scholarly journals Bloodstream infection catheter-related: a literature review

2011 ◽  
Vol 6 (1) ◽  
pp. 208
Author(s):  
Regiane Souza Tigulini ◽  
Daniela Bicudo Angelieri
Keyword(s):  
Bloodstream Infection ◽  
Health Care Quality ◽  
Preventive Measures ◽  
Process Analysis ◽  
Venous Catheter ◽  
Care Quality ◽  
Care Processes ◽  
Factores De Riesgo ◽  
And Control ◽  
The Impact

ABSTRACT Objective: to conduct a survey of the issues about primary bloodstream infection related to the central venous catheter (CR-BSI), published from 2000 to 2010. Method: literature search based on the databases Lilacs and Medline. Results: of the 47 articles researched, the highest number of publication occurred in 2007: 23.4% in 2010, 10.63% in 2009, 17% in 2008 and 14.9% in 2007. Brazil was the second country to publish the most number of researches in this matter (21.27%). In these publications, 48.93% evaluated the impact on the prevention of RC-BSI; 36.17%  discussed about the epidemiology, risk factors and mortality rate; and 14.9% dealt with the description of recommended preventive measures, diagnosis and/or treatment. It wasn’t found, among these issues, any work that effectively evaluated the indicators of care processes. Conclusion: based on the increasing interest in learning the process of this infection and the expressiveness of the Brazilian publications added to the recommendations of the Brazilian National Health Surveillance Agency (ANVISA) on the process analysis with the aim of the introduction of a more assertive program to reduce this infection, it is suggested the need of a ceaseless search for new knowledge to ease the problems of prevention and control of RC-BSI.  Descriptors: infection control; catheter-related infections; health care quality indicators.RESUMOObjetivo: realizar um levantamento das publicações produzidas no período de 2000 a 2010 acerca das infecções primárias de corrente sanguínea relacionadas ao cateter central. Método: pesquisa bibliográfica às bases de dados Lilacs e Medline. Resultados: dos 47 artigos encontrados, a maior produção deu-se a partir de 2007: 23,4% em 2010, 10,63% em 2009, 17% em 2008, 14,9% em 2007. O Brasil foi o segundo país a publicar maior número de trabalhos sobre o assunto (21,27%). 48,93% das publicações avaliaram o impacto de intervenções na prevenção das IPCS-RC, 36,17% discorreram sobre a epidemiologia, fatores de risco e mortalidade e 14,9% enfocaram a descrição de recomendações de medidas preventivas, diagnóstico e/ou tratamento. Dentre a seleção não foram encontrados trabalhos avaliando efetivamente indicadores de processos assistenciais. Conclusão: o crescente aumento no interesse em conhecer o processo destas infecções, diante da expressividade de publicações brasileiras somada às recomendações da ANVISA sobre análise de processos, objetivando implantar programas de redução de infecção mais assertivos, aponta a necessidade em manter a busca constante por novos conhecimentos impactantes no problema do controle e prevenção das IPCS-RC. Descritores: controle de infecções; infecções relacionadas a cateter; indicadores de qualidade em assistência à saúde.RESUMENObjetivo: realizar una evaluación sobre las publicaciones de las infecciones primarias a cabo en el torrente sanguíneo relacionadas con el catéter central. Estas publicaciones son del periodo 2000 a 2010. Método: este documento se basa en los datos de LILACS y MEDLINE. Resultados: de cuarenta y siete (47) artículos de investigación, la mayoría de la producción de las infecciones ocurrió por primera vez en 2007: 23,4% en 2010, 10,63% en 2009, el 17% en 2008 y 14,9% en 2007. Brasil fue el segundo país de publicar el mayor número de investigaciones en esta materia (21,27%). En estas publicaciones, 48,93% estimó que el impacto en la prevención de IPCS-RC, 36,17% calificó la epidemia y sus tratamientos, los factores de riesgo y la mortalidad, y un 14,9% frente a la descripción de las recomendaciones de los métodos preventivos de diagnóstico y / o tratamientos. No se encontró, en esta selección, los trabajos efectivamente evaluar el indicador de proceso del asistente. Conclusión: el aumento del interés de conocer el proceso de estas infecciones, las publicaciones brasileñas y con las recomendaciones de la ANVISA sobre el proceso de análisis para el objetivo de la creación de programas en la reducción de estas infecciones muestra la necesidad de continuar la búsqueda de nuevos conocimientos en problemas de prevención y control de IPCS-RC. Descriptores: control de las infecciones; las infecciones relacionadas con cateter; los indicadores de calidad en la asistencia sanitaria.

scholarly journals The correlation between nursing workload and bloodstream infection from central venous catheter in ICU

2019 ◽  
Vol 2 (1) ◽  
pp. 63 ◽  
Author(s):  
Olga Michali ◽  
Georgios Argyriou ◽  
Georgia Xristopoulou ◽  
Theodore Kapadohos ◽  
Georgios Vasilopoulos ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Venous Catheter ◽  
Care Quality ◽  
Nursing Workload ◽  
Statistical Criterion ◽  
Central Venous ◽  
Significant Difference ◽  
The Impact

Introduction: Bloodstream infection associated with the presence of central venous catheters is the second most common hospital infection in the Intensive Care Unit (ICU). The nursing stuff is an essential part of the human resources of the ICU which contributes substantially to provide holistic and effective care to critically ill patients. The level of the nursing workload and its possible influence on the clinical course and outcome of critically ill ICU patients has been systematically studied in recent years. Mainly, was studied the connection with the care quality indicators such as mortality and infections Aim: The purpose of this study was to estimate the nursing workload in the ICU and to investigate the impact of bloodstream infection from Central Venous Catheter (CLABSI). Methods: The study sample consisted of 39 patients who were hospitalized in a multidisciplinary ICU in a 3 month period. For the detection of bloodstream infections we used the surveillance definition of CDC/NHSN for in vitro confirmed bloodstream infection (CLABSI). Measurement of nursing workload was via the NAS scale and the calculation was performed for each patient once existed or entering the ICU from baseline and constantly on a daily basis. A comparison of the quantitative variables was done with the statistical criterion Pearson’s x 2 , to compare the bisectors qualitative variables selected quantitative variables was used the t-test analysis and MannWhitney test. Results: Of the total sample, 74,4% (n = 29) were male, with a mean age 59 ± 21 years. The duration of ICU stay was 24 ± 23 days and mortality was 41%. The duration of hospitalization was 28 ± 24 days and the corresponding mortality of 46.2%. All correlations presented no statistically significant difference than the first day’s NAS in which appears the biggest difference between the values (p=0,046) but the NAS of the patients who did not develop bacteremia be more increased over those experienced. Conclusions: The nursing workload in our study did not prove as a risk factor for the occurrence of bloodstream infection in the ICU.

scholarly journals Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

2020 ◽  
Vol 10 (1) ◽  
pp. 11-24
Author(s):  
Agustinus Hermino
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Quality ◽  
Health Sector ◽  
Well Being ◽  
Individual Variability ◽  
Care Quality ◽  
Global Era ◽  
The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life 

Medical Errors

2017 ◽  
pp. 33-60
Author(s):  
Jayita Poduval
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
System Failures ◽  
Root Cause ◽  
The Impact ◽  
Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

Creating Optimal Healing Environments

2014 ◽  
pp. 84-100
Author(s):  
Terri Zborowsky ◽  
Mary Jo Kreitzer
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Built Environment ◽  
Health Care Quality ◽  
Care Quality ◽  
Care Providers ◽  
Design Elements ◽  
Healing Environment ◽  
Care Processes ◽  
Healing Environments

Creating an optimal healing environment requires attentiveness to the built environment as well as care processes, culture, and competencies of care providers and leadership. There are over 1,000 studies that link the physical environment to outcomes such as health care quality, patient safety, reduction of stress and improvements in patient safety. Key design elements highlighted include access to nature, access to daylight, positive distractions, and the ambient environment.

scholarly journals USE OF CLINICAL INDICATORS IN THE EVALUATION OF PREVENTION AND CONTROL PRACTICES FOR BLOODSTREAM INFECTION

2015 ◽  
Vol 24 (4) ◽  
pp. 1018-1026 ◽  
Author(s):  
Francisca Jane Gomes de Oliveira ◽  
Joselany Afio Caetano ◽  
Viviane Martins da Silva ◽  
Paulo César de Almeida ◽  
Andrea Bezerra Rodrigues ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Bloodstream Infection ◽  
Prevention And Control ◽  
Compliance Rate ◽  
Case Series ◽  
Venous Catheter ◽  
Central Venous ◽  
Clinical Indicators ◽  
And Control ◽  
Catheter Related Bloodstream Infection

ABSTRACT The aim of this study was to evaluate the compliance of the implemented prevention and control practices for central venous catheter-related bloodstream infection, through clinical indicators. An observational study, with a quantitative approach, was conducted. The case series was based on 2064 evaluations, conducted through direct observation and medical records, using a manual for evaluating the quality of cross-infection control practices. The results showed that the indicator for the registrations of the insertion and dwell time of the catheter had the highest overall compliance rate (62.5%). The indicator related to hand hygiene, on the other hand, showed a null overall compliance rate. Strategies must be developed to ensure adherence to the prevention and control practices for central venous catheter-related bloodstream infection and periodic evaluations of working conditions must be implemented, in order to raise compliance rates.

scholarly journals The Impact of Discharge Decisions on Health Care Quality

1998 ◽  
Vol 44 (3) ◽  
pp. 400-415 ◽  
Author(s):  
Emre Berk ◽  
Kamran Moinzadeh
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
The Impact

scholarly journals A Quality Improvement Initiative to Decrease Platelet Ordering Errors and a Proposed Model for Evaluating Clinical Decision Support Effectiveness

2019 ◽  
Vol 10 (03) ◽  
pp. 505-512
Author(s):  
Julia Whitlow Yarahuan ◽  
Amy Billet ◽  
Jonathan D. Hron
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Health Care Quality ◽  
Platelet Transfusion ◽  
Tertiary Care ◽  
Clinical Decision ◽  
Care Quality ◽  
Inpatient Service ◽  
The Impact ◽  
Order Set

Background and Objectives Clinical decision support (CDS) and computerized provider order entry have been shown to improve health care quality and safety, but may also generate previously unanticipated errors. We identified multiple CDS tools for platelet transfusion orders. In this study, we sought to evaluate and improve the effectiveness of those CDS tools while creating and testing a framework for future evaluation of other CDS tools. Methods Using a query of an enterprise data warehouse at a tertiary care pediatric hospital, we conducted a retrospective analysis to assess baseline use and performance of existing CDS for platelet transfusion orders. Our outcome measure was the percentage of platelet undertransfusion ordering errors. Errors were defined as platelet transfusion volumes ordered which were less than the amount recommended by the order set used. We then redesigned our CDS and measured the impact of our intervention prospectively using statistical process control methodology. Results We identified that 62% of all platelet transfusion orders were placed with one of two order sets (Inpatient Service 1 and Inpatient Service 2). The Inpatient Service 1 order set had a significantly higher occurrence of ordering errors (3.10% compared with 1.20%). After our interventions, platelet transfusion order error occurrence on Inpatient Service 1 decreased from 3.10 to 0.33%. Conclusion We successfully reduced platelet transfusion ordering errors by redesigning our CDS tools. We suggest that the use of collections of clinical data may help identify patterns in erroneous ordering, which could otherwise go undetected. We have created a framework which can be used to evaluate the effectiveness of other similar CDS tools.

Nurse/patient ratio increase and the impact on health care quality and cost in a center of a public hospital intensive care and teaching

2017 ◽  
Vol 42 ◽  
pp. 401
Author(s):  
Andreza Werli-Alvarenga ◽  
Fernando Antônio Botoni ◽  
Daniela Mascarenhas de Paula ◽  
Edna Marileia Meireles Leite
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Health Care Quality ◽  
Public Hospital ◽  
Care Quality ◽  
Ratio Increase ◽  
The Impact

scholarly journals EFFECT OF SAFE PATIENT HANDLING (SPH) PROGRAM ON REHABILITATION OUTCOMES AND ON SAFETY OF PHYSICAL THERAPISTS IN RURAL HOSPITAL: A RANDOMIZED CLINICAL TRIAL

2021 ◽  
Vol 10 (5) ◽  
pp. 3610-3613
Author(s):  
Deepali Patil
Keyword(s):  
Health Care Quality ◽  
Physical Therapists ◽  
Intervention Group ◽  
Recovery Process ◽  
Care Quality ◽  
Patient Treatment ◽  
Rehabilitation Unit ◽  
Rehabilitation Outcomes ◽  
Improve Health Care Quality ◽  
The Impact

Patient management and intervention practices are a crucial component of patient treatment in the hospitals. Increase in inpatient mobilization to improve patient treatment raises a physiotherapist’s physical demands and therefore risk of injury. With the context of a patient mobilization program, better work procedures and decrease in physiotherapist’s injuries while working, SPH program was incorporated. The purpose of this study is to assess the impact of the SPH program and mobilization in the context of efforts to improve health care quality and patient safety, as well as the safety of physical therapists. There will be 2 groups, intervention (SPH) and comparison (no-SPH) each group will consist of 30 patients. The intervention group will be consisting the patients admitted in rehabilitation unit for the first three months of the research and the comparison group will consist the patients admitted in rehabilitation unit in the last 3 months of the research. Intervention group will undergo rehabilitation with SPH program which will include equipment like lifts based on ceiling and floors, sit to stand supports, motorized hospital beds and ambulation aids. In this study we found that the SPH program did not impede rehabilitation but also somewhat sped up the recovery process. Patients who had an SPH program during rehabilitation showed similar but better outcomes than those who did not.

The Impact of Hospital Accreditation on the Patients Satisfaction of Haemodialysis Department Services

2018 ◽  
Vol 6 (8) ◽  
pp. 384
Author(s):  
Zuber Mujeeb Shaikh
Keyword(s):  
Patient Satisfaction ◽  
Health Care Quality ◽  
Tertiary Care ◽  
Care Quality ◽  
Care Hospital ◽  
Significant Difference ◽  
Before And After ◽  
The Impact ◽  
Survey Questionnaires

The quality of hospital Haemodialysis Department Service is one of the most relevant items of health care quality perceived by patients and by their families. Patient satisfaction is considered a way of measuring the quality of services provided. Objectives: To study the impact of National Accreditation Board for Hospitals & Healthcare Providers (NABH) Accreditation, India on Haemodialysis Department Service patient satisfaction. Methods: It is a quantitative, descriptive and inferential research based case study in which sample of a population was studied by structured satisfaction survey questionnaires (before and after the accreditation) in a private tertiary care hospital at Secunderabad, Telangana State, India to determine its characteristics, and it is then inferred that the population has the same or different characteristics. Significance of Research: It was observed initially before the accreditation that there was a lower patient satisfaction rate of the hospital Haemodialysis Department Services, which was affecting the study hospitals’ business. Hypothesis: Null Hypothesis (Ho) and Alternative Hypothesis (H1) were used and tested to compare the before and after impact of accreditation by applying to each question in the questionnaire. Study Design: The closed ended questionnaire was developed considering the Haemodialysis Department Services and incorporated the six dimensions of quality Safe, Timely, Effective, Efficient, Equitable, and Patient-centred (STEEP) and tested prior to implementing. Questionnaires were given to the patients' families for completion upon using the Haemodialysis Department Services two months before and two months after the accreditation. The data were collected in order to cover all three shifts of the Haemodialysis Department Services. Study Population: Simple random sampling method was selected, the researcher had involved all conscious patients (clinical conditions) from all age groups. Data Collections: Primary data were collected from the survey questionnaires. Secondary data were collected from relevant published journals, articles, research papers, academic literature and web portals. Conclusion: At the 5 % level of significance, the t-test results indicate that there is a significant difference in the responses between before (M=51.11, SD=21.89) and after accreditation (M=58.56, SD=17.28) with p-value <0.001. The mean satisfaction score has improved from before accreditation compared to after accreditation.

Sign in / Sign up

Export Citation Format

Share Document