• homeHOME
  • 활동
  • 환자안전 연구

환자안전 연구

ㆍ 제목 Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections
ㆍ 조회수 3707 ㆍ 등록일시 2014-02-14
ㆍ 첨부파일

Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections

 2014 Feb;42(2):139-43. doi: 10.1016/j.ajic.2013.08.006. Epub 2013 Dec 17.

Abstract

BACKGROUND:

Central line (CL)-associated bloodstream infections (CLABSI) are an important cause of patient morbidity and mortality. Novel strategies to prevent CLABSI are needed.

METHODS:

We described a quasiexperimental study to examine the effect of the presence of a unit-based quality nurse (UQN) dedicated to perform patient safety and infection control activities with a focus on CLABSI prevention in a surgical intensive care unit (SICU).

RESULTS:

From July 2008 to March 2012, there were 3,257 SICU admissions; CL utilization ratio was 0.74 (18,193 CL-days/24,576 patient-days). The UQN program began in July 2010; the nurse was present for 30% (193/518) of the days of the intervention period of July 2010 to March 2012. The average CLABSI rate was 5.0 per 1,000 CL-days before the intervention and 1.5 after the intervention and decreased by 5.1% (P = .005) for each additional 1% of days of the month that the UQN was present, even after adjusting for CLABSI rates in other adult intensive care units, time, severity of illness, and Comprehensive Unit-based Safety Program participation (5.1%, P = .004). Approximately 11.4 CLABSIs were prevented.

CONCLUSION:

The presence of a UQN dedicated to perform infection control activities may be an effective strategy for CLABSI reduction.

 

http://www.ncbi.nlm.nih.gov/pubmed/24360354

 

 

이전글 From heroism to safe design: leveraging technology
다음글 What do nursing students learn about patient safety? An integrative literature review
비밀번호 입력 X
비밀번호
확인
TOP