A multicenter quasi-experimental study: impact of a central line infection control program using auditing and performance feedback in five Belgian intensive care units

AbstractThe learning hospital is distinguished by ceaseless evolution of erudition, enhancement, and implementation of clinical best practices. We describe a model for the learning hospital within the framework of a hospital infection prevention program and argue that a critical assessment of safety practices is possible without significant grant funding. We reviewed 121 peer-reviewed manuscripts published by the VCU Hospital Infection Prevention Program over 16 years. Publications included quasi-experimental studies, observational studies, surveys, interrupted time series analyses, and editorials. We summarized the articles based on their infection prevention focus, and we provide a brief summary of the findings. We also summarized the involvement of nonfaculty learners in these manuscripts as well as the contributions of grant funding. Despite the absence of significant grant funding, infection prevention programs can critically assess safety strategies under the learning hospital framework by leveraging a diverse collaboration of motivated nonfaculty learners. This model is a valuable adjunct to traditional grant-funded efforts in infection prevention science and is part of a successful horizontal infection control program.

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Effectiveness of using eye mask and earplugs on sleep length and quality among intensive care patients: A quasi‐experimental study

International Journal of Nursing Practice ◽

10.1111/ijn.12740 ◽

2019 ◽

Vol 25 (3) ◽

pp. e12740 ◽

Cited By ~ 5

Author(s):

Mohammad K. Bani Younis ◽

Ferial A. Hayajneh ◽

Hamza Alduraidi

Keyword(s):

Experimental Study ◽

Intensive Care ◽

Intensive Care Patients ◽

Quasi Experimental ◽

Sleep Length

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Impact of a Central Line Infection Prevention Bundle in Newborn Infants

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2016.127 ◽

2016 ◽

Vol 37 (9) ◽

pp. 1029-1036 ◽

Cited By ~ 9

Author(s):

Rowena McMullan ◽

Adrienne Gordon

Keyword(s):

Neonatal Intensive Care ◽

Dwell Time ◽

Clinical Characteristics ◽

Infection Prevention ◽

Newborn Infants ◽

Bloodstream Infections ◽

Central Line ◽

Before And After ◽

Central Line Infection ◽

Line Infection

OBJECTIVETo compare central line use and central line–associated bloodstream infection in newborn infants before and after the introduction of a central line infection prevention bundle in order to determine the effectiveness of the bundle and to identify areas for further improvement.DESIGNRetrospective cohort analysis of prospectively collected data.SETTINGLevel 5 neonatal intensive care unit in Sydney, Australia.PATIENTSNewborn infants admitted to the Royal Prince Alfred Hospital Neonatal Intensive Care Unit who had a central venous catheter (CVC) inserted.METHODSData regarding clinical characteristics, CVC use, and infection were collected before and after the introduction of a bundle of interventions. The bundles encompassed (1) insertion of CVC, (2) maintenance of CVC, (3) an education program, and (4) ongoing surveillance and feedback.RESULTSBaseline and intervention groups were comparable in clinical characteristics. The number of CVCs inserted was reduced in the intervention group (central line utilization rate, 0.16 vs 0.2, P<.0001). Overall CVC dwell time was reduced, resulting from significant reduction in peripherally inserted CVC dwell time (6 days [95% CI, 5.0–11.8 days] vs 7.3 days [4.0–10.4 days], P=.0004). Central line–associated bloodstream infections were significantly reduced, predominantly secondary to decreased peripherally inserted CVC–related bloodstream infections (1.2/1,000 central line–days vs 11.5/1,000 central line–days, P<.0001).CONCLUSIONThis central line infection bundle was effective in reducing CVC use, dwell time, and central line–associated bloodstream infections.Infect Control Hosp Epidemiol 2016;37:1029–1036

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