Application of breakthrough series quality improvement model in preventing blood flow infections related to non-cuffed catheters
10.3760/cma.j.cn211501-20231208-01231
- VernacularTitle:基于突破性系列质量改进模式在预防无隧道和涤纶套透析导管相关血流感染中的应用
- Author:
Na CHEN
1
;
Yushen REN
;
Li TIAN
;
Xiaoping WANG
;
Yujun WANG
;
Yanling SUN
;
Hongwen MA
;
Xiaohua YUAN
Author Information
1. 天津市第三中心医院ICU，天津 300170
- Keywords:
Quality improvement;
Catheter-related infections;
BTS quality improvement model
- From:
Chinese Journal of Practical Nursing
2024;40(21):1601-1607
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of breakthrough series (BTS) quality improvement model in the prevention of catheter-related bloodstream infection in hospitalized patients with indwelling non-cuffed catheter (NCC).Methods:Using a non synchronous pre and post control study method, convenience sampling was used to select NCC patients from four hospitals in Tianjin from January to September 2022 who received conventional nursing plans as the control group, and NCC patients from February to October 2023 who received nursing plans based on the BTS quality improvement model as the observation group. Compared the incidence of NCC related bloodstream infections between two groups of patients, the implementation of key preventive measures for NCC related bloodstream infections by nursing staff, and patient satisfaction.Results:Among the 984 patients included in the control group, there were 687 males and 297 females, aged (62.43 ± 13.77) years old; among the 959 patients included in the observation group, there were 651 males and 308 females, aged (61.96 ± 13.89) years old. After applying the improved model, the incidence of NCC related bloodstream infections in the observation group was 0.12‰ (1/8 676), lower than the control group′s 0.71‰ (7/9 827), and the difference was statistically significant ( χ 2=4.37, P<0.05) ;the implementation rate of key measures for preventing NCC related bloodstream infections in the observation group was 90.00% (54/60) for catheter outlet care and 91.67% (55/60) for maximizing sterile barrier, both higher than 70.37% (38/54) and 75.93% (41/54) in the control group, with statistical significance ( χ2=7.03, 5.30, both P<0.05); the total satisfaction rate of patients in the observation group was 92.91% (891/959), which was higher than 58.64% (577/984) in the control group, and the difference was statistically significant ( χ2=15.28, P<0.05). Conclusions:The implementation of BTS quality improvement model is helpful to improve the nursing quality of patients with indwelling NCC dialysis and improve the patient outcomes.
