Use of Clinical Indicators in the Evaluation of Prevention and Control Practices for Bloodstream Infection

Oliveira, Francisca Jane Gomes de; Caetano, Joselany Áfio; Silva, Viviane Martins da; Almeida, Paulo César de; Rodrigues, Andrea Bezerra; Siqueira, Julianna Freitas

doi:10.1590/0104-0707201500004040014

Cited by 14 publications

(20 citation statements)

References 16 publications

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“…Therefore, adherence to hand hygiene practice favors the reduction of adverse events 17 . Studies 17 , 23 - 24 have shown that, although widely disseminated, hand hygiene practices are not yet within the expected standards. Nursing professionals do recognize the importance of this action, but do not incorporate it into their care practices.…”

Section: Discussionmentioning

confidence: 99%

Patient safety in nursing care during medication administration

Oliveira¹,

Llapa-Rodriguez

Lobo³

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the conformity of care practices of the nursing team during the administration of drugs through central vascular catheter. Method:a descriptive, prospective, observational study conducted in an Intensive Care Unit. The non-probabilistic intentional sample consisted of 3402 observations of drug administrations in patients with central vascular catheters. The previously validated collection instrument was constructed based on the Guideline for Prevention of Intravascular catheter-related infections. Data was collected through direct observations of nursing practices performed by the nursing team. The analysis used analytical, descriptive and inferential statistics (Chi-square test and Fisher’s exact test). Results:a total of 3402 procedures of drug administrations were observed. Female nursing technicians performed the highest number of actions. In none of the procedures did the professional perform all necessary actions. 0.2% of drug administrations were preceded by hand hygiene and 1.3% by disinfection of the multidose vial, ampoule or injectors. Conclusion:the practice evaluated was classified as undesirable. Failure to achieve the desired conformity was probably due to the low adherence of professionals to the practice of hand hygiene and disinfection of materials, injectors and connectors.

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Section: Discussionmentioning

confidence: 99%

Patient safety in nursing care during medication administration

Oliveira¹,

Llapa-Rodriguez

Lobo³

et al. 2018

Rev. Latino-Am. Enfermagem

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“…On the other hand, among procedures that applied the checklist of verification for CVC insertion, there was a high adherence rate in the follow-up of the 11 recommended components or measures, with overall adherence higher than 80%. However, studies on adherence assessment, related to CVC insertion, show the difficulty in achieving general adherence greater than or equal to 80% (16,(18)(19)(20) . In this regard, one must remember that the performance of procedures involving aseptic techniques and safe practices contribute to the reduction of adverse events; however, to ensure such safe and risk-free care, the management must focus on strategies that favor better adherence through constant monitoring and continuing education.…”

Section: Resultsmentioning

confidence: 99%

Insertion of central vascular catheter: adherence to infection prevention bundle

et al. 2019

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Objective:To evaluate the compliance of the care process involving insertion of central vascular catheter (CVC) in hemodialysis. Method: Cross-sectional quantitative approach developed at the hemodialysis service of a reference hospital in Sergipe, Brazil. Sample consisting of 1,342 actions evaluated, corresponding to 122 forms for monitoring and control of CVC insertion. Data collection was held from July to December 2016. Results: The adherence rate to the use of the insertion form was 54.9%. The procedure evaluated achieved 93% overall compliance. Of the 11 specific actions observed, seven (64%) presented 100% compliance. The density of the overall incidence of primary bloodstream infections reduced from 10.6 to 3.1 infections per 1,000 patients/day. Conclusion: Although the observed actions reached specific desired conformities, the use of the checklist was lower than expected. Strategies for monitoring, coaching and educational and organizational actions can contribute to safe care.

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“…The use of clinical indicators of quality in CVC care protocols favors the identification not only of indices concerning compliance and performance of such care, but also the identification of concrete situations interfering in the results, enabling direct and specific interventions to improve them. 30,33 Even though clinical indicators of performance related to CVCs were not the object of analysis in this study, they should be considered an important tool to assess and support the use of care bundles to prevent CVC-BSI.…”

Section: Discussionmentioning

confidence: 99%

Interventions to Decrease Catheter-Associated Bloodstream Infections in Newborns: An Integrative Review

Curan

Rossetto

2017

Texto contexto - enferm.

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Objective: to perform an integrative review of strategies presented in care bundles to decrease central catheter-associated bloodstream infection among newborns. . Method a search was conducted of the Cochrane Library, IBECS, PubMed, Lilacs, Medline and Scielo catalogues, using the terms "bundle", "catheter-related infection", "infection control", "prevention", "evidence-based nursing"," evidence-based medicine" and" central venous catheter". Inclusion criteria were: papers published from 2009 to April 2014; written in Portuguese, English or Spanish; addressing both neonatal and pediatric populations or just neonatal populations; describing the use and/or assessing care bundles or protocols to control central catheter-associated infection. Results fifteen studies published between 2009 and 2013 were selected. The main information extracted from the studies was systematized as: 1) measures adopted to prevent central catheter-associated bloodstream infection according to level of scientific evidence, and 2) strategies used to implement evidence into health practice. Conclusion there was a variety of practices adopted, some of which are consistent with scientific evidence and some of which are not. Systematization conducted in this study is expected to contribute to practice, facilitating the use of the best evidence in each context, and research indicating gaps in knowledge to be explored in future studies

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Use of Clinical Indicators in the Evaluation of Prevention and Control Practices for Bloodstream Infection

Cited by 14 publications

References 16 publications

Patient safety in nursing care during medication administration

Patient safety in nursing care during medication administration

Insertion of central vascular catheter: adherence to infection prevention bundle

Interventions to Decrease Catheter-Associated Bloodstream Infections in Newborns: An Integrative Review

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