Show simple item record

dc.contributor.authorKleidon, Tricia
dc.contributor.authorIlling, Abby
dc.contributor.authorFogarty, Gerry
dc.contributor.authorEdwards, Rachel
dc.contributor.authorTomlinson, Jane
dc.contributor.authorUllman, Amanda
dc.date.accessioned2017-09-21T00:46:06Z
dc.date.available2017-09-21T00:46:06Z
dc.date.issued2015
dc.identifier.issn1835-5617
dc.identifier.doi10.1071/HI14038
dc.identifier.urihttp://hdl.handle.net/10072/159455
dc.description.abstractIntroduction: Central venous access devices (CVADs) provide essential and reliable vascular access, but infection is a common and serious complication with paediatric patients. CVAD bundles have been demonstrated to effectively reduce central line-associated bloodstream infections (CLABSI), but primarily during CVAD insertion. Another emerging strategy to encourage best practice is the use of a dedicated CVAD trolley for maintenance. Methods: A quality-improvement initiative was undertaken to improve CVAD maintenance and to evaluate the effectiveness of the chosen interventions at the Royal Children's Hospital, Brisbane. Nursing staff from four wards within the hospital elected to participate and the wards were allocated to receive either Intervention A (CVAD maintenance bundle only) or Intervention B (CVAD maintenance bundle and dedicated CVAD trolley). Effectiveness of the interventions was evaluated by: (i) rate of CLABSI per 1000 catheter-days; and (ii) audits of clinician compliance with evidence-based CVAD maintenance strategies. Results: During the initiative, the hospital-wide CLABSI rate decreased from 9.07 to 1.05 episodes per 1000 catheter-days (P = 0.01). The rate of CLABSI in Intervention A wards reduced from 7.6 to 2.2 episodes per 1000 catheter-days (P<0.001) and in Intervention B wards reduced from 8.0 to 0.5 episodes per 1000 catheter-days (P < 0.001). Hospital-wide audits of clinician compliance increased from 11.9% to 3 5% (P = 0.001) in the Intervention A wards and to 83% (P< 0.001) in the Intervention B wards. Conclusion: Implementation of CVAD maintenance bundles and a dedicated CVAD trolley successfully reduced CLABSI and improved audited compliance to evidence-based practices within our tertiary paediatric hospital.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherCSIRO Publishing
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom46
dc.relation.ispartofpageto53
dc.relation.ispartofissue2
dc.relation.ispartofjournalHealthcare Infection
dc.relation.ispartofvolume20
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111003
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1117
dc.titleImproving the central venous access devices maintenance process to reduce associated infections in paediatrics: evaluation of a practical, multi-faceted quality-improvement initiative
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionPost-print
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2015 CSIRO. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorUllman, Amanda J.
gro.griffith.authorKleidon, Patricia


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record