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Note too, that a teaching / training program was the constituent of the two multi-faceted programs, whilst the study of the independent training program, in reality, also incorporated the other 2 programs in that participants were induced to practice instructions. On the other hand, some of the questions involving the study of the training program was that since it was a self-module it depended on voluntary motivation of individuals to complete modulus and one cannot know how many of them actually did or with what degree of concentration. The fact that their baseline and post-test examinations showed differences in results cannot be conclusively traced to effect of training program.
That all studies were nested can also be indicated in the two multi-faceted interventions were that of Pronovost et al. (2006) was nested in that of Berenholtz, et al. (2004). Whilst Pronovost et al. (2006) tested 5 evidence-based...
(2004).
In this way, I prefer Berenholtz et al. (2004) study to that of the others since I see all of the other studies inclusive in that of Berenholtz, et al. (2004). They have an educational program; they implement the 5 evidence-based reducing variables; and they use CHG.
References
Berenholtz, SM et al. (2004) Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med Vol. 32, No. 10, 2014-2020
Bleasdale, SB et al. (2007) Effectiveness of Chlorhexidine Bathing to Reduce Catheter-Associated Bloodstream Infections in Medical Intensive Care Unit Patients Arch Intern Med.;167(19):2073-2079
Coopersmith CM et al. (2002). Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit Crit Care Med Vol. 30, No. 1, 59-64
Pronovost,, P. et al. (2006) An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU N. Engl J. Med 355;26, 2725-2732
Catheter-Related Infections Central Catheter-related ICU Infections Central Catheter-Related Infections in ICUs Reducing Central Catheter-Related ICU Infections in Michigan Reducing Central Catheter-Related ICU Infections in Michigan Teams of clinicians at five hospitals across Michigan reported their efforts to reduce the frequency of catheter-related bloodstream infections in intensive care units (ICUs) through the implementation of five patient safety measures: (1) hand washing, (2) full barrier precautions during insertion of central venous catheters, (3) use of chlorhexidine
CR-BSIs Preventing Catheter-Related Bloodstream Infections Hadaway (2006) sought to provide practice guidance to nurses for catheter-related bloodstream infections (CR-BSI). The points of emphasis included short peripheral catheters, but the main focus was infections associated with central venous catheters (CVC) because these occur more often and result in more severe adverse outcomes. To support these practice recommendations, Hadaway relied on CVC best practice guidelines published by the Institute for Healthcare Improvement (IHI). The
Nosocomial Infections Synthesis The evidence-based approach utilized and advocated by all the authors cited in this essay can be viewed through the lens of a PDSA process as described by Hadaway (2006). For example, Pronovost and colleagues were interested in reducing the incidence of preventable CR-BSIs in the ICU setting in Michigan. They first identified an evidence base supporting an intervention and then planned how to implement the intervention to cause a
Reducing The Risk of CVC Related Infections Post InsertionMultiple lumen central venous catheters (CVCs) are used to administer large amounts of intravenous fluids, blood products, and medications. In the past, they were only used in the intensive care unit. However, they are now used in all areas of health care. CVCs are inserted through a large central vein like the subclavian vein, and they terminate at the junction of the
Evidence-Based Policy and Practice: Central Venous Catheter -- Sterile vs. Clean Techniques Central line infections can be serious and even life threatening but the threat is largely preventable when proper cleaning techniques are used. This paper provides a description of this problem, a review of the relevant literature concerning central venous catheters and the sterile vs. clean technique to demonstrate that the latter is the superior approach. Finally, a description of
Introduction, Analysis of Existing Evidence, and Quality Improvement Process Hemodialysis patients are at high risks of infection due to their impaired immune defenses and repetitive access of the bloodstream via vascular access types. The treatment process of hemodialysis involves using different processes and equipment that sometimes worsen the patients’ conditions. For example, frequent antibiotics administration to these patients generates antimicrobial resistance and multidrug-resistant organisms. Central venous catheters (CVCs) are among the