and autologous hematopoietic stem cell transplantation. A profound knowledge on the epidemiology, diagnostic approaches, treatment modalities and prophylactic strategies is essential for the clinical management of these complications in patients who are often severely immunocompromised owing to their underlying diseases and in particular, the intensive myelosuppressive chemo and immunotherapy. This textbook provides a clinically oriented, compact and up-to-date overview on infections in hematology patients and their management. The typical pathogens to be considered in different subgroups of patients are identified and further aspects of the microbiological background are explored. Clinical, imaging, and laboratory-based diagnostic techniques are discussed and therapeutic strategies appropriate to different situations are then presented, with due attention to the pitfalls, toxicities and interactions that can arise during antimicrobial treatment. Strategies to prevent infection are also outlined, encompassing antimicrobial prophylaxis, isolation procedures, hospital hygiene, protective immunization and the use of hematopoietic growth factors.
Book Synopsis Preventing Central Line Associated Infections by : Sinu Thomaskutty
Download or read book Preventing Central Line Associated Infections written by Sinu Thomaskutty and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Central venous catheters also known as central lines are long, thin, flexible tubes that provide medicine, food and nutrients to patients over time (WebMd, 2010). They are also used to monitor and maintain adequate tissue perfusion, infusions and transfusions(CDC, 2011). These catheters provide immense benefit and as so, they are being utilized in the settings of acute care more and more. Yet, with these benefits come complications and one that is the most common is infections. These are infections are commonly known as (CLABSI) or Central Line Associated Bloodstream Infections. The primary reason for the complications is due to lack of proper insertion techniques, cleanliness and lack of management after insertion (CDC, 2011). The issues that are related to this complication of infections are morbidity, mortality, longer hospital stays, and financial costs to the patient and the hospital (Jessica and Robin, 2010). These infections are estimated to range in the levels of about of 41,000 on annual basis (CDC, 2013). These infections can cause longer stays in the hospital and at least an added $30,000 per happening. CLABSI costs healthcare organization in the USA over $2 billion on a yearly basis (Guerin and others,). The situation is so extreme that several respected institutions have labeled and added CLABSI to their never event list (Miller-Hoover, 2011). It is up to providers of health care to be able to assess the situation and finding ways to prevent these infections. This increases the potential of higher quality in the outcomes of patients and decreased costs overall. The review of literature leads the author to believe that one of the best techniques in preventing CLABSI is through the use of a suggestion by the IHI. This suggestion is about the use of the (CLB) or the Central Line Bundle. (CLB) is comprised of specific suggestions and tips that target any issues that might cause the infections. These tips cover aspects of where exactly the catheter must go, the selection of the site, protocols for hygiene, utilization of (chlorhexidine) to cleanse the dermis, high barrier safety measures, and constant management of the line (Royer, 2010). The aim of this project is to prevent CLABSI through the utilization, implementation and maintenance of EBP of the CLB in the (ICU) at Baylor University Medical Center in Dallas (BUMC). Favorable outcomes are to be ensured through the proper implementation of the CBL through rigorous planning, execution, attainment of resources and the education of staff involved.
Book Synopsis Preventing central line-associated bloodstream infections by : Joint Commission
Download or read book Preventing central line-associated bloodstream infections written by Joint Commission and published by . This book was released on 2012 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: This monograph includes information about types of central venous catheters and risk factors for and pathogenesis of CLABSIs, the evidence-based guidelines, position papers, patient safety initiatives, and published literature on CLABSI and its prevention, CLABSI prevention strategies, techniques and technologies, and barriers to best practices, CLABSI surveillance, benchmarking, and public reporting, and the economic aspects of CLABSIs and their prevention, including the current approaches to developing a business case for infection prevention resources.
Book Synopsis Safe Patients, Smart Hospitals by : Peter Pronovost
Download or read book Safe Patients, Smart Hospitals written by Peter Pronovost and published by Penguin. This book was released on 2010-02-18 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: The inspiring story of how a leading innovator in patient safety found a simple way to save countless lives. First, do no harm-doctors, nurses and clinicians swear by this code of conduct. Yet in hospitals and doctors' offices across the country, errors are made every single day - avoidable, simple mistakes that often cost lives. Inspired by two medical mistakes that not only ended in unnecessary deaths but hit close to home, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Dr. Pronovost began with simple improvements to a common procedure in the ER and ICU units at Johns Hopkins Hospital. Creating an easy five-step checklist based on the most up-to-date research for his fellow doctors and nurses to follow, he hoped that streamlining the procedure itself could slow the rate of infections patients often died from. But what Dr. Pronovost discovered was that doctors and nurses needed more than a checklist: the day-to-day environment needed to be more patient-driven and staff needed to see scientific results in order to know their efforts were a success. After those changes took effect, the units Dr. Pronovost worked with decreased their rate of infection by 70%. Today, all fifty states are implementing Dr. Pronovost's programs, which have the potential to save more lives than any other medical innovation in the past twenty-five years. But his ideas are just the beginning of the changes being made by doctors and nurses across the country making huge leaps to improve patient care. In Safe Patients, Smart Hospitals, Dr. Pronovost shares his own experience, anecdotal stories from his colleagues at Johns Hopkins and other hospitals that have made his approach their own, alongside comprehensive research-showing readers how small changes make a huge difference in patient care. Inspiring and thought provoking, this compelling book shows how one person with a cause really can make a huge difference in our lives.
Book Synopsis Yearbook of Intensive Care and Emergency Medicine 2010 by : Jean-Louis Vincent
Download or read book Yearbook of Intensive Care and Emergency Medicine 2010 written by Jean-Louis Vincent and published by Springer Science & Business Media. This book was released on 2010-06-28 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Yearbook compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
Book Synopsis Preventing Central Line-Associated Bloodstream Infections by : Kevin Speyer
Download or read book Preventing Central Line-Associated Bloodstream Infections written by Kevin Speyer and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the year 2000, when the Institute of Medicine (IOM) published their findings on avoidable medical errors, Central Line-Associated Bloodstream Infection (CLABSI) rates began being viewed in a far different light (Kohn, IOM 2000). With CLABSI being identified as an avoidable medical error, hospitals around the country began working on solutions to reduce or eliminate CLABSI infections. CLABSI is a potentially life threatening condition which increases a patient's mortality and morbidity by 12% to 25%, with an average health care cost of $16,550 per case (HICP 2011). The Comprehensive Unit-based Safety Program (CUSP) was developed at Johns Hopkins Hospital and successfully implemented in 2003 during the Michigan Keystone project (Provonost 2006). One aspect of the Keystone utilized a program of interventions to prevent CLABSI infections called Maximum Barrier Precautions (MBP). Utilizing the CUSP process to implement MBP was demonstrated to Decrease CLABSI rates by 66% with sustained results beyond 18 months. This capstone project proposes assembling a CUSP team using the same process developed at Johns Hopkins Hospital. Once assembled, the team would choose appropriate evidence-based materials for educating staff, physicians, and hospital leadership. The team would also create a proposal that would outline the necessary costs associated with a hospital wide implementation program that accounted for all necessary education hours, equipment and supplies purchases, education materials and dissemination of information handouts and posters. A hospital wide policy and a checklist that contained all the necessary MBP elements would also be created for use with every central venous catheter (CVC) insertion. The team would establish a system of tracking checklist compliance and a method of surveillance to insure MBP compliance. The infection control nurse would be responsible for investigating and reporting monthly CLABSI rates to the CUSP team and to hospital leadership. Information would be disseminated by the CUSP team to the staff and physicians of the hospital to demonstrate the ongoing importance of their efforts and to give needed feedback so that front line staff is aware of their successes or need for increased efforts. This author did not utilize the proposal outlined in this paper, but was a participating member of an actual MBP implementation project at O'ahu Medical Center starting in January of 2009. When the actual project was launched in June of 2009, O'ahu Medical Center was able to demonstrate a zero percent CLABSI rate for 980 days, followed by a sustained decrease in CLABSI cases over the following three years (Appendix E and G).
Book Synopsis Catheter-Related Infections, Second Edition by : Dr. Harald Seifert
Download or read book Catheter-Related Infections, Second Edition written by Dr. Harald Seifert and published by Informa Healthcare. This book was released on 2005 with total page 627 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated reference describes the latest and most effective strategies in the diagnosis, management, and treatment of catheter-related infections (CRIs). The guide describes the pathogenesis of infectious complications while discussing procedures in infection control, catheter and catheter-site care, and patient monitoring and evaluation. This new edition updates the original material and provides new chapters on infections related to urinary catheters and the epidemiology and impact of these infections. Catheter-Related Infections, Second Edition serves as a practical evidence-based reference for detailed guidance on the prevention of catheter-related infections.
Book Synopsis Patient Safety in Dialysis Access by : M.K. Widmer
Download or read book Patient Safety in Dialysis Access written by M.K. Widmer and published by Karger Medical and Scientific Publishers. This book was released on 2015-02-11 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Not only are dialysis access creation and maintenance prone to complications, but patients suffering from end-stage renal disease and its comorbidities generally have a high risk of adverse events during their continuous treatment. Preventive strategies are key to avoid harm and to improve the outcome of the treatment of the growing number of patients with chronic kidney failure, especially as doctors and nurses are not always aware of the consequences of unsafe behavior. This publication is intended for health care professionals – nurses as well as doctors – and aims to raise the awareness of patient safety aspects, combining medical education with evidence-based medicine. After a general overview of the topic, an international panel of authors provides a diversified insight into important concepts and technical tricks essential to create and maintain a functional dialysis access.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Infections in Surgery by : Massimo Sartelli
Download or read book Infections in Surgery written by Massimo Sartelli and published by Springer Nature. This book was released on 2021-01-29 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance. Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice. In hospitals, cultural determinants influence clinical practice, and improving behaviour in terms of infection prevention and antibiotics-prescribing practice remains a challenge. Despite evidence supporting the effectiveness of best practices, many clinicians fail to implement them, and evidence-based processes and practices that are known to optimize both the prevention and the treatment of infections tend to be underused. Addressing precisely this problem, this volume offers an essential toolkit for all surgeons and intensivists interested in improving their clinical practices.
Book Synopsis Professional Capstone Project by : Jennilyn M. Chiu
Download or read book Professional Capstone Project written by Jennilyn M. Chiu and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Utilization of central venous catheters (CVC) is common in the intensive care units (ICUs). Central intravenous lines on patients admitted to this critical care setting provide intravenous access for medications, total parenteral nutrition, and for hemodynamic monitoring. Although CVCs aid hospital staff in providing efficient care for these critically ill patients, these tools also place the patients at risk for central line-associated bloodstream infections (CLABSI). CLABSI, a nosocomial infection, is a major source of morbidity and mortality. It is also associated with increased cost of care for healthcare facilities across the country, averaging $45,000 per single infected patient. (Hakko, Guvenc, Karaman, Erdem, and Cakmakci, 2015) This project proposal calls for an implementation of a six-month pilot study to be conducted in the facility's medical intensive care unit to adopt a new updated central line management bundle. The new bundle will incorporate the utilization of disinfectant port protectors or alcohol-impregnated port protectors as a measure to prevent bloodstream infections. The utilization of disinfectant port protectors, which are saturated with alcohol, has been proven by several published research studies in preventing central line-associated bloodstream infections. In addition to the pilot program, facility-wide education will be conducted to educate nurses and other allied healthcare personnel about central line-associated bloodstream, central line management bundle, and prevention strategies. Educating healthcare workers about CLABSI and proper maintenance of central intravenous lines is primary prevention strategy, which can aid decrease the facility's CLABSI rate, and also decrease the facility's unnecessary expenditures of treating these infections. It is also important to disseminate these possible results, so that nurses know the value of compliance and strict adherence to protocols of central line management care in preventing CLABSI.
Book Synopsis Bundle Care to Prevent Central Line Associated Blood Stream Infection by : Silgy Sharmin
Download or read book Bundle Care to Prevent Central Line Associated Blood Stream Infection written by Silgy Sharmin and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Central line associated blood stream infection (CLABSI) is one of the major problems in the health care system. It leads to increased mortality and morbidity rate. Every year billions of dollars in added costs and thousands of deaths are caused by Central Line Associated Bloodstream Infections (CDC, 2011). In Intensive Care Units (ICU), Central Venous Catheters (CVCs) are more common for rapid fluid, Total Parenteral Nutrition (TPN) and multiple drug administrations. As per new health care reform laws, hospital acquired infections and conditions (HAI) are no longer paid by Medicare (Agency for Health Care Research and Quality, 2011). To overcome this situation health care setting aims to provide cost effective, customer satisfied and safe care to minimize the HAIs. Implementation of bundle care is one of the important steps to gain this outcome. Healthcare professionals are responsible for maintaining central line free from infection. Based on the evidences from the 15 selected articles author could prove that bundle care is very helpful to prevent CLABSI in health care facility. At a minimal cost, each steps in central line bundle care and maintenance log was created as a checklist as per the Centers for Disease Control and Prevention (CDC) guidelines. Through this program it is expected to have zero CLABSI rate in the unit and decrease in secondary complications. The purpose of this program would be positively impacted by the dissemination of implementation strategies and evidences. It is proved that by providing education and reinforcing medical professionals about care and maintenance of central line has drastically reduced the rates of CLABSI occurrence, related complications, cost of health care and thereby increasing the satisfaction rates of the patients.
Book Synopsis Preventing Hospital Infections by : Sanjay Saint
Download or read book Preventing Hospital Infections written by Sanjay Saint and published by Oxford University Press, USA. This book was released on 2015 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: In easy-to-read, user-friendly language, Preventing Hospital Infections leads readers through a step-by-step description of a quality improvement intervention as it might unfold in a model hospital, pinpointing the likely obstacles and offering practical strategies for how to surmount them. The text draws on the extensive personal clinical experience of the authors, including examples, anecdotes, and down-to-earth, practical guidance.
Book Synopsis Infection Control in Home Care and Hospice by : Emily Rhinehart
Download or read book Infection Control in Home Care and Hospice written by Emily Rhinehart and published by Jones & Bartlett Learning. This book was released on 2006 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: An official publication of the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC), the highly successful Infection Control in Home Care and Hospice helps home care providers assess the infection control needs of their organization, and develop home care infection and surveillance programs. The Second Edition has been thoroughly updated and revised with the latest CDC Guidelines on infection control in home care, including Hand Hygiene, Prevention of IV-related Infections, and the 2004 Isolation Guideline.
Book Synopsis Selective Decontamination of the Digestive Tract (SDD) by : Hans Rommes
Download or read book Selective Decontamination of the Digestive Tract (SDD) written by Hans Rommes and published by Springer Nature. This book was released on 2021-03-08 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains the basic concepts of Selective Decontamination of the Digestive tract (SDD) to help those involved in treating critically ill patients to improve outcomes and the quality of care. SDD has led to major changes in our understanding, the treatment and prevention of infections in critically ill patients over the past 40 years. It is the most studied intervention in intensive care medicine and is the subject of 73 randomized controlled trials, including over 15000 patients and 15 meta-analyses. SDD reduces morbidity and mortality, is cost-effective and safe as SDD does not increase antimicrobial resistance. Correct application of the SDD strategy enables ICU teams to control infections – even in ICUs with endemic antibiotic resistant microorganisms such as methicillin resistant S. aureus (MRSA). Describing the concept and application of SDD, and presenting case studies and microbiological flow charts, this practical guide will appeal to intensivists, critical care practitioners, junior doctors, microbiologists and ICU-nurses as well as infection control specialists and pharmacists.
