Using the Expertise of a Clinical Nurse Specialist to Lead a Neonatal Peripherally Inserted Central Catheter Team to Central Line-Associated Bloodstream Infection Reduction and Cost-Efficiency Through Quality Improvement.
| Autor: | Bedwell S; Author Affiliations: Assistant Professor (Dr Bedwell), University of Oklahoma Fran and Earl Ziegler College of Nursing; and Director of Quality (Dr Bedwell), Director of Neonatal Nursing (Oberlechner), and Neonatologist (Drs Pogribna and Sekar), Oklahoma Children's Hospital, Oklahoma City., Oberlechner M, Pogribna U, Sekar K |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of nursing administration [J Nurs Adm] 2024 Oct 01; Vol. 54 (10), pp. 574-579. |
| DOI: | 10.1097/NNA.0000000000001491 |
| Abstrakt: | Objective: This quality improvement project aimed to reduce central line bacteremias (central line-associated bloodstream infections [CLABSIs]) in a neonatal ICU (NICU) to a CLABSI rate of zero using a clinical nurse specialist (CNS)-led neonatal peripherally inserted central catheter (PICC) team. Background: The NICU at the study site was experiencing more than twice the National Healthcare Safety Network average CLABSI rate at 2.2 per 1000 line-days with an estimated cost of $2 072 806 to the organization. Methods: In early 2009, the CNS guided the unit from on-demand PICC placement to a dedicated team of PICC certified nurses who assumed total care of PICC line insertion and maintenance. The project used a continual, rapid cycle quality improvement model to incorporate the current evidence-based practices. Results: The CNS-led PICC team has maintained a zero CLABSI rate for 9 years with only 1 CLABSI since June 2022. Conclusions: The adoption of a CNS-led PICC team was instrumental in achieving a zero CLABSI rate over a prolonged period. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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