A multimodal approach to reduce the incidence of peripheral venous cannula bacteraemias and improve patient safety.

Lydia Brunn
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Abstract

Background: Incidence of peripheral venous cannula (PVC) bacteraemia have been rising in a trust in the south-west of England, with a 267% increase noted over the 2022/23 financial year compared with the previous year.

Aim: To use a multimodal approach to reduce the incidence of PVC bacteraemia and improve patient safety.

Methods: The initiative consisted of an educational poster highlighting the severity of infection associated with PVCs alongside key prevention messages rooted in Trust policy. Teaching sessions, complementing the poster, were delivered by the infection prevention and control team to each clinical area.

Findings: The data showed that the provision of further educational resources and wider support resulted in a 54.5% decrease in the incidence of PVC bacteraemia in 2023/24 compared with the previous year. An audit undertaken in the fourth quarter of 2023/24 (January-March) found zero cases of PVC bacteraemia for the first time in 2 years.

Conclusion: Dedication and collaborative working are vital for securing the success of quality improvement projects. PVC-related bacteraemias and the severity of infection remain an under-acknowledged and under-recognised topic within health care, with further research required.

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减少外周静脉插管细菌血症发生率和提高患者安全性的多模式方法。
背景:在英格兰西南部的一家信托机构中,外周静脉插管(PVC)菌血症的发病率一直在上升,与上一年相比,在2022/23财政年度增加了267%。目的:采用多模式方法降低PVC菌血症的发生率,提高患者的安全性。方法:该倡议包括一张教育海报,强调与室性早搏相关的感染严重程度,以及植根于信托政策的关键预防信息。感染预防控制小组在每个临床区域进行了教学,以补充海报。结果:数据显示,提供进一步的教育资源和更广泛的支持,导致2023/24年PVC菌血症的发病率较上年下降54.5%。在2023/24年度第四季度(1 - 3月)进行的审计中,两年来首次发现零PVC菌血症病例。结论:奉献和协作对于确保质量改进项目的成功至关重要。与pvc相关的细菌性贫血和感染的严重程度仍然是卫生保健中未被充分认识和认识的主题,需要进一步研究。
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