Impact of a hospital-wide huddle on device utilisation and infection rates: a community hospital's journey to zero.
Background: Device utilisation ratios (DUR) correlate with device-associated complications and rates of infection. We implemented a hospital-wide Daily Interdisciplinary Safety Huddle (DISH) with infection control and device components. The aim of this study was to evaluate the impact of DISH on DUR...
| Publicado en: | Journal of Infection Prevention Vol. 21; no. 6; pp. 228 - 234 |
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| Autores principales: | , , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147644267&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147644267 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17571774 8URG jtl: Journal of Infection Prevention issn: 17571774 maglogo: Y pubinfo: dt: Nov2020 vid: 21 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 147644267 146284145 147644267 147644267 10.1177/1757177420939239 147644267 ppf: 228 ppct: 6 formats: tig: atl: Impact of a hospital-wide huddle on device utilisation and infection rates: a community hospital's journey to zero. aug: au: Mena Lora, Alfredo J Ali, Mirza Krill, Candice Spencer, Sherrie Takhsh, Eden Bleasdale, Susan C affil: Division of Infectious Diseases, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA sug: subj: Catheters, Urinary Utilization Central Venous Catheters Utilization Catheter-Related Infections Epidemiology Catheter-Related Infections Prevention and Control Cross Infection Prevention and Control Infection Control Methods Multidisciplinary Care Team Safety Evaluation Hospitals, Community Quality Improvement Human Quasi-Experimental Studies Pretest-Posttest Design Paired T-Tests Comparative Studies Intensive Care Units Descriptive Statistics Urinary Tract Infections, Catheter-Related Prevention and Control Catheter-Related Bloodstream Infections Prevention and Control Cost Savings Acute Care Implementation Science Illinois Hospitals, Urban Clinical Trials Academic Medical Centers Device Removal Hospital Units ab: Background: Device utilisation ratios (DUR) correlate with device-associated complications and rates of infection. We implemented a hospital-wide Daily Interdisciplinary Safety Huddle (DISH) with infection control and device components. The aim of this study was to evaluate the impact of DISH on DURs and rates of infection for indwelling urinary catheters (IUC) and central venous catheters (CVC). Methods: A quasi-experimental study assessing DURs and rates of infection before and after implementation of DISH. At DISH, usage of IUC and CVC is reported by managers and the infection preventionist reviews indications and plans for removal. Data before and after implementation were compared. Paired T-test was used to assess for differences between both groups. Results: DISH was successfully implemented at a community hospital. The average DUR for IUC in intensive care unit (ICU) and non-ICU settings was reduced from 0.56 to 0.35 and 0.27 to 0.12, respectively. CVC DUR decreased from 0.29 to 0.26 in the ICU and 0.14 to 0.12 in non-ICU settings. Catheter-associated urinary tract infections (CAUTIs) decreased by 87% and central line-associated bloodstream infections (CLABSIs) by 96%. Conclusion: DISH was associated with hospital-wide reductions in DUR and device-associated healthcare-associated infections. Reduction of CLABSIs and CAUTIs had estimated cost savings of $688,050. The impact was more profound in non-ICU settings. To our knowledge, an infection prevention hospital-wide safety huddle has not been reported in the literature. DISH increased device removal, accountability and promoted a culture of safety. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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