A task analysis of central line-associated bloodstream infection (CLABSI) surveillance in home infusion therapy.
• We identified 8 major steps to perform home infusion CLABSI surveillance. • Barriers included the lack of training, definition, time, and IT support. • Poor hospital communication and front-line and leadership support were common. • Those performing home infusion CLABSI surveillance require signif...
| Publicado en: | American Journal of Infection Control Vol. 50; no. 5; pp. 555 - 563 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
May2022
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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=156519235&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156519235 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: May2022 vid: 50 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 156519235 156519235 156519235 10.1016/j.ajic.2022.01.008 156519235 ppf: 555 ppct: 8 formats: tig: atl: A task analysis of central line-associated bloodstream infection (CLABSI) surveillance in home infusion therapy. aug: au: Hannum, Susan M. Oladapo-Shittu, Opeyemi Salinas, Alejandra B. Weems, Kimberly Marsteller, Jill Gurses, Ayse P Cosgrove, Sara E. Keller, Sara C. affil: Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD sug: subj: Catheter-Related Bloodstream Infections Therapy Central Venous Catheters Adverse Effects Home Intravenous Therapy Methods Health Services Accessibility Disease Surveillance Semi-Structured Interview Thematic Analysis Leadership Support, Psychosocial Qualitative Studies Descriptive Statistics Human ab: • We identified 8 major steps to perform home infusion CLABSI surveillance. • Barriers included the lack of training, definition, time, and IT support. • Poor hospital communication and front-line and leadership support were common. • Those performing home infusion CLABSI surveillance require significant support. Barriers for home infusion therapy central line associated bloodstream infection (CLABSI) surveillance have not been elucidated and are needed to identify how to support home infusion CLABSI surveillance. We aimed to (1) perform a goal-directed task analysis of home infusion CLABSI surveillance, and (2) describe barriers to, facilitators for, and suggested strategies for successful home infusion CLABSI surveillance. We conducted semi-structured interviews with team members involved in CLABSI surveillance at 5 large home infusion agencies to explore work systems used by members of the agency for home infusion CLABSI surveillance. We analyzed the transcribed interviews qualitatively for themes. Twenty-one interviews revealed 8 steps for performing CLABSI surveillance in home infusion therapy. Major barriers identified included the need for training of the surveillance staff, lack of a standardized definition, inadequate information technology support, struggles communicating with hospitals, inadequate time, and insufficient clinician engagement and leadership support. Staff performing home infusion CLABSI surveillance need health system resources, particularly leadership and front-line engagement, access to data, information technology support, training, dedicated time, and reports to perform tasks. Building home infusion CLABSI surveillance programs will require support from home infusion leadership pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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