Beyond Best Practice Implementing a Unit-Based CLABSI Project

作者：Jones Carla M; Stewart Cheryl; Roszell Sheila Serr^*

来源：Journal of Nursing Care Quality, 2015, 30(1): 24-30.

DOI：10.1097/NCQ.0000000000000076

• bacterial infections/prevention and control
• central line-associated bloodstream infections (CLABSIs)
• central venous/adverse effects
• Consolidated Framework for Implementation Research
• evidence-based nursing
• Plan-Do-Study-Act

This article describes a hospital unit's successful central line-associated bloodstream infection reduction project. The focus is on decreasing and sustaining a low rate of infection by targeting improvement in central line maintenance. The Consolidated Framework for Implementation Research's 5 interacting domains (the intervention, inner and outer settings, individuals involved, and process) were used to guide the selection of 4 Plan-Do-Study-Act interventions. The rate decreased the rate from 3.2 to 0.6 infections per 1000 catheter-days. Key words: bacterial infections/prevention and control, central line-associated bloodstream infections (CLABSIs), central venous/adverse effects, Consolidated Framework for Implementation Research, evidence-based nursing, Plan-Do-Study-Act

• 出版日期2015-3