2.50
Hdl Handle:
http://hdl.handle.net/10755/157094
Category:
Abstract
Type:
Presentation
Title:
Mission Impossible? Decreasing Acquisition Rates of MDRO's in the SICU
Author(s):
Dickinson, Sharon; Rickelmann, Connie; Moscheck, Margaret; Islim, Fadi; Horner, Rebecca; Labeske, Mary; Zalewski, Christy
Author Details:
Sharon Dickinson, University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan, USA, email: Sdickins@umich.edu; Connie Rickelmann; Margaret Moscheck; Fadi Islim; Rebecca Horner; Mary Labeske; Christy Zalewski
Abstract:
PURPOSE: Multi-Drug Resistant Organism (MDRO) incidence is on the rise. These infections not only increase morbidity and mortality, but also increase hospital and ICU length-of-stay, amplify demands on staff, consume resources, and tax the health care system. Our goal was to objectively quantify the impact a comprehensive MDRO policy has on nursing workload, finances, and acquisition rates for MDRO's. Description: The Surgical ICU at the University of Michigan is not immune to the impact of MDRO's. We follow the CDC recommendations for preventing, identifying, treating, and isolating infectious pathogens. Designing and implementing this type of policy requires knowledge and skill in change process, evidence-based practice, staff development and a thorough analysis of the financial impact and workload associated with such a change. Therefore we collected data to describe the challenges faced by a busy critical care unit when implementing MDRO containment policies that have significant financial and nursing workload implications. We itemized the costs-in time and supplies when implementing such a policy. EVALUATION: The Clinical Nurse Specialist, Infection Control practitioner and the staff must be able to use evidence to support the implementation of policies that are costly, by analyzing the cost benefit to an institution. Since implementation, the SICU has experienced one catheter-related bacteremia in the past 32 months and Ventilator Associated Pneumonias rates were reduced to zero for the last 3 months. Preliminary data shows a reduction in our VRE and C-diff acquisition rates with a substantial increase in our hand-washing compliance. Minimizing the spread of MDROs should be at the forefront of any cost containment strategies.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleMission Impossible? Decreasing Acquisition Rates of MDRO's in the SICUen_GB
dc.contributor.authorDickinson, Sharonen_GB
dc.contributor.authorRickelmann, Connieen_GB
dc.contributor.authorMoscheck, Margareten_GB
dc.contributor.authorIslim, Fadien_GB
dc.contributor.authorHorner, Rebeccaen_GB
dc.contributor.authorLabeske, Maryen_GB
dc.contributor.authorZalewski, Christyen_GB
dc.author.detailsSharon Dickinson, University of Michigan Hospitals and Health Centers, Ann Arbor, Michigan, USA, email: Sdickins@umich.edu; Connie Rickelmann; Margaret Moscheck; Fadi Islim; Rebecca Horner; Mary Labeske; Christy Zalewskien_GB
dc.identifier.urihttp://hdl.handle.net/10755/157094-
dc.description.abstractPURPOSE: Multi-Drug Resistant Organism (MDRO) incidence is on the rise. These infections not only increase morbidity and mortality, but also increase hospital and ICU length-of-stay, amplify demands on staff, consume resources, and tax the health care system. Our goal was to objectively quantify the impact a comprehensive MDRO policy has on nursing workload, finances, and acquisition rates for MDRO's. Description: The Surgical ICU at the University of Michigan is not immune to the impact of MDRO's. We follow the CDC recommendations for preventing, identifying, treating, and isolating infectious pathogens. Designing and implementing this type of policy requires knowledge and skill in change process, evidence-based practice, staff development and a thorough analysis of the financial impact and workload associated with such a change. Therefore we collected data to describe the challenges faced by a busy critical care unit when implementing MDRO containment policies that have significant financial and nursing workload implications. We itemized the costs-in time and supplies when implementing such a policy. EVALUATION: The Clinical Nurse Specialist, Infection Control practitioner and the staff must be able to use evidence to support the implementation of policies that are costly, by analyzing the cost benefit to an institution. Since implementation, the SICU has experienced one catheter-related bacteremia in the past 32 months and Ventilator Associated Pneumonias rates were reduced to zero for the last 3 months. Preliminary data shows a reduction in our VRE and C-diff acquisition rates with a substantial increase in our hand-washing compliance. Minimizing the spread of MDROs should be at the forefront of any cost containment strategies.en_GB
dc.date.available2011-10-26T19:24:55Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:24:55Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.