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提高内科病房导尿管相关尿路感染率

Improving Catheter Associated Urinary Tract Infection Rates in the Medical Units.

作者信息

Taha Haytham, Raji Salama J, Khallaf Abeer, Abu Hija Seham, Mathew Raji, Rashed Hanan, Du Plessis Christelle, Allie Zaytoen, Ellahham Samer

机构信息

Sheikh Khalifa Medical City, United Arab Emirates.

出版信息

BMJ Qual Improv Rep. 2017 Apr 6;6(1). doi: 10.1136/bmjquality.u209593.w7966. eCollection 2017.

DOI:10.1136/bmjquality.u209593.w7966
PMID:28469893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5387977/
Abstract

Sheikh Khalifa Medical City (SKMC) in Abu Dhabi is the main tertiary care referral hospital in the United Arab Emirates (UAE) with 560 bed capacity with a high occupancy rate. SKMC senior management has made a commitment to make quality and patient safety a top priority. Preventing health care associated infections, including Catheter Associated Urinary Tract Infection (CAUTI), is a high priority for our hospital. In order to improve CAUTI rates a multidisciplinary task force team was formed and led this performance improvement project. The purpose of this publication is to indicate the quality improvement interventions implemented to reduce CAUTI rates and the outcome of those interventions. We chose to conduct the pilot study in General Medicine as it is the busiest department in the hospital, with an average of 390 patients admitted per month during the study period. The study period was from March 2015 till April 2016. Our aim was to reduce CAUTI rates per 1000 device days in the medical units. Implemented interventions resulted in a reduction of CAUTI from 6.8 per 1000 device days in March 2015 to zero CAUTI in February through April 2016.

摘要

位于阿布扎比的谢赫·哈利法医疗城(SKMC)是阿拉伯联合酋长国(UAE)的主要三级医疗转诊医院,拥有560张床位,入住率很高。SKMC的高级管理层已承诺将质量和患者安全作为首要任务。预防包括导尿管相关尿路感染(CAUTI)在内的医疗保健相关感染是我们医院的高度优先事项。为了提高CAUTI率,成立了一个多学科特别工作组,并领导了这个绩效改进项目。本出版物的目的是说明为降低CAUTI率而实施的质量改进干预措施以及这些干预措施的结果。我们选择在普通内科进行试点研究,因为它是医院最繁忙的科室,在研究期间平均每月收治390名患者。研究期从2015年3月至2016年4月。我们的目标是降低医疗单位每1000个器械日的CAUTI率。实施的干预措施使CAUTI率从2015年3月的每1000个器械日6.8例降至2016年2月至4月的零例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b23/5387977/b34079722554/bmjqiru209593w7966f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b23/5387977/4bf52497abe8/bmjqiru209593w7966f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b23/5387977/b34079722554/bmjqiru209593w7966f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b23/5387977/4bf52497abe8/bmjqiru209593w7966f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b23/5387977/b34079722554/bmjqiru209593w7966f02.jpg

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本文引用的文献

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实施关键绩效指标对沙特阿拉伯成年重症监护病房患者导尿管相关尿路感染(CAUTI)发生率的影响
Clinicoecon Outcomes Res. 2023 Jan 19;15:41-49. doi: 10.2147/CEOR.S396160. eCollection 2023.
4
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。
BMJ Open Qual. 2021 Dec;10(4). doi: 10.1136/bmjoq-2021-001534.
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Medication Risk Management.药物风险管理
Innov Pharm. 2019 Aug 31;10(1). doi: 10.24926/iip.v10i1.1647. eCollection 2019.
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Community Acquired Urosepsis: A surgical intensive care Experience.社区获得性泌尿道脓毒症:外科重症监护经验
Qatar Med J. 2020 Apr 2;2020(1):8. doi: 10.5339/qmj.2020.8. eCollection 2020.
7
Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals.确定导管相关性尿路感染的危险因素:六家医院的大型横断面研究。
BMJ Open. 2019 Feb 21;9(2):e022137. doi: 10.1136/bmjopen-2018-022137.
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Reducing the rate of post-surgical urinary tract infections in orthopedic patients.降低骨科患者术后尿路感染的发生率。
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