Effect of continuous quality improvement on central venous catheter-related bloodstream infections in hemodialysis patients

WANG Lei;MENG Xian-hua;TAN Min;YANG Jing-hua;FAN Xiao-zhi;SHAO Lin;CAI Mei-shun;WANG Mei.

Chinese Journal of Blood Purification ›› 2008, Vol. 7 ›› Issue (4) : 188-191.

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PDF(592 KB)
Chinese Journal of Blood Purification ›› 2008, Vol. 7 ›› Issue (4) : 188-191.
论著

Effect of continuous quality improvement on central venous catheter-related bloodstream infections in hemodialysis patients

  • WANG Lei, MENG Xian-hua, TAN Min, YANG Jing-hua, FAN Xiao-zhi, SHAO Lin, CAI Mei-shun, WANG Mei.
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Abstract

Objective To analyze the incidence for central venous catheter-related bloodstream infections (CRBSI) in hemodialysis patients and improve catheter-related bloodstream infections management using continuous quality improvement (CQI). Methods Analyzing the incidence of central venous catheter-related bloodstream infections (CRBSI) in 68 hemodialysis patients pre-CQI and using CQI to prophylaxis CRBSI. The CQI team was driven by a four-step process called PDCA cycle: plan, do, check and act. Compared the incidence for CRBSI in 76 hemodialysis patients with central venous catheter post-CQI Results  For untunneled CVCs, The incidence of the total CRBSI is 8.1episodes /1000 catheter-days pre-CQI, and which reduced to 2.6 episodes/1000 catheter-days during the same period post-CQI(decreased 68%).For tunneled CVCs, the incidence of CRBSI dropped from 2.6 episodes /1000 catheter-days pre-CQI to 0.7 episodes /1000 catheter-days post-CQI. Conclusion Continuous quality improvement program can improve the management of CRBSI in hemodialysis patients.

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Continuous quality improvement / Hemodialysis

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WANG Lei;MENG Xian-hua;TAN Min;YANG Jing-hua;FAN Xiao-zhi;SHAO Lin;CAI Mei-shun;WANG Mei.. Effect of continuous quality improvement on central venous catheter-related bloodstream infections in hemodialysis patients[J]. Chinese Journal of Blood Purification. 2008, 7(4): 188-191
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