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Reducing Central Line Associated Bloodstream Infections In Intensive Care Units By Implementing The Comprehensive Unit Based Safety Program
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Book Synopsis Reducing Central Line-associated Bloodstream Infections in Intensive Care Units by Implementing the Comprehensive Unit-based Safety Program by : Sara Steinmetz
Download or read book Reducing Central Line-associated Bloodstream Infections in Intensive Care Units by Implementing the Comprehensive Unit-based Safety Program written by Sara Steinmetz and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Central line catheter-associated bloodstream infections (CLABSI) are a common occurrence in Intensive Care Units. These hospital acquired infections can be costly and lethal but most importantly, preventable. This research project's purpose is to analyze several studies demonstrating how central line-associated infections are preventable. The methods used for this project was a collaborative study examining the interventions that are incorporated in the On The CUSP: Stop BSI program through various research articles and how these interventions decreased central line-associated bloodstream infections in the Intensive Care Unit. This comprehensive unit-based safety program was developed with the goal of preventing bloodstream infections and provides a framework to educate health care professionals that are in direct care of patients with central lines. Physicians, physician assistants, registered nurses, radiology technicians, and other bedside care providers follow a collaborative five step process. The five step process as designed by On the CUSP: Stop BSI are to educate regarding the safety techniques, implement teamwork and communication tools, identify defects, address the defects, and collaborate with a unit leader for guidance. The infection rates are monitored before, during, and up to twelve months after the interventions were initiated. When these improvement efforts were evaluated, the data showed a significant decrease in central line-associated bloodstream infections. The conclusion is that implementing the On the CUSP: Stop BSI program produced significant and sustaining data that central line-associated bloodstream infections decreased in diverse ICU settings through multiple cohort studies that utilized these evidence-based prevention bundles over a year to two year time frame.
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 Reducing Central Line-associated Bloodstream Infections in the Intensive Care Unit by Improving Compliance with Dressing Changes and Curos Caps Use by : Jennifer Khaziga Kilel
Download or read book Reducing Central Line-associated Bloodstream Infections in the Intensive Care Unit by Improving Compliance with Dressing Changes and Curos Caps Use written by Jennifer Khaziga Kilel and published by . This book was released on 2019 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Reducing central line-associated bloodstream Infections (CLABSI) is a topic of global importance due to associated risk of sepsis, increased length of hospital stay, high healthcare cost, and increased morbidity and mortality among critically ill patients in the intensive care unit (ICU). The mortality rate of patients who acquire CLABSI 15-25% The cost of CLABSI treatment per event is greater than US $16,500. Central cine-associated Bloodstream Infections affect the organization’s national ranking in patient quality and safety as well as reimbursement from the Centers for Medicare and Medicaid (CMS). The aim of the quality improvement project was to improve the compliance of dressing changes and Curos caps use using peer validation and surveillance checklist to reduce CLABSIs in ICU. Methods: This was an observational evidence-based project that investigated whether peer validation and and daily surveillance checklist can improve compliance with central line dressing change and Curos cap use in ICU Results:The compliance of dressing changes improved by 55.9% (44.1% to 100%) and the Curos caps use compliance improved by 75.1% during the post intervention period (18% to 98%)
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 Infection Challenges in the Critical Care Unit, An Issue of Critical Care Nursing Clinics of North America by : May M. Riley
Download or read book Infection Challenges in the Critical Care Unit, An Issue of Critical Care Nursing Clinics of North America written by May M. Riley and published by Elsevier Health Sciences. This book was released on 2021-11-09 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Critical Care Nursing Clinics, Guest Editor May M. Riley brings her considerable expertise to the topic of Infection Challenges in the Critical Care Unit. Top experts in the field cover key topics such as Implementing an Antimicrobial Stewardship Program, Pulmonary Infections, Including Ventilator-Associated Pneumonia (VAP), Preventing Central Line-Associated Bloodstream Infection (CLABSI), and more. Provides in-depth, clinical reviews on Infection Challenges in the Critical Care Unit, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 8 relevant, practice-oriented topics including Epidemiology of Invasive Fungal Disease; Management of Sepsis; Multidrug-Resistant Candida Species and Candidiasis Infections; Infections in Geriatric Patients; Transmission and Multidrug-Resistant Organisms; and more.
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 Annual Update in Intensive Care and Emergency Medicine 2015 by : Jean-Louis Vincent
Download or read book Annual Update in Intensive Care and Emergency Medicine 2015 written by Jean-Louis Vincent and published by Springer. This book was released on 2015-02-09 with total page 582 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 Quality, An Issue of Critical Nursing Clinics of North America by : Barbara Leeper
Download or read book Quality, An Issue of Critical Nursing Clinics of North America written by Barbara Leeper and published by Elsevier Health Sciences. This book was released on 2014-11-20 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.
Book Synopsis Implementation of an Evidence-based Practice Change Project to Prevent Central Line-associated Bloodstream Infections in a Pediatric Intensive Care Unit by : Kristin E. Mareno
Download or read book Implementation of an Evidence-based Practice Change Project to Prevent Central Line-associated Bloodstream Infections in a Pediatric Intensive Care Unit written by Kristin E. Mareno and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Patients in pediatric intensive care units (PICUs) with central venous lines (CVLs) are at risk for developing catheter-related bloodstream infections (CRBSIs). Adverse consequences to patient health resulting from these infections can negatively impact patient outcomes, prolong patient length of stay, and increase the overall cost of care. The author implemented an evidence-based practice protocol using a team approach in a 12 bed PICU using a care bundle to prevent central line infections. The purpose of this change project was to educate PICU staff caring for patients with central lines about utilization of bundle elements to reduce risk of CRBSIs. The goal was to implement each step of the bundle when caring for every patient with a CVL during the eight week change project. The author measured staff compliance to bundle elements including hand hygiene, maximal barrier precautions, chlorhexidine skin antisepsis, and daily review of line necessity. Weekly audits demonstrated 100% provider adherence to care bundle interventions over the implementation phase. In accordance with evidence from similar studies, these findings suggest compliance with bundle interventions can lead to significant reduction in the rate of catheter-related bloodstream infections. Keywords: central line, catheter-related bloodstream infections, care bundle, pediatric " -- Abstract.
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 Reducing Central Line Associated Bloodstream Infections by : Manjit R. Lagunay
Download or read book Reducing Central Line Associated Bloodstream Infections written by Manjit R. Lagunay and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite of many changes adapted by healthcare providers in the past decades, the incidences of central line associated blood stream infections (CLABSIs) are still occurring in the intensive care units (ICUs) and non-ICU settings. The failure to remove unnecessary central lines in a timely manner has resulted in many CLABSIs. This issue has been noted due to lack of communication between the staff and the providers. The bundle approach has been widely used, but there is a need to implement new measures that would enhance communication between all those who are involved in the care of the patient. Educating staff and creating a tool in the electronic medical recording (EMR) system, as well as a handoff tool to nurses would ensure that the central lines that are not in use anymore or not needed will be discontinued. These tools will help prevent CLABSI, therefore will decrease healthcare associated infections, decrease patient mortality and morbidity, decrease length of stay and cost to the facilities.
Book Synopsis Civetta, Taylor, & Kirby's Critical Care Medicine by : A. Joseph Layon
Download or read book Civetta, Taylor, & Kirby's Critical Care Medicine written by A. Joseph Layon and published by Lippincott Williams & Wilkins. This book was released on 2017-09-19 with total page 6346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering every problem encountered in today’s intensive care unit, this leading critical care textbook presents the knowledge and expertise of more than 350 global experts in this fast-changing field. Beginning with the social aspects of medicine, it then discusses monitoring and organ system pathobiology followed by specific diseases states/syndromes. Each chapter begins with immediate concerns and proceeds to broader-based discussions of relevant pathophysiologic and clinical issues.
Book Synopsis Evaluation of Utilizing a Central Line Bundle to Decrease Catheter-associated Bloodstream Infections in the Pediatric ICU of a Large Midwest Children's Hospital by : Sarah Golden
Download or read book Evaluation of Utilizing a Central Line Bundle to Decrease Catheter-associated Bloodstream Infections in the Pediatric ICU of a Large Midwest Children's Hospital written by Sarah Golden and published by . This book was released on 2010 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than fifty percent of all patients admitted to the intensive care unit will acquire a central venous catheter (CVC) in order to provide a more efficient treatment plan. While very beneficial for treatment, they often come with significant costs that include high bloodstream infection rates, increased mortality rates, increased lengths of stay, and increased cost of additional resources. With quality of care initiatives leading the industry, decreasing catheter-associated bloodstream infections (CA-BSI) has become one focus for improvement. Research shows improvement in adult populations; however, few research reports address implementation of the recommendations among pediatric populations. The National Association of Children's Hospitals and Related Institutions (NACHRI) group called upon pediatric institutions to develop a standard of care for central line maintenance to reduce infection rates. This secondary analysis investigated the effects of a central line bundle on reducing CA-BSI in a pediatric intensive care unit (PICU). The conceptual framework was based on The Improvement Model developed by Langley et al. (1996) to test and evaluate new changes. Based on data collected from one PICU's performance improvement practices and for the NACHRI collaborative, this study evaluated rates of infection before and after the collaborative as well as nursing compliance with the bundle. Data was not statistically significant during the initiation year of implementation, however, the first complete year after initiation showed statistically significant results. Nursing compliance with the bundle was variable across the years and with each bundle element. Further research is recommended as improving CA-BSI rates impact pediatric patient outcomes.
Book Synopsis Enhancing the Quality of Care in the ICU, An Issue of Critical Care Clinics by : Robert C Hyzy
Download or read book Enhancing the Quality of Care in the ICU, An Issue of Critical Care Clinics written by Robert C Hyzy and published by Elsevier Health Sciences. This book was released on 2013-01-28 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Critical Care Clinics edited by Dr. Robert Hyzy on Enhancing the Quality of Care in the ICU features topics such as: Taking Central Line-Associated Bloodstream Infection Rates to Zero, Preventing ICU Delirium, Avoiding Clostridium difficile associated diarrhea, Reducing ventilator associated complications and pneumonia, Can Venous Thromboembolism be avoided?, Preventing urinary catheter associated infections, Improving ICU quality through collaboratives, Do performance measures enhance patient quality in the ICU, and The Future of Quality in the ICU.
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.
Download or read book Sepsis written by Luciano Azevedo and published by BoD – Books on Demand. This book was released on 2012-10-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sepsis is the major cause of death in non-cardiologic intensive care units around the world. Every year, billions of dollars are consumed in the treatment of sepsis and in research to understand its complex pathophysiology and therefore obtain future therapeutic opportunities. Despite the efforts of the scientists and medical practitioners, the mortality rates are still high and the incidence of sepsis is increasing. In this book we provide an update on several aspects of sepsis. Starting from the history of the disease and finishing with treatment of sepsis-associated organ dysfunctions, this book offers a wide scope of well-written and complete reviews concerning pathophysiological and therapeutic characteristics of sepsis. We hope that the work of the authors will provide a significant forum of discussion on the topic, and increase the awareness of the healthcare team regarding the important aspects of early recognition and treatment of this severe condition.
Book Synopsis Effectiveness of Staff Education in Preventing Central Line Associated Blood Stream Infections in Surgical Intensive Care Unit by : Myrtha Gheusneaud
Download or read book Effectiveness of Staff Education in Preventing Central Line Associated Blood Stream Infections in Surgical Intensive Care Unit written by Myrtha Gheusneaud and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Central line-associated bloodstream infection (CLABSI) is among the groups of hospital-acquired infections (HAIs). CLABSI carries an increased risk of morbidity, mortality, increased hospital length of stay, and is very expensive to treat. The literature reviewed recommended the Centers for Disease Control and Prevention (CDC) guidelines and checklist bundle system as an effective method in CLABSI prevention; however, this required strict adherence and compliance to be effective. The project manager (PM) implemented the quality improvement project in a 14-bed surgical intensive care unit (SICU) for ten weeks. A pre-test questionnaire based on CDC guidelines tested the nurses' knowledge. A CDC checklist was provided to the nurses to monitor compliance with the bundle and followed by an educational intervention presentation. A post-test questionnaire score was used to assess knowledge gained. Compliance with the insertion and maintenance bundle was collected and tabulated. CLABSI rate for SICU for the same period was 1 case for a total of 197-line days, equal to an infection rate of 5.08 higher than the national benchmark of 1.53, compared to the other units was 5 cases for a total of 1,497 line days resulting in an infection rate of 3.34 for level 1a hospital. Results indicated a post-test knowledge of 91.6%, exceeding the facility benchmark of 80% for competency education. Compliance with all the bundle components was 100%. However, SICU had one CLABSI case in January and none in February. These findings indicate that CLABSI prevention using the bundle system is effective in reducing and preventing hospital-acquired infections. Gaining knowledge on all the bundle components fostered compliance and increased quality patient care outcomes. Nurses played an integral part in CLABSI prevention. Keywords: CLABSI, Infection, Prevention, Morbidity, Mortality, Nurses, CDC, Bundle, compliance " -- Abstract
