A process change with the goal of decreasing and ultimately eliminating bloodstream infections associated with central catheters in critical care patients was implemented at Riverside Methodist Hospital. This process of implementation resulted in a culture change in the hospital's medical surgical intensive care unit. Keys to success included a multidisciplinary team approach, support from persons with a stake in the process, and provision of continuous feedback. The lessons learned in this journey at Riverside Methodist Hospital can help caregivers at other hospitals decrease the occurrence of these life-threatening infections. (Critical Care Nurse. 2012;32[2]:49-54)
机构:
Great Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, EnglandGreat Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, England
Krishnaiah, Anil
Soothill, James
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Great Ormond St Hosp Sick Children, Dept Microbiol, London, EnglandGreat Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, England
Soothill, James
Wade, Angie
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Inst Child Hlth, Dept Paediat Epidemiol & Biostat, London, EnglandGreat Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, England
Wade, Angie
Mok, Quen Q.
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Great Ormond St Hosp Sick Children, Paediat Intens Care Unit, London, EnglandGreat Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, England
Mok, Quen Q.
Ramnarayan, Padmanabhan
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Great Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, EnglandGreat Ormond St Hosp Sick Children, Childrens Acute Transport Serv, London, England
机构:
Childrens Hosp Philadelphia, Div Infect Dis, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Prasad, Priya A.
Dominguez, Troy E.
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Childrens Hosp Philadelphia, Dept Anesthesia & Crit Care Med, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Dominguez, Troy E.
Zaoutis, Theoklis E.
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Childrens Hosp Philadelphia, Ctr Pediat Clin Effectiveness, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Zaoutis, Theoklis E.
Shah, Samir S.
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Univ Penn, Sch Med, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Shah, Samir S.
Teszner, Eva
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Childrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Teszner, Eva
Gaynor, J. William
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Childrens Hosp Philadelphia, Dept Cardiothorac Surg, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Gaynor, J. William
Tabbutt, Sarah
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Childrens Hosp Philadelphia, Dept Anesthesia & Crit Care Med, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA
Tabbutt, Sarah
Coffin, Susan E.
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Childrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USAChildrens Hosp Philadelphia, Dept Infect Control, Philadelphia, PA 19104 USA