CLABSI Kamishibai Card Presentation Reducing Central Line Infections in Acute Care K Card

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  • Опубліковано 24 кві 2024
  • Class presentation on the value of K-Cards as an intervention for reducing CLABSI infections. Proposed Quality Improvement initiative for involving patients in the auditing process in the care of their central lines in acute care settings.
    The K-card intervention FITS with the needs and characteristics of the safety culture in the acute care setting and with the patient's need to remain free from infection. It is economically, socially, and culturally viable because it fits nicely into the workflow of the acute care setting, is inexpensive to implement, and is well accepted by safety-minded healthcare providers. It is relevant and meaningful to patients and their family members who value being proactive in their care.
    The K-card intervention seamlessly integrates with the safety culture of acute care settings, catering to patient needs for infection prevention. Economically, socially, and culturally viable, it effortlessly aligns with the workflow, is cost-effective to implement, and garners wide acceptance among safety-conscious healthcare professionals. It resonates with patients and families who value proactive engagement in their care. This integrates into acute care infrastructures, offering process feedback and cost-effective implementation. The K-card aligns with evidence-based practices, facilitating guideline implementation, and is supported by literature indicating enhanced compliance with safety protocols and reduced infection rates. It is patient-centered and empowers individuals to be active in their care, respecting their autonomy and values while fostering a collaborative environment with healthcare providers for a safer healthcare experience.
    EDUCATION
    A key component of ensuring safety in a hospital critical care setting is providing proper education and training to staff members, which includes ongoing education on best practices, protocols, and procedures to ensure that all staff members are up to date with the latest guidelines. By investing in staff education, hospitals can improve overall patient safety and reduce the likelihood of errors. A survey study in the American Journal of Infection Control surveyed 70 nurses at a teaching hospital to determine whether a nursing knowledge deficit contributed to reduced compliance with central line safety bundles. The authors concluded that there was a noticeable knowledge gap in the sample that would benefit from K-card-style audits. This study showed that only 50% practiced hubs grubbing before patient connection, and 43% of the nurses were observed showcasing proper hand hygiene. Only 37% knew the correct TPN setup (Bord et al., 2020.
    Patients should also be educated to be a part of their care process. The responsibility of healthcare providers, both practitioners and bedside nurses alike, is to educate patients on why they are receiving the care they are receiving and what they can do to mitigate their own personal risks for deleterious health-related events. The American Journal of Infection Control published a meta-analysis examining the literature on the ineffectiveness of improving patient education on reducing hospital-acquired infections. Interestingly, they were only able to find a few studies on this topic. The authors addressed the low sample size in the strengths and weaknesses of their paper. However, all studies reviewed did note a low percentage of patient education on hospital-acquired infections (Hammoud et al., 2020). This is a prime opportunity for new research. Further research should examine the effect of patient education on reducing CLABSI infections.

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