›› 2008, Vol. 7 ›› Issue (4): 188-191.

• 论著 • Previous Articles     Next Articles

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.
  

  1. Department of Nephrology, Peking University People抯 Hospital, Beijing 100044, China
  • Received:2008-03-12 Revised:1900-01-01 Online:2008-04-12 Published:2008-04-12

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.

Key words: Continuous quality improvement, Hemodialysis

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