Decreasing community acquired CLABSI: Creating a new infection prevention bundle for management of the pediatric patient discharged with a central line

IF 2.3 4区 医学 Q2 NURSING Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-05-01 Epub Date: 2025-03-26 DOI:10.1016/j.pedn.2025.03.012
Jennifer Murray BSN, RN, CPN , Jeanmarie Pontieri BSN, RN, CPN , Patrick Yam MSN, RN , Kathleen Evanovich Zavotsky PhD, RN, CCRN, CEN, ACNS-BC, FAEN, FCNS
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Abstract

Background

Central line-associated blood stream infections (CLABSIs) can contribute to significant morbidity and mortality. The aim of this improvement project was to decrease CLABSIs by creating an Outpatient Pediatric Central Line Education Bundle and standardizing the education and supplies needed for pediatric patients and families to safely be discharged home with an accessed central line.

Methods

The Plan Do Study Act method of quality improvement was used for this project. Patient and family interviews were conducted, and the Family and Youth Advisory councils were consulted. Assessment surveys utilizing a 5-point Likert scale were given to patients before and after the implementation to evaluate the effectiveness of the intervention.

Results

Following the implementation zero community CLABSIs have been reported.

Discussion

This collaborative project provides the necessary education and resources to manage and streamline central line care in the home and may help prevent complications such as CLABSI.
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减少社区获得性 CLABSI:为管理带中心管出院的儿科患者创建新的感染预防包。
背景:中心线相关血流感染(CLABSIs)可导致显著的发病率和死亡率。这个改进项目的目的是通过创建一个门诊儿科中心线教育捆绑包,以及标准化儿科患者和家庭安全出院回家所需的教育和用品,从而减少clabsi。方法:采用计划、做、研究、行动的质量改进方法。我们与病人和家属进行了面谈,并征询了家庭和青年咨询委员会的意见。在实施之前和之后对患者使用5分李克特量表进行评估调查,以评估干预的有效性。结果:实施后,零社区clabsi报告。讨论:该合作项目提供必要的教育和资源,以管理和简化家庭中心护理,并可能有助于预防CLABSI等并发症。
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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
291
审稿时长
65 days
期刊介绍: Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
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