Implementation of a NICU Central Line Bundle: Practice Changes Associated with a Decrease in Infection Rates

2.50
Hdl Handle:
http://hdl.handle.net/10755/201943
Type:
Presentation
Title:
Implementation of a NICU Central Line Bundle: Practice Changes Associated with a Decrease in Infection Rates
Abstract:
(41st Biennial Convention) Type of Evidence used and Synthesized Our goal is to reduce nosocomial infection rates in the NICU through the investigation and implementation of evidence-based methodologies published in literature, such as the Vermont Oxford Network recommendations and the IHI Central Line Bundle. Since our implementation of the central line bundle, central line infections have been reduced by more than 89%. Improvement Implementation Strategy Better Practice Implementation • Maximal Barrier precautions with central line insertion • Dedicated nurse-led team for central line placement and maintenance • Hand hygiene guidelines • Staff empowered to stop non-emergent procedure if sterile technique is broken • Daily assessment of catheter need • Daily review of dressing integrity and site cleanliness • Use of closed system for infusion and medication administration Evaluation Method Employing PDCA methodology, our multidisciplinary team met regularly to: • Review the best practices from the literature • Benchmark • Achieve consensus on definition of a line infection • Track progress (compliance to bundle, CR-BSI rates/1000 line days, total number of line days) Outcomes/Results The fact that our nosocomial infection rate significantly improved in less than a year after best practice implementation, despite an increase in patient load, supports the effectiveness of the evidence-based practice “bundle” approach to improving health outcomes. 1.  2007 CL-BSI Rate = 10.56/1000 lines days (prior to bundle implementation) 2.  2008 CL-BSI Rate = 3.07/1000 line days (21 CR-BSI Infections) 3.  2009 CL-BSI Rate = 1.47/1000 line days (10 CR-BSI Infections) 4. 2010 CL-BSI Rate = 1.14/1000 line days (6 CR-BSI Infections) 5. Unit Savings from 2008 to 2010 = 15 x $17,878.00, or approximately $268,000.  
Keywords:
central line blood stream infections; evidence based practices; central line bundle
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of a NICU Central Line Bundle: Practice Changes Associated with a Decrease in Infection Ratesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201943-
dc.description.abstract(41st Biennial Convention) Type of Evidence used and Synthesized Our goal is to reduce nosocomial infection rates in the NICU through the investigation and implementation of evidence-based methodologies published in literature, such as the Vermont Oxford Network recommendations and the IHI Central Line Bundle. Since our implementation of the central line bundle, central line infections have been reduced by more than 89%. Improvement Implementation Strategy Better Practice Implementation • Maximal Barrier precautions with central line insertion • Dedicated nurse-led team for central line placement and maintenance • Hand hygiene guidelines • Staff empowered to stop non-emergent procedure if sterile technique is broken • Daily assessment of catheter need • Daily review of dressing integrity and site cleanliness • Use of closed system for infusion and medication administration Evaluation Method Employing PDCA methodology, our multidisciplinary team met regularly to: • Review the best practices from the literature • Benchmark • Achieve consensus on definition of a line infection • Track progress (compliance to bundle, CR-BSI rates/1000 line days, total number of line days) Outcomes/Results The fact that our nosocomial infection rate significantly improved in less than a year after best practice implementation, despite an increase in patient load, supports the effectiveness of the evidence-based practice “bundle” approach to improving health outcomes. 1.  2007 CL-BSI Rate = 10.56/1000 lines days (prior to bundle implementation) 2.  2008 CL-BSI Rate = 3.07/1000 line days (21 CR-BSI Infections) 3.  2009 CL-BSI Rate = 1.47/1000 line days (10 CR-BSI Infections) 4. 2010 CL-BSI Rate = 1.14/1000 line days (6 CR-BSI Infections) 5. Unit Savings from 2008 to 2010 = 15 x $17,878.00, or approximately $268,000.  en_GB
dc.subjectcentral line blood stream infectionsen_GB
dc.subjectevidence based practicesen_GB
dc.subjectcentral line bundleen_GB
dc.date.available2012-01-11T11:01:27Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:01:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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