{"title":"以流程为重点的方法减少儿科人群中的中心管血流感染。","authors":"Lacey Kovar, Tiffany Patterson, Amber Cline, Brittany Hilton, Kelsey Seigman, Sarah McMenamy, Kimberly Malinowski","doi":"10.1097/JHQ.0000000000000470","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>In 2022, our pediatric and women's medical center observed a 166.67% increase in central line bloodstream infections (CLABSIs) in the pediatric population. A quality-focused group was initiated to implement changes to reduce CLABSIs.</p><p><strong>Methods: </strong>Hand hygiene compliance, creating resource tools, implementing CLABSI prevention competencies, and CLABSI bundle audits were used as interventions.</p><p><strong>Results: </strong>Our institution's CLABSI rate decreased 71% from 1.59 CLABSIs per 1,000 central line days in 2022 to 0.46 CLABSIs per 1,000 central line days in 2023.</p><p><strong>Conclusions: </strong>A multifaceted approach with unit focus allowed our institution to decrease the number of CLABSIs in the pediatric and neonatal units.</p>","PeriodicalId":48801,"journal":{"name":"Journal for Healthcare Quality","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Process-Focused Approach to Reduce Central Line Bloodstream Infections in the Pediatric Population.\",\"authors\":\"Lacey Kovar, Tiffany Patterson, Amber Cline, Brittany Hilton, Kelsey Seigman, Sarah McMenamy, Kimberly Malinowski\",\"doi\":\"10.1097/JHQ.0000000000000470\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>In 2022, our pediatric and women's medical center observed a 166.67% increase in central line bloodstream infections (CLABSIs) in the pediatric population. A quality-focused group was initiated to implement changes to reduce CLABSIs.</p><p><strong>Methods: </strong>Hand hygiene compliance, creating resource tools, implementing CLABSI prevention competencies, and CLABSI bundle audits were used as interventions.</p><p><strong>Results: </strong>Our institution's CLABSI rate decreased 71% from 1.59 CLABSIs per 1,000 central line days in 2022 to 0.46 CLABSIs per 1,000 central line days in 2023.</p><p><strong>Conclusions: </strong>A multifaceted approach with unit focus allowed our institution to decrease the number of CLABSIs in the pediatric and neonatal units.</p>\",\"PeriodicalId\":48801,\"journal\":{\"name\":\"Journal for Healthcare Quality\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-04-01\",\"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.0000000000000470\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/14 0:00:00\",\"PubModel\":\"Epub\",\"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.0000000000000470","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/14 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Process-Focused Approach to Reduce Central Line Bloodstream Infections in the Pediatric Population.
Objective: In 2022, our pediatric and women's medical center observed a 166.67% increase in central line bloodstream infections (CLABSIs) in the pediatric population. A quality-focused group was initiated to implement changes to reduce CLABSIs.
Methods: Hand hygiene compliance, creating resource tools, implementing CLABSI prevention competencies, and CLABSI bundle audits were used as interventions.
Results: Our institution's CLABSI rate decreased 71% from 1.59 CLABSIs per 1,000 central line days in 2022 to 0.46 CLABSIs per 1,000 central line days in 2023.
Conclusions: A multifaceted approach with unit focus allowed our institution to decrease the number of CLABSIs in the pediatric and neonatal units.
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
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