Prevention of Catheter Related Blood Stream Infections Utilizing a Six Sigma Methodology

2.50
Hdl Handle:
http://hdl.handle.net/10755/147419
Type:
Presentation
Title:
Prevention of Catheter Related Blood Stream Infections Utilizing a Six Sigma Methodology
Abstract:
Prevention of Catheter Related Blood Stream Infections Utilizing a Six Sigma Methodology
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Weiss, Bonnie B., RN, BSN, CCRN, CGRN
P.I. Institution Name:Morristown Memorial Hospital
Title:RN ICU Nursing Coordinator Project Impact/Research
Co-Authors:Denise Fochesto, RN, MSN, CCRN, APN-C; Louis T. Difazio, MD, FACS; Patricia Sullivan, RN, CIC
[Clinical Session Presentation] The purpose of this study was to investigate evidence-based practices related to central line catheters in an effort to establish a uniform standard for their insertion and maintenance. Our rates are determined using these benchmarks ? NHSN, CDC criteria for CRBSI, AACN, and the Project Impact critical care database. Adherence to standards is critical since BSIs are an acquired infection that account for increased patient mortality, healthcare costs, and increase length-of-stay.  Six Sigma methodologies were used for this investigation.  It is a highly disciplined approach to decision-making that focuses on improving processes to make them as near perfect as possible.  SS relates to the number of mathematical defects in a process where practitioners focus on systematically eliminating the defects to get as close to "zero defects" as possible. Subjects were all patients in a mixed population ICU with central lines from day 2 of admission to day 2 of ICU discharge. (N=1,194 observations) The use of a fishbone diagram depicting possible factors affecting BSIs resulted in data collection by manual collection, observations, chart reviews, and laboratory cultures. Statistical significant findings include the following positive correlations utilizing Chi-Sq hypothesis testing validating root cause analysis of causes of a BSI (p=.00 to .01, DF=1)Patient is febrile, lack of intact/labeled dressing, lack of flushing catheter lumen, changing leur locks, caps and changes in housekeeping services.  No significant relationships were found for site location, type of dressing, and setting of insertion. Implications of research findings provide evidence for developing standards of care related to central venous catheters and promoting strict adherence to protocols. New policies with associated competencies were developed and education provided. Strength of this investigation (process and outcome) has resulted in translation to practices house wide.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePrevention of Catheter Related Blood Stream Infections Utilizing a Six Sigma Methodologyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147419-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Prevention of Catheter Related Blood Stream Infections Utilizing a Six Sigma Methodology</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Weiss, Bonnie B., RN, BSN, CCRN, CGRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Morristown Memorial Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN ICU Nursing Coordinator Project Impact/Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Bonnie.Weiss@atlantichealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Denise Fochesto, RN, MSN, CCRN, APN-C; Louis T. Difazio, MD, FACS; Patricia Sullivan, RN, CIC</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Session Presentation] The purpose of this study was to investigate evidence-based practices related to central line catheters in an effort to establish a uniform standard for their insertion and maintenance. Our rates are determined using these benchmarks ? NHSN, CDC criteria for CRBSI, AACN, and the Project Impact critical care database. Adherence to standards is critical since BSIs are an acquired infection that account for increased patient mortality, healthcare costs, and increase length-of-stay.&nbsp; Six Sigma methodologies were used for this investigation.&nbsp; It is a highly disciplined approach to decision-making that focuses on improving processes to make them as near perfect as possible.&nbsp; SS relates to the number of mathematical defects in a process where practitioners focus on systematically eliminating the defects to get as close to &quot;zero defects&quot; as possible. Subjects were all patients in a mixed population ICU with central lines from day 2 of admission to day 2 of ICU discharge. (N=1,194 observations) The use of a fishbone diagram depicting possible factors affecting BSIs resulted in data collection by manual collection, observations, chart reviews, and laboratory cultures. Statistical significant findings include the following positive correlations utilizing Chi-Sq hypothesis testing validating root cause analysis of causes of a BSI (p=.00 to .01, DF=1)Patient is febrile, lack of intact/labeled dressing, lack of flushing catheter lumen, changing leur locks, caps and changes in housekeeping services. &nbsp;No significant relationships were found for site location, type of dressing, and setting of insertion. Implications of research findings provide evidence for developing standards of care related to central venous catheters and promoting strict adherence to protocols. New policies with associated competencies were developed and education provided. Strength of this investigation (process and outcome) has resulted in translation to practices house wide.</td></tr></table>en_GB
dc.date.available2011-10-26T09:32:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:32:13Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.