Implementation of a checklist to prevent infections associated with central venous catheterization

Autores: Sánchez Romero Silvia, Cerantes Guzmán Blanca Estela, Navarrete Camacho Silvia, Cedillo Olivo Guillermo, Cureño Díaz Mónica, Lugo Zamudio Gustavo Esteban

Resumen

Background: Currently, worldwide policy on patient safety corresponds to a change in paradigm of international health programs. The World Health Organization leadership has provided methods and contents avoiding unnecessary and costly spill of resources when different views and an accelerated increase in knowledge on the topic arise. Objective: The objective of this study is to propose and implement a checklist of measures that could decrease the frequency of bloodstream infections associated to central venous catheterization (CVC). Methods: A prospective study divided into two stages: (a) design of a checklist that included 17 variables for CVC and (b) implementation of the checklist in the adult intensive care unit, from October 2016 to April 2017. Results: The global efficiency index was 97.2%. The total efficiency index per stage of the procedure was 98.6% before insertion, 98.3% during insertion, and 88.2% after insertion. Conclusions: The identification of risk factors in CVC allows the development of practice protocols which could decrease the frequency of adverse events.

Palabras clave: clinical audit adverse event central venous catheter intensive care bloodstream infections.

2018-06-08   |   258 visitas   |   Evalua este artículo 0 valoraciones

Vol. 11 Núm.1. Enero-Marzo 2018 Pags. 8-12 Hosp Medicin Clinic Manag 2018; 11(1)