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梅奥诊所通过“6C 综合措施”降低导尿管相关尿路感染发生率

Mayo Clinic Reduces Catheter-Associated Urinary Tract Infections Through a Bundled 6-C Approach.

作者信息

Sampathkumar Priya, Barth Jean Wentink, Johnson Maureen, Marosek Nick, Johnson Maren, Worden Wendy, Lembke Jill, Twing Heather, Buechler Tamara, Dhanorker Sarah, Keigley Danielle, Thompson Rodney

出版信息

Jt Comm J Qual Patient Saf. 2016 Jun;42(6):254-61. doi: 10.1016/s1553-7250(16)42033-7.

DOI:10.1016/s1553-7250(16)42033-7
PMID:27344686
Abstract

The primary CAUTI reduction strategies of ensuring aseptic technique during catheter placement and reducing urinary catheter utilization were already in place at our institution. A multidisciplinary team approach, which entailed the use of QI methodology and engagement of frontline staff, resulted in the identification of additional strategies to reduce CAUTI. By implementing these strategies, we successfully reduced CAUTIs and have sustained this reduction through March 2016. The tools created during this project can be easily adapted for use at other institutions.

摘要

在我们机构中,确保导管插入过程中的无菌技术以及减少导尿管使用这两种主要的降低导尿管相关尿路感染(CAUTI)的策略已经到位。一种多学科团队方法,其中包括采用质量改进方法以及让一线工作人员参与进来,促成了识别出更多降低CAUTI的策略。通过实施这些策略,我们成功减少了CAUTI病例,并且一直保持这种减少趋势直至2016年3月。在这个项目期间创建的工具能够很容易地改编以供其他机构使用。

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Catheter-associated urinary tract infection reduction in critical care units: a bundled care model.重症监护病房中导管相关尿路感染的降低:捆绑式护理模式。
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Quality Improvement Interventions and Implementation Strategies for Urine Culture Stewardship in the Acute Care Setting: Advances and Challenges.
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