质量管理
大流行
感染控制
医学
血流感染
2019年冠状病毒病(COVID-19)
护理部
中心线
最佳实践
医疗保健
医疗急救
急诊医学
重症监护医学
业务
内科学
传染病(医学专业)
疾病
管理
营销
经济增长
经济
服务(商务)
作者
Caitlin McVey,Toni von Wenckstern,Courtney Mills,Lauren Yager,Christopher McCauley,Yvana Rivera,Elizabeth Reed
出处
期刊:Journal of Nursing Care Quality
[Ovid Technologies (Wolters Kluwer)]
日期:2022-07-08
卷期号:37 (4): 295-299
被引量:3
标识
DOI:10.1097/ncq.0000000000000634
摘要
Existing best practices to monitor and prevent health care-associated infections (HAIs) were ineffective during the COVID-19 pandemic due to increased patient susceptibility toward infections, reduced resources, and increased use of agency nurses.A review of the US hospitals revealed a 60% increase in central line-associate bloodstream infections (CLABSIs) and a 43% increase in catheter-associated urinary tract infections (CAUTIs) in 2020. A large, academic, level 1 trauma center in Houston, Texas, experienced similar challenges at the start of the COVID-19 pandemic.An interdisciplinary team of nurses, infection preventionists, and hospital educators combined and adapted existing evidence-based practices in a novel way to create a nursing-led toolkit for quality improvement tracking, improving, and sustaining HAI improvements.CLABSI and CAUTI rates were reduced over time following the introduction of the Nurse-Sensitive Indicator Quality Improvement (NSIQI) Toolkit. The CLABSI standardized infection ratio (SIR) decreased by 19%, and the CAUTI SIR decreased by 19.4%.The novel NSIQI Toolkit is a scalable tool for improving and sustaining CLABSI and CAUTI rates, which may have the potential for other nurse-sensitive quality indicators.
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