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Prevention of Central Line Catheter-Related Infections
 

Prevention of Central Line Catheter-Related Infections

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    Prevention of Central Line Catheter-Related Infections Prevention of Central Line Catheter-Related Infections Presentation Transcript

    • Prevention of Central LineCatheter-Related Infections Auxilio Mutuo HospitalMultidisciplinary Central Line Committee January 2010 Puerto Rico
    • The IssueHigh bloodstream infection rate in central venouscatheter • How did you identify the issue? – Blood infection rate in hospital – wide • Why did you choose this issue over others? – NSPG 07.04.01. Use proven guidelines to prevent infection of the blood from central lines. • What were you hoping to achieve? – Use a catheter checklist and a standardized protocol for central venous catheter insertion
    • The InterventionEstablish the MultidisciplinaryCentral Line Committee – Review the policy and performance of insertion catheter
    • The ResultsReduction in the blood infection rate of central linecatheter Programa Control de Infecciones  Tasa de Infección Asociada a Línea Central  Intensivo 2010 Intensivo 2010 s dispositivos 14 12.77 12 Tasa por 1,000 días 9.23 9 23 Percentila 90% = 5.3 P til 90% 5 3 10 7.63 8.10 Percentila 50% = 1.9 8 Tasa de la Unidad 6 4 4.55 Nota adicional: 2 Percentila 75% = 3.6 Percentila 25% = 0.6 0 0 Percentila 10% = 0.0 Anual 2008 Oct‐Dic 2009 Ene‐Mar  Abr‐Jun 2010 Jul‐Sept 2010 Oct‐Dic 2010 p 2010
    • Engaging Others g g gThe Surgeons and the assistant during theprocedure (nurses or technicians)One person checked the accomplishment with p pall the elements of the checklist – Infection Control help with the vigilance and gave us the findings and recommendations
    • Greatest Learnings /Largest Challenges g g gImprovement process include continuous monitoringand vigilance d i il – Secure measurements → patient safety (NSPG) – Ch Change th process the → Surgeons – wear the maximal barriers during catheter insertion → Nurses – empowerment & documentation → Lack of process
    • Your Best AdviceMonitoring the new strategies for get betterresults
    • Sustaining Change g g• Monitoring monthly• The bloodstream infection rate reflect process inconsistency during 2010. y g• Evaluated all events