Abstract：
BACKGROUND: Following a 200% increase in the central line-associated bloodstream infection (CLABSI) standardized infection ratio in a private teaching hospital between 2019 and 2020, a program with the utilization of a CLABSI Prevention Registered Nurse was implemented to reduce CLABSIs through a variety of focused prevention efforts and education.
METHODS: The CLABSI P-RN project consisted of a dedicated team of RNs that performed interventions that included an audit of all central lines daily, real-time education and remediation, bi-weekly educational handouts, and assistance with 2-person dressing changes. Audit data were utilized to identify trends in gaps in compliance with the CLABSI bundle (ie, daily bathing, dressing integrity). The CLABSI rate/1,000 central line days were tracked in preintervention, intervention, and postintervention time periods.
RESULTS: During the intervention, the CLABSI rate decreased from 1.4 during the preintervention time period, to 0.4 during the intervention time period (P-value .04). Additionally, daily bathing compliance improved from 84.3% during the preintervention time period, to 90.8% during the intervention time period (P-value .004).
CONCLUSIONS: The implementation of the CLABSI P-RN was beneficial in reducing CLABSIs.
CONCLUSIONS: An expert-trained role dedicated to central line management reduces CLABSI occurrences, reduces health care costs, and improves patient outcomes.
METHODS: The CLABSI P-RN project consisted of a dedicated team of RNs that performed interventions that included an audit of all central lines daily, real-time education and remediation, bi-weekly educational handouts, and assistance with 2-person dressing changes. Audit data were utilized to identify trends in gaps in compliance with the CLABSI bundle (ie, daily bathing, dressing integrity). The CLABSI rate/1,000 central line days were tracked in preintervention, intervention, and postintervention time periods.
RESULTS: During the intervention, the CLABSI rate decreased from 1.4 during the preintervention time period, to 0.4 during the intervention time period (P-value .04). Additionally, daily bathing compliance improved from 84.3% during the preintervention time period, to 90.8% during the intervention time period (P-value .004).
CONCLUSIONS: The implementation of the CLABSI P-RN was beneficial in reducing CLABSIs.
CONCLUSIONS: An expert-trained role dedicated to central line management reduces CLABSI occurrences, reduces health care costs, and improves patient outcomes.
摘要：
背景：在2019年至2020年期间，一家私立教学医院的中心线相关血流感染（CLABSI）标准化感染率（SIR）增加了200％之后，实施了一项利用CLABSI预防注册护士（PR-N）的计划，通过各种重点预防工作和教育来减少CLABSI。
方法：CLABSIP-RN项目由一个专门的RN团队组成，该团队进行干预，包括每天对所有中央线路进行审计，实时教育和补救，两周一次的教育讲义，并协助2人换装。审计数据用于确定符合CLABSI捆绑包的差距趋势(即，每天洗澡,敷料完整性)。在干预前跟踪CLABSI率/1000个中心线日，干预和干预后时间段。
结果：在干预期间，CLABSI率从干预前时间段的1.4下降，在干预时间段内为0.4(p值0.04)。此外,每日洗澡依从性从干预前的84.3%提高，在干预时间段内为90.8%(p值0.004)。
结论：实施CLABSIP-RN有利于减少CLABSI。
结论：专门负责中央线路管理的专家培训角色减少了CLABSI的发生，降低医疗成本,改善患者预后。
方法：CLABSIP-RN项目由一个专门的RN团队组成，该团队进行干预，包括每天对所有中央线路进行审计，实时教育和补救，两周一次的教育讲义，并协助2人换装。审计数据用于确定符合CLABSI捆绑包的差距趋势(即，每天洗澡,敷料完整性)。在干预前跟踪CLABSI率/1000个中心线日，干预和干预后时间段。
结果：在干预期间，CLABSI率从干预前时间段的1.4下降，在干预时间段内为0.4(p值0.04)。此外,每日洗澡依从性从干预前的84.3%提高，在干预时间段内为90.8%(p值0.004)。
结论：实施CLABSIP-RN有利于减少CLABSI。
结论：专门负责中央线路管理的专家培训角色减少了CLABSI的发生，降低医疗成本,改善患者预后。
