Peritoneal dialysis (PD) offers the opportunity of a better quality of life for patients as long as they are able to perform dialysis according to the set procedures. Our aim in this study was to assess the change in PD patients' knowledge about their treatment and practice through repeated home visits. This study was based on the findings of a previous study. Fifteen patients participated and received two visits post training. During the visits, a questionnaire was completed, and the answers were analysed. Data were analysed by percentage statistics and assessed for differences between the two visits. The correct number of answers given during the first visit was 25.5 +/- 3.2/31 and was 27.8 +/- 4.0/31.8 at the second visit. The mean infection section and medication scores had increased from the original study findings. The personal hygiene section was the least correctly answered section. Consecutive home visits revealed that as the time on PD increased, knowledge and practice regarding infections and medication increased. Personal hygiene scores did not improve. This study confirmed the importance of home visits in detecting the weakest point of PD practice.

Central-line-associated bloodstream infection (CLABSI) is one of the most important problems in intensive care units (ICUs) worldwide. A bundle of CLABSI care measures was introduced at a 13-bed medical/ surgical ICU in Kocaeli, Turkey in January 2010. Compliance rates with the bundle were measured at the beginning of the third quarter of 2010 until June 2013 and compared with CLABSI rates. During the post-intervention period, of 2196 ICU patients, 732 lines placed for 4366 line-days were monitored. Feedback to staff reinforced a culture of patient safety in the ICU. Infection rates remained zero for 38 months after the implementation. There was a strong negative correlation between bundle compliance rate and CLABSI rates. With the implementation of the central-line bundle of care, together with emphasis on high compliance with all its components and a culture of patient safety, it was possible to achieve and maintain a zero rate of CLABSI in this ICU.

BACKGROUND Peritoneal dialysis (PD) is a treatment option that enables patients to perform dialysis in their own homes without being separated from social life. This study assessed the training provided by the PD unit to patients practicing self‐treatment at home. METHODS Thirty‐two patients (13 women, 19 men; mean age: 44.3 ± 15.3 years) answered a training assessment form comprising 31 questions during home visits. The answers were evaluated according to the incomplete/complete information system and assessed by percentage statistics. RESULTS The mean number of correct answers was 26.4 ± 3.28/31 (81%). Questions related to feeding, constipation, changing room, peritonitis, infections, medication, and material were those most often incorrectly answered. CONCLUSIONS Many patients were observed to perceive the said information in a detailed manner. Lack of information about food to be avoided proved the importance of a dietitian. Also, patients focused only on peritonitis and had incomplete knowledge about the symptoms of and how to prevent place‐of‐exit and tunnel infections. This indicates that training should be repeated and tested at predetermined intervals.