| Ohio Statewide Quality-Improvement Collaborative to Reduce Late-Onset Sepsis in Preterm Infants. | |
| | |
MedLine Citation:
|
PMID: 21339274 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objective: We aimed to reduce late-onset bacterial infections in infants born at 22 to 29 weeks' gestation by using collaborative quality-improvement methods to implement evidence-based catheter care. We hypothesized that these methods would result in a 50% reduction in nosocomial infection. Patients and Methods: We conducted an interrupted time-series study among 24 Ohio NICUs. The intervention began in September 2008 and continued through December 2009. Sites used the Institute for Healthcare Improvement Breakthrough Series quality-improvement model to facilitate implementation of evidence-based catheter care. Data were collected monthly for all catheter insertions and for at least 10 observations of indwelling catheter care. NICUs also submitted monthly data on catheter-days, patient-days, and episodes of infection. Data were analyzed by using statistical process control methods. Results: During the intervention, NICUs submitted information on 1916 infants. Of the 242 infections reported, 69% were catheter associated. Compliance with catheter-insertion components was >90% by April 2009. Compliance with components of evidence-based indwelling catheter care reached 80.4% by December 2009. There was a significant reduction in the proportion of infants with at least 1 late-onset infection from a baseline of 18.2% to 14.3%. Conclusions: There was a 20% reduction in the incidence of late-onset infection after the intervention, but the magnitude was less than hypothesized, perhaps because compliance with components of evidence-based care of indwelling catheters remained <90%. Because nearly one-third of infections were not catheter associated, improvement may require attention to other aspects of care such as skin integrity and nutrition. |
| | |
Authors:
|
Heather C Kaplan; Carole Lannon; Michele C Walsh; Edward F Donovan; |
Related Documents
:
|
23194214 - Approaching families for organ donation-intensivists' perspectives. 21560894 - Improving clinical handover in emergency departments. 22238044 - Lungs in critical care: new look at old practices. 20875204 - The spirit of palliative practice: a qualitative inquiry into the spiritual journey of ... 8563404 - Cost effective computerized decision support: tracking caregiver acceptance at the poin... 7815854 - Outpatient care of selected patients with acute non-variceal upper gastrointestinal hae... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-2-21 |
Journal Detail:
|
Title: Pediatrics Volume: - ISSN: 1098-4275 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-2-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Perinatal Institute and. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Nosocomial infection reduction in VLBW infants with a statewide quality-improvement model.
Next Document: Randomized controlled trial of cephalexin versus clindamycin for uncomplicated pediatric skin infect...