导尿管相关尿路感染：在一家学术医疗中心采用多管齐下的举措成功预防
Catheter-associated urinary tract infection: a successful prevention effort employing a multipronged initiative at an academic medical center.
作者信息
Purvis Suzanne, Gion Therese, Kennedy Gregory, Rees Susan, Safdar Nasia, VanDenBergh Shelly, Weber Jessica
机构信息
Nursing Practice Innovation (Dr Purvis), Quality and Safety (Ms Gion), Development, Nursing & Patient Care Services (Dr Rees), General Medicine & Geriatrics/Family Practice & Forensics (Ms VanDenBergh), and Transplant & General Surgery (Ms Weber), University of Wisconsin Hospital and Clinics, Madison, Wisconsin; Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin (Dr Kennedy); and Division of Infectious Diseases, Department of Medicine, University of Wisconsin School of Medicine and Public Health and the William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin (Dr Safdar).
出版信息
J Nurs Care Qual. 2014 Apr-Jun;29(2):141-8. doi: 10.1097/NCQ.0000000000000037.
An interdisciplinary clinical improvement workgroup was formed at this academic medical center with the goal of reducing catheter-associated urinary tract infections (CAUTIs). In 2011, the CAUTI rate was noted to be 4.7 CAUTIs per 1000 catheter days. Rounding by 2 lead clinical nurse specialists revealed deficiencies in current practice, which were addressed with multifaceted strategies, including evidence-based indwelling urinary catheter and bladder management protocols, education of staff, reporting of data, and utilization of an icon in the electronic health record (EHR). After the implementation of these strategies, the CAUTI rate decreased and was noted to be 2.4 in February 2013. In addition to this, there was a downward trend line for catheter days.
这家学术医疗中心成立了一个跨学科临床改进工作组，目标是减少导尿管相关尿路感染（CAUTIs）。2011年，CAUTI发生率为每1000导尿日4.7例。两位首席临床护理专家发现当前实践存在缺陷，并通过多方面策略加以解决，包括基于证据的留置导尿管和膀胱管理方案、员工教育、数据报告以及在电子健康记录（EHR）中使用图标。实施这些策略后，CAUTI发生率下降，2013年2月降至2.4例。此外，导尿日数呈下降趋势。
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