CLABSI 指南:设计和实施多管齐下的方法来减少 CLABSI。

IF 0.9 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Journal for Healthcare Quality Pub Date : 2024-05-01 DOI:10.1097/JHQ.0000000000000423
Christian O Bohan, Joseph Mlinarich, Donna Hahn, Mark Shelly, Navneet Dang
{"title":"CLABSI 指南:设计和实施多管齐下的方法来减少 CLABSI。","authors":"Christian O Bohan, Joseph Mlinarich, Donna Hahn, Mark Shelly, Navneet Dang","doi":"10.1097/JHQ.0000000000000423","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Central line-associated blood stream infections (CLABSIs) are a quality marker for the critical care environment. They have become an area of particular interest because they cost the healthcare system close to a billion dollars per year and have a significant impact on patient safety. Through a preliminary analysis of our system's CLABSI rates, we found significantly higher rates than the national average, prompting further investigation. We decreased our CLABSI rate by over 40% from 2021 (1.6 per 1,000 line days) to the fourth quarter of 2022 (0.91) and kept the rate below or around the national rate (0.86) for the last three quarters of 2022. Through looking at current outcome data, identifying key stakeholders, developing dedicated committees, conducting root cause analyses, monitoring progress, adjusting procedures, scaling to the system, and continuously monitoring and reporting results, we have shown the efficacy of this kind of quality improvement structure and strive to reduce our hospital system's impact on avoidable healthcare-associated patient harm.</p>","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":"46 3","pages":"131-136"},"PeriodicalIF":0.9000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The CLABSI Playbook: Design and Implementation of a Multipronged Approach to Decrease CLABSIs.\",\"authors\":\"Christian O Bohan, Joseph Mlinarich, Donna Hahn, Mark Shelly, Navneet Dang\",\"doi\":\"10.1097/JHQ.0000000000000423\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Abstract: </strong>Central line-associated blood stream infections (CLABSIs) are a quality marker for the critical care environment. They have become an area of particular interest because they cost the healthcare system close to a billion dollars per year and have a significant impact on patient safety. Through a preliminary analysis of our system's CLABSI rates, we found significantly higher rates than the national average, prompting further investigation. We decreased our CLABSI rate by over 40% from 2021 (1.6 per 1,000 line days) to the fourth quarter of 2022 (0.91) and kept the rate below or around the national rate (0.86) for the last three quarters of 2022. Through looking at current outcome data, identifying key stakeholders, developing dedicated committees, conducting root cause analyses, monitoring progress, adjusting procedures, scaling to the system, and continuously monitoring and reporting results, we have shown the efficacy of this kind of quality improvement structure and strive to reduce our hospital system's impact on avoidable healthcare-associated patient harm.</p>\",\"PeriodicalId\":48801,\"journal\":{\"name\":\"Journal for Healthcare Quality\",\"volume\":\"46 3\",\"pages\":\"131-136\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal for Healthcare Quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/JHQ.0000000000000423\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal for Healthcare Quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JHQ.0000000000000423","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

摘要:中心管路相关血流感染(CLABSIs)是重症监护环境的质量指标。它们每年给医疗保健系统造成近 10 亿美元的损失,并对患者安全产生重大影响,因此已成为一个备受关注的领域。通过对我们系统的 CLABSI 感染率进行初步分析,我们发现感染率明显高于全国平均水平,这促使我们展开进一步调查。从 2021 年(每 1,000 个线日 1.6 例)到 2022 年第四季度(0.91 例),我们的 CLABSI 感染率下降了 40% 以上,并在 2022 年的最后三个季度将感染率保持在全国平均水平(0.86 例)上下。通过查看当前结果数据、确定关键利益相关者、成立专门委员会、进行根本原因分析、监控进展、调整程序、扩大系统规模以及持续监控和报告结果,我们展示了这种质量改进结构的功效,并努力降低我们医院系统对可避免的医疗相关患者伤害的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
The CLABSI Playbook: Design and Implementation of a Multipronged Approach to Decrease CLABSIs.

Abstract: Central line-associated blood stream infections (CLABSIs) are a quality marker for the critical care environment. They have become an area of particular interest because they cost the healthcare system close to a billion dollars per year and have a significant impact on patient safety. Through a preliminary analysis of our system's CLABSI rates, we found significantly higher rates than the national average, prompting further investigation. We decreased our CLABSI rate by over 40% from 2021 (1.6 per 1,000 line days) to the fourth quarter of 2022 (0.91) and kept the rate below or around the national rate (0.86) for the last three quarters of 2022. Through looking at current outcome data, identifying key stakeholders, developing dedicated committees, conducting root cause analyses, monitoring progress, adjusting procedures, scaling to the system, and continuously monitoring and reporting results, we have shown the efficacy of this kind of quality improvement structure and strive to reduce our hospital system's impact on avoidable healthcare-associated patient harm.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal for Healthcare Quality
Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
0.00%
发文量
59
期刊介绍: The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
期刊最新文献
Implementation of an Evidence-Based Treatment Protocol and Order Set for Alcohol Withdrawal Syndrome. Improving Time to Antibiotics for Long-Bone Open Fractures: A Quality Improvement Initiative. Increasing Diabetic Retinopathy Screening in Resident-Run Clinic Through Partnership With Ophthalmology Clinic: A Pilot Study. Collaboration to Remove Barriers to Pump Integration With the Electronic Health Record. The Use of a Single Risk Assessment Tool for Mortality and Numerous Hospital-Acquired Conditions.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1