2.50
Hdl Handle:
http://hdl.handle.net/10755/162563
Type:
Presentation
Title:
Reduction of Blood Culture Contaminations in the Emergency Department
Abstract:
Reduction of Blood Culture Contaminations in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Denno, Jennifer, RN, BSN
P.I. Institution Name:Sutter Medical Center, Sacramento, Emergency Department
Title:Clinical Nurse Educator
Contact Address:5151 F Street, Sacramento, CA, 95819, USA
Contact Telephone:916-733-0893
Leadership Conference - Evidence-Based Practice Abstract: Reduction of Blood Culture Contaminations in the Emergency Department

Purpose: Contaminations of blood cultures are a common problem in the Emergency Department, ranging up to 10% on admitted patients. This can lead to increased length of stay, increased morbidity and mortality, and increased costs to the hospital. Our hospital identified a lack of knowledge, varying skin preparation practices, and lack of nurse feedback as possibilities for our high contamination rate. The purpose of this project was to educate staff, reduce the potential for different practices and provide individual feedback in order to reduce our blood culture contamination rate.

Design: This was a quality assurance project utilizing qualitative data and observational design.

Setting: This took place in two Emergency Departments in the western United States in the same community teaching hospital system that sees approximately 100,000 patients per year combined.

Participants: Nurses at two Emergency Departments that are part of one hospital system.

Method: Nurses at both emergency departments were given instructions on proper blood culture collection. During this instruction period, we identified variations in cleansing practice and made a decision to standardize to one cleansing product. Each month, the blood culture contaminations were provided by our clinical laboratory. This data was used to pull charts and provide individual feedback to the nurses. Information learned during the process was shared at staff meetings bi-monthly.

Results: In a nine month period both Emergency Departments have reduced and maintained their blood culture contamination rate from 10% to 3%. Each month as contaminations were reviewed with nurses, information was gathered as to best practice. Cleansing the site for the manufacturerÆs prescribed time and not re-palpating with a non-sterile or unclean glove were two of the components that we determined to be best practice. By reducing the contamination rate, we potentially reduced the need for a re-draw three days later and therefore, decrease length of stay, decrease morbidity and mortality and decrease costs.

Implications: With proper education, utilizing best practice, and individual feedback, we were able to reduce our blood culture contamination rates in our Emergency Departments. Previous studies estimate blood culture contamination costs per patient to be in excess of $5,000.00. In our estimation, we saved approximately 500 blood cultures from being contaminated resulting in cost savings of $2,500,000.00. We recommend Emergency Departments with high blood culture contaminations review their practices and utilize these simple changes to reduce costs, morbidity and mortality.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReduction of Blood Culture Contaminations in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162563-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Reduction of Blood Culture Contaminations in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Denno, Jennifer, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sutter Medical Center, Sacramento, Emergency Department</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Educator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">5151 F Street, Sacramento, CA, 95819, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">916-733-0893</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dennoj@sutterhealth.org</td></tr><tr><td colspan="2" class="item-abstract">Leadership Conference - Evidence-Based Practice Abstract: Reduction of Blood Culture Contaminations in the Emergency Department<br/><br/>Purpose: Contaminations of blood cultures are a common problem in the Emergency Department, ranging up to 10% on admitted patients. This can lead to increased length of stay, increased morbidity and mortality, and increased costs to the hospital. Our hospital identified a lack of knowledge, varying skin preparation practices, and lack of nurse feedback as possibilities for our high contamination rate. The purpose of this project was to educate staff, reduce the potential for different practices and provide individual feedback in order to reduce our blood culture contamination rate.<br/><br/>Design: This was a quality assurance project utilizing qualitative data and observational design.<br/><br/>Setting: This took place in two Emergency Departments in the western United States in the same community teaching hospital system that sees approximately 100,000 patients per year combined.<br/><br/>Participants: Nurses at two Emergency Departments that are part of one hospital system.<br/><br/>Method: Nurses at both emergency departments were given instructions on proper blood culture collection. During this instruction period, we identified variations in cleansing practice and made a decision to standardize to one cleansing product. Each month, the blood culture contaminations were provided by our clinical laboratory. This data was used to pull charts and provide individual feedback to the nurses. Information learned during the process was shared at staff meetings bi-monthly.<br/><br/>Results: In a nine month period both Emergency Departments have reduced and maintained their blood culture contamination rate from 10% to 3%. Each month as contaminations were reviewed with nurses, information was gathered as to best practice. Cleansing the site for the manufacturer&AElig;s prescribed time and not re-palpating with a non-sterile or unclean glove were two of the components that we determined to be best practice. By reducing the contamination rate, we potentially reduced the need for a re-draw three days later and therefore, decrease length of stay, decrease morbidity and mortality and decrease costs.<br/><br/>Implications: With proper education, utilizing best practice, and individual feedback, we were able to reduce our blood culture contamination rates in our Emergency Departments. Previous studies estimate blood culture contamination costs per patient to be in excess of $5,000.00. In our estimation, we saved approximately 500 blood cultures from being contaminated resulting in cost savings of $2,500,000.00. We recommend Emergency Departments with high blood culture contaminations review their practices and utilize these simple changes to reduce costs, morbidity and mortality.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:30:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:30:18Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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