When Infections Are Found: A Qualitative Study Characterizing Best Management Practices for Central Line-Associated Bloodstream Infection and Catheter-Associated Urinary Tract Infection Performance Monitoring and Feedback.
Autor: | Gaughan, Alice A., MacEwan, Sarah R., Gregory, Megan E., Eramo, Jennifer L., Rush, Laura J., Hebert, Courtney L., McAlearney, Ann Scheck |
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Předmět: |
PREVENTION of bloodborne infections
MEDICAL protocols CORPORATE culture RESEARCH funding QUALITATIVE research INTERPROFESSIONAL relations ACADEMIC medical centers PATIENT safety CATHETER-related infections LEADERSHIP INTERVIEWING MEDICAL coding software RESPONSIBILITY JUDGMENT sampling HOSPITAL emergency services THEMATIC analysis ATTITUDES of medical personnel RESEARCH methodology CATHETER-associated urinary tract infections PATIENT monitoring QUALITY assurance HEALTH care teams |
Zdroj: | Nursing Reports; Jun2024, Vol. 14 Issue 2, p1058-1066, 9p |
Abstrakt: | Healthcare-associated infections (HAIs) remain a significant patient safety problem that can lead to illness and death, despite the implementation of clinical bundles to prevent HAIs. Management practices can support HAI prevention, but their role in HAI performance monitoring and feedback is not well understood. To address this knowledge gap, we previously conducted semi-structured interviews with staff at 18 hospitals to examine the role of management practices around the prevention of central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs). Interview transcripts were analyzed to identify themes related to HAI performance monitoring and feedback. The current analysis focuses on 10 higher-performing hospitals that were successful in preventing CLABSIs and CAUTIs. These institutions had robust practices including timely event analysis, leadership engagement, and multidisciplinary participation in HAI reviews. Across these sites, we found common goals including investigating HAIs without blame and identifying opportunities for improvement. Management practices such as timely analysis of HAIs, collaboration between facility leadership and multidisciplinary team members, and a focus on identifying the failure of a procedure or protocol, rather than the failure of staff members, are all approaches that can support infection prevention efforts. These management practices may be especially important as hospitals attempt to address increases in CLABSI and CAUTI rates that may have occurred during the coronavirus pandemic. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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