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頁籤選單縮合
| 題 名 | 降低加護病房中心靜脈導管相關血流感染率=Reduction of Central Venous Catheter-related Infection in a Medical Intensive Care Unit |
|---|---|
| 作 者 | 林琇貞; 洪珮珊; 邱詠朗; | 書刊名 | 源遠護理 |
| 卷 期 | 9:3 2015.09[民104.09] |
| 頁 次 | 頁37-45 |
| 分類號 | 419.73 |
| 關鍵詞 | 加護病房; 中心靜脈導管; 血流感染; 成效指標; Intensive care unit; Central venous catheter; Bloodstream infection; Outcome indicator; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 背景與問題:中心靜脈導管相關血流感染為醫療照護品質重要指標之一,本單位於2011年第一季中心靜脈導管相關血流感染率為千分之10.9,遠高於單位閾值2倍。目的:降低中心靜脈導管相關血流感染率。解決方案:針對中心靜脈導管相關血流感染率高的問題,經由專案小組共同擬定解決方案:包括修訂中心靜脈導管照護作業、建立中心靜脈導管置放流程查核制度、規劃相關教育訓練課程等。結果:中心靜脈導管相關血流感染率由千分之10.9降低為千分之2.2,醫師置放中心靜脈導管流程正確率由61.1%提升至93.5%、護理師中心靜脈導管照護正確率由72%提升至97%、醫師及護理師洗手之正確率分別提升至94.6%、100%。結論:經專案推動措施後,使單位中心靜脈導管相關血流感染率下降,且病人平均住院天數由3.56縮短為3.25天,死亡率12.1%下降為10.6%,確實有效降低單位中心靜脈導管相關之血流感染率,以促進醫療品質,提升病人安全。 |
| 英文摘要 | Central venous catheter-related bloodstream infection is an important indicator of health care quality. The central venous catheter-related bloodstream infection rate of the studied unit was 10.9% in the first quarter of 2011, two times higher than the threshold. The project to reduce infection rate included amendments to the catheter site care policy and procedures, establishing a central venous catheter placement audit, and conducting related education and training. Results showed that the central venous catheter-related bloodstream infection reduced from 10.9 per mille to 2.2 per mille, average hospital stay reduced from 3.56 to 3.25 days, and the mortality rate reduced from 12.1% to 10.6%. This project effectively reduced the center venous catheter related bloodstream infection rate and improved the quality and safety care. |
本系統中英文摘要資訊取自各篇刊載內容。