دورية أكاديمية
Quality improvement initiative 'S-A-F-H' to reduce healthcare-associated neonatal sepsis in a tertiary neonatal care unit.
| العنوان: | Quality improvement initiative 'S-A-F-H' to reduce healthcare-associated neonatal sepsis in a tertiary neonatal care unit. |
|---|---|
| المؤلفون: | Kallimath A; Department of Neonatology, Bharati Vidyapeeth Deemed University Medical College, Pune, India., Patnaik SK; Department of Neonatology, Bharati Vidyapeeth Deemed University Medical College, Pune, India drsipi@gmail.com., Malshe N; Department of Neonatology, Bharati Vidyapeeth Deemed University Medical College, Pune, India., Suryawanshi P; Department of Neonatology, Bharati Vidyapeeth Deemed University Medical College, Pune, India., Singh P; Department of Neonatology, Bharati Vidyapeeth Deemed University Medical College, Pune, India., Gareghat R; Department of Neonatology, Bharati Vidyapeeth Deemed University Medical College, Pune, India., Nimbre V; Nursing Department, Bharati Hospital, Pune, Maharashtra, India., Ranbishe K; Nursing Department, Bharati Hospital, Pune, Maharashtra, India., Kamble AG; Nursing Department, Bharati Hospital, Pune, Maharashtra, India., Ambekar V; Infection Control Department, Bharati Hospital, Pune, Maharashtra, India. |
| المصدر: | BMJ open quality [BMJ Open Qual] 2024 Jun 17; Vol. 13 (Suppl 1). Date of Electronic Publication: 2024 Jun 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BMJ Publishing Group |
| مواضيع طبية MeSH: | Quality Improvement* , Neonatal Sepsis*/prevention & control , Intensive Care Units, Neonatal*/organization & administration , Intensive Care Units, Neonatal*/statistics & numerical data , Cross Infection*/prevention & control , Hand Hygiene*/methods , Hand Hygiene*/standards , Hand Hygiene*/statistics & numerical data, Humans ; Infant, Newborn ; Tertiary Care Centers/organization & administration ; Tertiary Care Centers/statistics & numerical data ; Guideline Adherence/statistics & numerical data ; Guideline Adherence/standards ; Infection Control/methods ; Infection Control/standards ; Female |
| مستخلص: | Background: Neonatal sepsis is a leading cause of morbidity and mortality among admitted neonates. Healthcare-associated infection (HAI) is a significant contributor in this cohort. Local Problem: In our unit, 16.1% of the admissions developed sepsis during their stay in the unit. Method: We formed a team of all stakeholders to address the issue. The problem was analysed using various tools, and the main contributing factor was low compliance with hand hygiene and handling of intravenous lines. Interventions: The scrub the hub/aseptic non-touch technique/five moments of hand hygiene/hand hygiene (S-A-F-H) protocol was formulated as a quality improvement initiative, and various interventions were done to ensure compliance with hand hygiene, five moments of hand hygiene, aseptic non-touch technique. The data were collected and analysed regularly with the team members, and actions were planned accordingly. Results: Over a few months, the team could reduce the incidence of HAI by 50%, which has been sustained for over a year. The improvement in compliance with the various aspects of S-A-F-H increased. Conclusions: Compliance with hand hygiene steps, five moments of hand hygiene and an aseptic non-touch technique using quality improvement methodology led to a reduction in neonatal sepsis incidence in the unit. Regular reinforcement is required to maintain awareness of asepsis practices and implementation in day-to-day care and to bring about behavioural changes. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
| References: | Pediatrics. 2012 Apr;129(4):e1085-93. (PMID: 22451712) Early Hum Dev. 2012 May;88 Suppl 2:S69-74. (PMID: 22633519) Indian Pediatr. 2018 Sep 15;55(9):748-752. (PMID: 30345977) BMJ Open Qual. 2021 Jul;10(Suppl 1):. (PMID: 34344750) Lancet Glob Health. 2017 May;5(5):e480-e481. (PMID: 28302563) Pediatrics. 2002 Aug;110(2 Pt 1):285-91. (PMID: 12165580) BMJ Open Qual. 2021 Jul;10(Suppl 1):. (PMID: 34344747) Am J Infect Control. 2008 Jun;36(5):309-32. (PMID: 18538699) Indian Pediatr. 2012 Dec;49(12):951-7. (PMID: 22791673) JAMA. 2004 Nov 17;292(19):2357-65. (PMID: 15547163) Hum Resour Health. 2009 Apr 08;7:30. (PMID: 19356239) Pediatrics. 2011 Mar;127(3):436-44. (PMID: 21339265) J Perinatol. 2001 Apr-May;21(3):186-92. (PMID: 11503106) Health Care Manage Rev. 2018 Apr/Jun;43(2):138-147. (PMID: 27819803) Pediatrics. 2013 Dec;132(6):e1664-71. (PMID: 24249819) Indian Pediatr. 2018 Sep 15;55(9):753-756. (PMID: 30345978) Arch Dis Child. 2021 Apr;106(4):394-400. (PMID: 32253277) Infect Control Hosp Epidemiol. 2013 Mar;34(3):229-37. (PMID: 23388356) Am J Infect Control. 2014 Nov;42(11):1207-11. (PMID: 25238664) Lancet Glob Health. 2016 Oct;4(10):e752-60. (PMID: 27633433) Jt Comm J Qual Improv. 1995 Sep;21(9):465-76. (PMID: 8541989) |
| فهرسة مساهمة: | Keywords: continuous quality improvement; healthcare quality improvement; nosocomial infections; sepsis |
| تواريخ الأحداث: | Date Created: 20240617 Date Completed: 20240617 Latest Revision: 20240620 |
| رمز التحديث: | 20240620 |
| مُعرف محوري في PubMed: | PMC11184198 |
| DOI: | 10.1136/bmjoq-2023-002336 |
| PMID: | 38886106 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!