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Eugenia Uzoechi
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Re: Topic 5 DQ 2
Technology and CLABSIs reductionAlthough sophisticated
progress has been made in several areas, central line-associated
bloodstream infections (CLABSIs) remain a national healthcare
problem of crisis proportions. The stakes for healthcare
institutions that have not effectively addressed CLABSIs
continue to mount (Pageler et al., 2014). Also, the financial
stakes for healthcare institutions with CLABSI problems have
risen. With the direction from the Congress, the Centers for
Medicare and Medicaid Services (CMS) has curbed reimbursing
hospitals for hospital-associated conditions, particularly the
ones considered preventable. Among the designated preventable
conditions is CLABSIs. The above sends a strong message to
facilities to implement aggressive CLABSI minimization
programs. Among the programs that can be implemented are
technological programs (Pageler et al., 2014).An example of a
technological program that can be used to address the issue of
CLABSIs is a unit-wide patient safety and quality dashboard.
This type of technology helps users to measure the outcome
metrics such as CLABSI rate, central line utilization and excess
cost in relation to the intervention metrics such as hand hygiene
and central line maintenance bundle compliance (Field, Fong &
Shade, 2018). At the same time, this technology enables users to
identify the hospital care location where patients are at
increased risk of developing CLABSI. Moreover, it provides
infection prevention surveillance teams with automated work
lists, and it works by giving the surveillance team the ability to
evaluate cases flagged as at-risk, along with supporting clinical
details, to make the final determination of the CLABSI case
(Field, Fong & Shade, 2018).I plan to use a unit-wide patient
safety and quality dashboard because it will provide mw with
the ability to rapidly find, assess and document CLABSI cases,
efficiently review submission data and CLABSI rates, and
easily identify trends in performance and CLABSI prevention
bundle compliance. At the same time, this type of technology
will help me understand CLABSI risk based on device
utilization and bundle compliance a care location to identify and
prioritize improvement interventions, and drill down to the
facility, unit, service, or patient level to analyze performance,
provide feedback, and support measurement of performance
improvement interventions.ReferencesField, M., Fong, K., &
Shade, C. (2018). Use of Electronic Visibility Boards to
Improve Patient Care Quality, Safety, and Flow on Inpatient
Pediatric Acute Care Units.
Journal of Pediatric Nursing
,
41
, 69-76.Pageler, N. M., Longhurst, C. A., Wood, M., Cornfield,
D. N., Suermondt, J., Sharek, P. J., & Franzon, D. (2014). Use
of electronic medical record–enhanced checklist and electronic
dashboard to decrease CLABSIs.
Pediatrics
,
133
(3), e738-e746.

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Eugenia Uzoechi  1 posts Re Topic 5 DQ 2Technolog.docx

  • 1. Eugenia Uzoechi 1 posts Re: Topic 5 DQ 2 Technology and CLABSIs reductionAlthough sophisticated progress has been made in several areas, central line-associated bloodstream infections (CLABSIs) remain a national healthcare problem of crisis proportions. The stakes for healthcare institutions that have not effectively addressed CLABSIs continue to mount (Pageler et al., 2014). Also, the financial stakes for healthcare institutions with CLABSI problems have risen. With the direction from the Congress, the Centers for Medicare and Medicaid Services (CMS) has curbed reimbursing hospitals for hospital-associated conditions, particularly the ones considered preventable. Among the designated preventable conditions is CLABSIs. The above sends a strong message to facilities to implement aggressive CLABSI minimization programs. Among the programs that can be implemented are technological programs (Pageler et al., 2014).An example of a technological program that can be used to address the issue of CLABSIs is a unit-wide patient safety and quality dashboard. This type of technology helps users to measure the outcome metrics such as CLABSI rate, central line utilization and excess cost in relation to the intervention metrics such as hand hygiene and central line maintenance bundle compliance (Field, Fong & Shade, 2018). At the same time, this technology enables users to identify the hospital care location where patients are at increased risk of developing CLABSI. Moreover, it provides infection prevention surveillance teams with automated work lists, and it works by giving the surveillance team the ability to
  • 2. evaluate cases flagged as at-risk, along with supporting clinical details, to make the final determination of the CLABSI case (Field, Fong & Shade, 2018).I plan to use a unit-wide patient safety and quality dashboard because it will provide mw with the ability to rapidly find, assess and document CLABSI cases, efficiently review submission data and CLABSI rates, and easily identify trends in performance and CLABSI prevention bundle compliance. At the same time, this type of technology will help me understand CLABSI risk based on device utilization and bundle compliance a care location to identify and prioritize improvement interventions, and drill down to the facility, unit, service, or patient level to analyze performance, provide feedback, and support measurement of performance improvement interventions.ReferencesField, M., Fong, K., & Shade, C. (2018). Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units. Journal of Pediatric Nursing , 41 , 69-76.Pageler, N. M., Longhurst, C. A., Wood, M., Cornfield, D. N., Suermondt, J., Sharek, P. J., & Franzon, D. (2014). Use of electronic medical record–enhanced checklist and electronic dashboard to decrease CLABSIs. Pediatrics , 133 (3), e738-e746.