When Auditing Is Not Enough: Analysis of a Central Line Bundle Audit Program.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2024-12-13 DOI:10.1097/QMH.0000000000000489

Christopher A Linke, Paul Hodges, Megan E Edgerton, Johannah D Bjorgaard

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引用次数: 0

Abstract

Background: Bundled interventions and auditing have been recommended to reduce central line-associated bloodstream infection (CLABSI) events at acute care hospitals. We review the outcomes of a bundle audit program at an adult and pediatric academic medical center from April 1, 2021, to May 31, 2022.

Objectives: To analyze the impact on CLABSI rates following the introduction of a central line maintenance bundle audit process.

Methods: All audit survey data, CLABSI event rates, and line days were collected. Statistical relationships were evaluated for CLABSI bundle performance with CLABSI rates and audit volume with CLABSI rates. Analyses were conducted at the hospital and unit level.

Result: No correlation is found between CLABSI rates and audit performance at the hospital level (adult units, P = .619, r-sq = 2.13%; peds/NICU, P = .825, r-sq = 0.43%) or at the unit level (n = 7; P = .8-.896, r-sq = 0.15%-18.2%). There was no correlation in CLABSI rates when reviewing performance by audit volume at the hospital level (adult, P = .65, r-sq = 1.7%; peds/NICU, P = .677, r-sq = 1.5%) or at the unit level (n = 7; P = .25-.8, r-sq = 1.2%-8.5%). By contrast, a single unit that did not participate in the audit program during the sample period reported a lower CLABSI rate than comparable participating units (P = .008).

Conclusion: During the sample period, there was no relationship found between this CLABSI bundle audit program and improvement in CLABSI performance.

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当审计还不够时：中央管路捆绑审计计划分析。

背景：建议在急症护理医院采用捆绑干预和审计来减少中心静脉相关血流感染（CLABSI）事件。我们回顾了从2021年4月1日至2022年5月31日在成人和儿科学术医疗中心进行的捆绑审计项目的结果。目的：分析引入中心线维护包审计过程后对CLABSI率的影响。方法：收集所有审计调查数据、CLABSI事件率和行天数。对CLABSI捆绑包性能与CLABSI率和审计量与CLABSI率的统计关系进行了评估。分析在医院和单位层面进行。结果：CLABSI率与医院层面审计绩效无相关性(成人单位，P = 0.619, r-sq = 2.13%；儿科/NICU， P = 0.825, r-sq = 0.43%)或单位水平(n = 7；P = .8-。896, r-sq = 0.15%-18.2%)。在医院层面通过审核量评估绩效时，CLABSI率无相关性(成人，P = 0.65, r-sq = 1.7%；儿科/NICU， P = 0.677, r-sq = 1.5%)或单位水平(n = 7；P = 0.25 -。8, r-sq = 1.2%-8.5%)。相比之下，在样本期间未参与审计计划的单个单位报告的CLABSI率低于可比参与单位（P = 0.008）。结论：在样本期内，CLABSI捆绑审计方案与CLABSI绩效改善之间没有关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.