التفاصيل البيبلوغرافية
| العنوان: |
Controlling nosocomial infection in adult intensive treatment unit: A quality improvement project. |
| المؤلفون: |
Omar, Islam, Shirazy, Mohamed, Omar, Mayar, Chaari, Anis |
| المصدر: |
International Journal of Risk & Safety in Medicine; 2020, Vol. 31 Issue 4, p267-273, 7p |
| مصطلحات موضوعية: |
CROSS infection prevention, ARTIFICIAL respiration, AUDITING, LEGAL compliance, CONCEPTUAL structures, HAND washing, INTENSIVE care units, MEDICAL quality control, PROFESSIONS, QUALITY assurance, DESCRIPTIVE statistics, ROOT cause analysis, CATHETER-associated urinary tract infections, ADULTS |
| مستخلص: |
BACKGROUND: Nosocomial infection is a significant burden on healthcare facilities. Its multifactorial nature renders it challenging to control. However, quality healthcare necessitates a safer service that poses no harm to the patient. OBJECTIVE: The aim of this project was to reduce the infection rates in the adult ITU to the benchmark levels. METHOD: We conducted an internal audit as a result of the high infection rates in the adult ITU. The audit started with root cause analysis using the fishbone quality tool. FOCUS-PDCA quality tool was used to design the framework. We introduced a change in the staff uniform laundry and organized a campaign to improve hand hygiene compliance using a multimodality approach. Moreover, we conducted training on aseptic techniques in ventilation, urinary catheter, and central lines insertion. Finally, we changed the ventilator filter to a higher quality brand which meets the standard specifications. Infection rates were monitored before and after the proposed changes. RESULTS: There was a marked reduction in ventilator-associated pneumonia; however, it did not reach the benchmark rates. Catheter line-associated bloodstream infection declined from above to below the benchmark. Catheter-associated urinary tract infection rates were below the benchmark; however, they showed a noticeable reduction. Hand hygiene adherence showed an improvement from 80% to 84%. However, this was below the predetermined target level of 90%. CONCLUSIONS: In-hospital laundry of staff uniforms is safer to control nosocomial infections. A multimodal approach is necessary to improve hand hygiene adherence and adoption of aseptic techniques. Quality improvement is a continuous process. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
