Evidence-Based Practice to Reduce Central Line Infections

Render, Marta L.; Brungs, Suzanne; Kotagal, Uma R.; Nicholson, Mary R.; Burns, Patricia; Ellis, Deborah; Clifton, Marla; Fardo, Rosie; Scott, Mark; Hirschhorn, Larry

doi:10.1016/s1553-7250(06)32033-8

Cited by 48 publications

(32 citation statements)

References 24 publications

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“…The project has previously been described 17. Briefly, 10 Midwestern hospitals enlisted through a local health council participated in a 2-year project to implement evidence-based practices to reduce hospital acquired catheter-related bloodstream infections (CRBSI) in the intensive care unit and train teams in strategies to facilitate change.…”

Section: Methodsmentioning

confidence: 99%

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention

Elder

Brungs

Nagy

et al. 2008

Quality and Safety in Health Care

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ICU nurses who participated in a project to decrease hospital acquired infections did not generalize their experience to other aspects of patient safety or relate it to management's interest in patient safety. These findings are consistent with many adult learning theories, where self-initiated tasks, combined with immediate, but temporary problem-solving, are stronger learning forces than management-led activities with delayed feedback.

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Section: Methodsmentioning

confidence: 99%

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention

Elder

Brungs

Nagy

et al. 2008

Quality and Safety in Health Care

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“…The bundle method was developed by the Institute for Healthcare Improvement and subsequently the effectiveness of bundles has been validated in various trials (9)(10)(11)(12). A bundle of care is based on evidence-based interventions or accepted consensus recommendations for care which can be easily applied using existing resources.…”

Section: Discussionmentioning

confidence: 99%

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

Hakko¹,

Guvenc²,

Karaman³

et al. 2015

Easter Mediterr Health J

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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.

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“…This argument runs counter to the evidence from the literature ( Pronovost, 2006 ;Reason, 2002 ). It has been shown that experts using checklists perform better than those who don't use them ( Berenholtz et al, 2004 ;Reilly et al, 2006 ;Rosenberg et al, 2008 ;Render et al, 2006 ;Wall et al, 2005 ). Checklists were identifi ed as an extremely useful tool to enable HCWs to achieve sustained improvements in practice and reduce catheter associated blood stream infections ( Berenholtz et al, 2004 ).…”

Section: Applying Human Error Theory To Practicementioning

confidence: 99%

Aiming to reduce catheter associated urinary tract Infections (CAUTI) by adopting a checklist and bundle to achieve sustained system improvements

Curran

Murdoch

2009

Journal of Infection Prevention

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Evidence-Based Practice to Reduce Central Line Infections

Cited by 48 publications

References 24 publications

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention

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

Aiming to reduce catheter associated urinary tract Infections (CAUTI) by adopting a checklist and bundle to achieve sustained system improvements

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