{"title":"减少移植单位中央线相关血流感染。","authors":"Renee Spinks, Welela Berhanu, Rommel Buenvenida, Samantha Henry, Denise Lo, Mylinh Yun","doi":"10.1097/NCQ.0000000000000854","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Central line-associated bloodstream infection (CLABSI) is a preventable complication of central venous catheters (CVC) that can result in prolonged hospitalization, increased cost, and mortality.</p><p><strong>Local problem: </strong>CLABSI rates in a solid organ transplant unit were above the National Database of Nursing Quality Indicators target.</p><p><strong>Methods: </strong>Evidence-based CLABSI prevention interventions were implemented using the Plan-Do-Study-Act process.</p><p><strong>Interventions: </strong>A stepwise approach was used to implement CVC maintenance bundle pole cards, chlorhexidine gluconate (CHG) bathing treatments, and Kamishibai card (K-card) door tag processes for all patients with CVCs.</p><p><strong>Results: </strong>The unit achieved and sustained >90% compliance with both CHG bathing treatments and K-card door tag processes. The CLABSI rate decreased from 2.15 to 0.41, an 81% reduction.</p><p><strong>Conclusions: </strong>CLABSI reduction in a transplant unit can be achieved through the systematic implementation of evidence-based practices.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"232-237"},"PeriodicalIF":1.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reduction of Central Line-Associated Bloodstream Infections on a Transplant Unit.\",\"authors\":\"Renee Spinks, Welela Berhanu, Rommel Buenvenida, Samantha Henry, Denise Lo, Mylinh Yun\",\"doi\":\"10.1097/NCQ.0000000000000854\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Central line-associated bloodstream infection (CLABSI) is a preventable complication of central venous catheters (CVC) that can result in prolonged hospitalization, increased cost, and mortality.</p><p><strong>Local problem: </strong>CLABSI rates in a solid organ transplant unit were above the National Database of Nursing Quality Indicators target.</p><p><strong>Methods: </strong>Evidence-based CLABSI prevention interventions were implemented using the Plan-Do-Study-Act process.</p><p><strong>Interventions: </strong>A stepwise approach was used to implement CVC maintenance bundle pole cards, chlorhexidine gluconate (CHG) bathing treatments, and Kamishibai card (K-card) door tag processes for all patients with CVCs.</p><p><strong>Results: </strong>The unit achieved and sustained >90% compliance with both CHG bathing treatments and K-card door tag processes. The CLABSI rate decreased from 2.15 to 0.41, an 81% reduction.</p><p><strong>Conclusions: </strong>CLABSI reduction in a transplant unit can be achieved through the systematic implementation of evidence-based practices.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":\" \",\"pages\":\"232-237\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000854\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/12 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000854","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/12 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Reduction of Central Line-Associated Bloodstream Infections on a Transplant Unit.
Background: Central line-associated bloodstream infection (CLABSI) is a preventable complication of central venous catheters (CVC) that can result in prolonged hospitalization, increased cost, and mortality.
Local problem: CLABSI rates in a solid organ transplant unit were above the National Database of Nursing Quality Indicators target.
Methods: Evidence-based CLABSI prevention interventions were implemented using the Plan-Do-Study-Act process.
Interventions: A stepwise approach was used to implement CVC maintenance bundle pole cards, chlorhexidine gluconate (CHG) bathing treatments, and Kamishibai card (K-card) door tag processes for all patients with CVCs.
Results: The unit achieved and sustained >90% compliance with both CHG bathing treatments and K-card door tag processes. The CLABSI rate decreased from 2.15 to 0.41, an 81% reduction.
Conclusions: CLABSI reduction in a transplant unit can be achieved through the systematic implementation of evidence-based practices.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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