Beyond the Central Line–Associated Bloodstream Infection Bundle: The Value of the Clinical Nurse Specialist in Continuing Evidence-Based Practice Changes

@article{Richardson2012BeyondTC,
  title={Beyond the Central Line–Associated Bloodstream Infection Bundle: The Value of the Clinical Nurse Specialist in Continuing Evidence-Based Practice Changes},
  author={J. Richardson and R. Tjoelker},
  journal={Clinical Nurse Specialist},
  year={2012},
  volume={26},
  pages={205–211}
}
Purpose: The purpose of this project was to demonstrate the value of clinical nurse specialist (CNS)–led efforts to optimize patient outcomes through continued monitoring and management of a previously implemented evidence-based practice project. Background: Central line–associated bloodstream infections (CLABSIs) significantly impact patient morbidity/mortality and cost of care. In 2006, the critical care unit (CCU) of the Portland VA Medical Center implemented national recommendations for the… Expand
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References

SHOWING 1-10 OF 18 REFERENCES
Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals
TLDR
The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their central line–associated bloodstream infection (CLABSI) prevention efforts. Expand
Eliminating catheter-related bloodstream infections in the intensive care unit*
TLDR
Multifaceted interventions that helped to ensure adherence with evidence-based infection control guidelines nearly eliminated CR-BSIs in the authors' surgical ICU. Expand
Vital signs: central line-associated blood stream infections--United States, 2001, 2008, and 2009.
  • Medicine
  • MMWR. Morbidity and mortality weekly report
  • 2011
TLDR
Reductions in CLABSIs caused by Staphylococcus aureus were more marked than reductions in infections caused by gram-negative rods, Candida spp. Expand
An intervention to decrease catheter-related bloodstream infections in the ICU.
TLDR
An evidence-based intervention resulted in a large and sustained reduction (up to 66%) in rates of catheter-related bloodstream infection that was maintained throughout the 18-month study period. Expand
Economics of Central Line-Associated Bloodstream Infections
TLDR
The authors examined both the hospital revenues and expenses in 54 cases of patients with central line-associated bloodstream infections over 3 years in 2 intensive care units and compared these financial data with patients who were matched for age, severity of illness on admission, and principal diagnosis. Expand
Nosocomial bloodstream infection in critically ill patients. Excess length of stay, extra costs, and attributable mortality.
TLDR
The attributable mortality from nosocomial bloodstream infection is high in critically ill patients and is associated with a doubling of the SICU stay, an excess length of hospital stay of 24 days in survivors, and a significant economic burden. Expand
Guidelines for the prevention of intravascular catheter-related infections.
These guidelines have been developed for healthcare personnel who insert intravascular catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, andExpand
Attributable morbidity and mortality of catheter-related septicemia in critically ill patients: a matched, risk-adjusted, cohort study.
TLDR
CRS is associated with subsequent morbidity and mortality in the ICU, even when adjusted on severity factors at ICU admission, but after adjustment on severity scores calculated betweenICU admission and 1 week before CRS, the increased mortality was no longer significant. Expand
National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009.
TLDR
This report updates previously published device-associated module data from NHSN and surgical site infection (SSI) rate data from the National Nosocomial Infections Surveillance (NNIS) system. Expand
National Healthcare Safety Network (NHSN) Report, data summary for 2006 through 2007, issued November 2008.
TLDR
This report updates previously published device-associated module data from NHSN and surgical site infection (SSI) rate data from the National Nosocomial Infections Surveillance (NNIS) system. Expand
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