We will test the following hypothesis: implementation of hospital-wide CVC insertion and maintenance bundles on the guidance of the Pronovost-model promotes adherence to its use and reduces the number of CA-BSIs.
ID
Bron
Verkorte titel
Aandoening
bloodstream infection, central venous catheter, prevention, children’s hospital, implementation, education
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Primary outcome measure is the number of catheter-associated infections per 1000 line-days.
Achtergrond van het onderzoek
Background:
Catheter-associated bloodstream infections in children with central venous catheters (CVC) are an increasingly recognized serious safety problem worldwide, but are often preventable. CVC bundles proved effective to prevent infections in studies performed in single or multiple units. Successful implementation requires changes in the hospital system as well as behavioural changes of healthcare professionals. The aim of the study is to evaluate the process and the outcome of the implementation of a state-of-the-art CVC insertion and maintenance bundle throughout a large university children’s hospital over an 18 month period.
Methods/ design:
An interrupted time series design will be used; the study will encompass all children who need a CVC. New state-of-the-art CVC bundles will be developed. The Pronovost-model will guide the implementation process. We developed a tailored multifaceted implementation strategy consisting of reminders, feedback, management support, local opinion leaders, and education. Primary outcome measure is the number of catheter-associated infections per 1000 line-days. The process outcome is degree of adherence to use of these CVC bundles. A cost-effectiveness analysis is part of the study. Outcomes will be monitored during three periods: baseline, pre-intervention, and post-intervention for over 18 months.
Discussion:
By applying an implementation model we will explore the challenges of implementing a hospital-wide safety program. This work will add to the body of knowledge in the field of implementation. We postulate that healthcare workers’ willingness to shift from providing habitual care to state-of-the-art care may reflect the need for consistent care improvement.
Doel van het onderzoek
We will test the following hypothesis: implementation of hospital-wide CVC insertion and maintenance bundles on the guidance of the Pronovost-model promotes adherence to its use and reduces the number of CA-BSIs.
Onderzoeksopzet
Outcomes will be monitored during three periods: baseline, pre-intervention, and post-intervention for over 18 months.
Onderzoeksproduct en/of interventie
The implementation of an Quality Improvement (QI) program. This QI will affect healthcare workers in care for CVC's.
QI program (a tailored multifaceted implementation strategy) consisted of: Reminders, feedback on performance, management support, local opinion leaders, and education.
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
All healthcare workers employed at the Erasmus MC-Sophia Children's Hospitial, Rotterdam, involved in patient care will participate.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Healthcare workers who are not involved in patient care.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL3489 |
| NTR-old | NTR3635 |
| Ander register | METC ErasmusMC : 2012-375 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
Samenvatting resultaten
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