[Effectiveness of an educational program for reducing blood culture contamination]. / Efectividad de un programa formativo para disminuir los hemocultivos contaminados.
Enferm Clin
; 24(2): 111-7, 2014.
Article
in Es
| MEDLINE
| ID: mdl-24332834
ABSTRACT
INTRODUCTION:
Blood culture contaminations can lead to unnecessary diagnostic procedures and treatments, increasing workload, length of stay, and costs. OBJETIVES Development of an educational program to reduce contamination rates. MATERIAL ANDMETHODS:
Our study compared contamination rates (CR) between a pre-intervention period (Ppre) and post-intervention period (Ppos), where clinical charts from patients with positive blood cultures were reviewed. Intervention consisted of a questionnaire where knowledge of blood culture practice and its significance was assessed. Results are discussed and explained.RESULTS:
A presentation on blood culture guidelines was discussed in every nurse station. There was a median of 64% (40.8-78.5) attendance rate. The median of correct answers was 69% in the Ppre (54.1-83.3) with 85.7% (83.3-100) in the Ppos, indicating an improvement in 85.7% of the departments that could be compared. There were 136 (4.2%) contaminants in the Ppre and 186 (6.05%) in the Ppos (P=.005). Among the different departments the average of CR varied from 5% vs 7.5% (P=.79) between 2011 and 2012. Only 2 departments reduced CR by 2% to 2.5%, the difference was not significant.CONCLUSIONS:
The intervention failed to reduce overall contamination rates, but knowledge of blood culture practice improved. Our results identified the errors that will help us to design a successful approach in future follow-up programs.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood
/
Blood Specimen Collection
/
Health Personnel
/
Hematologic Tests
Type of study:
Evaluation_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
Limits:
Humans
Language:
Es
Journal:
Enferm Clin
Journal subject:
ENFERMAGEM
/
MEDICINA
Year:
2014
Document type:
Article