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外周静脉可消毒无针密闭式接头擦洗装置的使用增加

Increasing Utilization of Scrubbing Devices for Peripheral Intravenous Disinfectable Needleless Closed Connectors.

作者信息

Mohan Vikasni, Maga Joni M, Landino-Delgado Marianfeli C, Rouse Lauren M, Epstein Richard H, O'Brien Eva L, Stein Alecia L, Horn Danielle B

机构信息

Anesthesiology, Perioperative Medicine and Pain Management, University of Miami Miller School of Medicine, Miami, USA.

Anesthesiology, Jackson Health System Center for Patient Safety, University of Miami Miller School of Medicine, Miami, USA.

出版信息

Cureus. 2024 Jun 4;16(6):e61662. doi: 10.7759/cureus.61662. eCollection 2024 Jun.

Abstract

Introduction Peripheral intravenous (IV) administration sets are a source of infection that increases morbidity, mortality, and healthcare costs. In this quality improvement project, we aimed to enhance compliance with peripheral IV hub disinfection at anesthesia induction to follow the American Society of Anesthesiologists (ASA) safe medication injection guidelines. Methods This study was conducted in the main operating suite of the University of Miami's principal hospital between June and October 2023. Audits of scrubbing device utilization by the anesthesiology team and focus groups were conducted before and after two educational interventions. Educational efforts focused on increasing compliance with peripheral IV disinfection using scrubbing devices.  Results Mean use per case, inferred from the number of devices dispensed, nearly doubled from 0.44 (95% CI, 0.37 to 0.59) to 0.82 (95% CI, 0.77 to 0.88) (P < 0.0001). Implications regarding steps to further enhance compliance are discussed. Conclusions Through a simple educational program, scrubbing device utilization increased significantly from baseline.

摘要

引言 外周静脉输液装置是感染源,会增加发病率、死亡率和医疗成本。在这个质量改进项目中,我们旨在提高麻醉诱导时外周静脉输液接头消毒的依从性,以遵循美国麻醉医师协会(ASA)安全用药注射指南。方法 本研究于2023年6月至10月在迈阿密大学主要医院的主手术室进行。在两次教育干预前后,对麻醉团队使用擦洗装置的情况进行了审核,并开展了焦点小组讨论。教育工作重点是提高使用擦洗装置对外周静脉进行消毒的依从性。结果 从发放的装置数量推断,每例的平均使用量从0.44(95%CI,0.37至0.59)几乎翻倍至0.82(95%CI,0.77至0.88)(P<0.0001)。讨论了关于进一步提高依从性的步骤的相关问题。结论 通过一个简单的教育项目,擦洗装置的使用量较基线水平显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4937/11223665/6efef69f9262/cureus-0016-00000061662-i01.jpg

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