Virtual Breakthrough Series, Part 1: Preventing Catheter-Associated Urinary Tract Infection and Hospital-Acquired Pressure Ulcers in the Veterans Health Administration.
Jt Comm J Qual Patient Saf
; 42(11): 485-AP2, 2016 11.
Article
en En
| MEDLINE
| ID: mdl-28266917
ABSTRACT
BACKGROUND:
In 2014 the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) implemented a Virtual Breakthrough Series (VBTS) collaborative to help VHA facilities prevent hospital-acquired conditions catheter-associated urinary tract infection (CAUTI) and hospital-acquired pressure ulcers (HAPUs).METHODS:
During the prework phase, participating facilities assembled a multidisciplinary team, assessed their current system for CAUTI or HAPU prevention, and examined baseline data to set improvement aims. The action phase consisted of educational conference calls, coaching, and monthly team reports. Learning was conducted via phone, web-based options, and e-mail. The CAUTI bundle focused on four key principles (1) avoidance of indwelling urinary catheters, (2) proper insertion technique, (3) proper catheter maintenance, and (4) timely removal of the indwelling catheter. The HAPU bundle focused on assessment and inspection, pressure-relieving surfaces, turning and repositioning, incontinence management, and nutrition/hydration assessment and intervention.RESULTS:
For the 18 participating units, the mean aggregated CAUTI rate decreased from 2.37 during the prework phase to 1.06 per 1,000 catheter-days during the action (implementation) phase (p < 0.001); the rate did not change for CAUTI nonparticipating sites. HAPU data were available only for 21 of the 31 participating units, whose mean aggregated HAPU rate decreased from 1.80 to 0.99 from prework to continuous improvement (p < 0.001). Staff education and documentation improvement were the most frequently implemented changes.CONCLUSION:
This project helped improve CAUTI and HAPU rates in the VHA and presents a promising model for implementing a virtual model for improvement.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Grupo de Atención al Paciente
/
Garantía de la Calidad de Atención de Salud
/
Infecciones Urinarias
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Conducta Cooperativa
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Úlcera por Presión
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Atención a la Salud
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Infecciones Relacionadas con Catéteres
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Salud de los Veteranos
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Hospitales de Veteranos
Tipo de estudio:
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Jt Comm J Qual Patient Saf
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2016
Tipo del documento:
Article