减少UTI的事例
EAM APPROACH REDUCES URINARY TRACT INFECTIONS IN REHAB PATIENTSInfection rate drops at Nebraska hospital after initiating new protocols
Baltimore, Maryland, June 28, 2011 – Nurses, occupational and physical therapists, case managers and education staff, all working together at a 300-bed Nebraska rehabilitation hospital, have successfully implemented a team approach to dramatically reduce infections from urinary catheters, the most prevalent type of infection acquired in healthcare settings.
The interdisciplinary team at Madonna Rehabilitation Hospital in Lincoln, one of the largest free-standing rehabilitation hospitals in the country, reduced catheter associated urinary tract infections (CAUTIs) by 89 percent over a 14-month period according to an abstract presented today at the 38th Annual Educational Conference and International Meeting of the Association for Professionals in Infection Control and Epidemiology (APIC).
Led by infection preventionist Kristina Felix, BA, RN, CRRN, CIC, the team worked to decrease the use of catheters, which are a known risk factor for UTIs, discontinuing their use unless medically necessary. In cases where urinary catheters were required, the team educated nursing staff, therapy staff, family members and patients on proper care to reduce the chance of infection.
When the project was initiated in February 2010 the CAUTI prevalence rate was 36.6 percent, but dropped to 6.6 percent three months later. The original pilot concluded in April 2011.
Felix’s team identified underlying reasons for catheter use when medical necessity was in question. Contributing factors included patients admitted to rehabilitation settings from acute care facilities with catheters in place, and patients whose families viewed catheters as a more convenient way to manage incontinence. The task force improved bladder management protocols and standards, balancing the medical requirements of the patient with the need for patients to be infection-free, continually re-assessing the appropriateness for each catheter. They utilized a “decatheterization protocol,” to safely remove medically unnecessary catheters and improve the health of the patient.
“We looked at every facet of bladder management, including better ways to assist patients to the bathroom in a timely manner, different types of commodes and engaging the entire care team in the bladder management processes,” Felix said. “We implemented education with all members of the care team, including patients and family members, so that everyone understood the process and the benefit to the patient of reduced UTIs.”
Felix estimated that their program prevented up to 30 UTIs per month and saved the facility about $1,000 per infection avoided. There were no additional costs associated with implementing these interventions.
这篇短文给我的启迪是：降低医院感染的发生，即便是一个“小小”的UTI,除了周密的计划、方案，除了措施（各个方面的）之外，更重要是需要一个真正的多学科的“控制”团队（Team）,甚至有时这个团队中的成员也包括患者家属，他们各司其职，也即感控绝不是感控专职人员在孤军奋战。
呵呵~~~桃子妖妖老师有中文版的吗？不好意思英文底子太差了{:1_8:}
师太佩服您了，外语如此的好，我除了看懂后两行的中文，别的都没有看懂，真是不好意思。
待中文版的，关注患者家属是如何参与的？{:1_17:}
待中文版的，院感本是多学科的技术团队，第一次听说患者家属参与感控，呵呵，桃子超版带来新理念啊！{:1_17:}
文水平太差，看不懂，不好意思！
altimore, Maryland, June 28, 2011 – Nurses, occupational and physical therapists, case managers and education staff, all working together at a 300-bed Nebraska rehabilitation hospital, have successfully implemented a team approach to dramatically reduce infections from urinary catheters, the most prevalent type of infection acquired in healthcare settings.
2011年6月28日，巴尔的摩，马里兰州，–护士，职业治疗师和物理治疗师，个案经理和教育工作人员一起工作，在300床内布拉斯加州康复医院，已经成功地实现团队的方法来降低感染尿导管感染，医疗环境中获得的最普遍的类型。
The interdisciplinary team at Madonna Rehabilitation Hospital in Lincoln, one of the largest free-standing rehabilitation hospitals in the country, reduced catheter associated urinary tract infections (CAUTIs) by 89 percent over a 14-month period according to an abstract presented today at the 38th Annual Educational Conference and International Meeting of the Association for Professionals in Infection Control and Epidemiology (APIC).
在林肯麦当娜康复医院的跨学科的团队，其中一个最大的免费康复医院，降低导管相关的尿路感染（尿路感染）百分之89在14个月内从一个抽象的今天在第三十八年度教育工作会议和感染控制和流行病学专业人员协会的国际会议（APIC）。
Led by infection preventionist Kristina Felix, BA, RN, CRRN, CIC, the team worked to decrease the use of catheters, which are a known risk factor for UTIs, discontinuing their use unless medically necessary. In cases where urinary catheters were required, the team educated nursing staff, therapy staff, family members and patients on proper care to reduce the chance of infection.
LED的感染preventionist克里斯蒂娜费利克斯，Ba，RN，crrn，中投公司，团队致力于减少导管的使用，这是尿路感染一个已知的危险因素，停止其使用，除非医疗需要。的情况下，导尿管是必需的，团队教育护理人员，治疗人员，家庭成员和适当的照顾病人，减少感染的机会。
When the project was initiated in February 2010 the CAUTI prevalence rate was 36.6 percent, but dropped to 6.6 percent three months later. The original pilot concluded in April 2011.
当项目是于2010二月CAUTI的患病率为百分之36.6，但下降到百分之6.6，三个月后。最初的试验结论2011四月。
Felix’s team identified underlying reasons for catheter use when medical necessity was in question. Contributing factors included patients admitted to rehabilitation settings from acute care facilities with catheters in place, and patients whose families viewed catheters as a more convenient way to manage incontinence. The task force improved bladder management protocols and standards, balancing the medical requirements of the patient with the need for patients to be infection-free, continually re-assessing the appropriateness for each catheter. They utilized a “decatheterization protocol,” to safely remove medically unnecessary catheters and improve the health of the patient.
菲利克斯的团队确定根本原因时使用的医疗必要性导管中的问题。的因素包括病人从导管到位急性护理设施和家庭康复的设置，观察导管作为管理更方便患者尿失禁。专责小组改善膀胱管理协议和标准，平衡的患者有无感染需要病人的医疗需求，不断重新评估每个导管的适当性。他们利用一个“decatheterization协议，“安全删除不必要的医疗导管和改善病人的健康。
“We looked at every facet of bladder management, including better ways to assist patients to the bathroom in a timely manner, different types of commodes and engaging the entire care team in the bladder management processes,” Felix said. “We implemented education with all members of the care team, including patients and family members, so that everyone understood the process and the benefit to the patient of reduced UTIs.”
“我们看着膀胱管理的各个方面，包括更好的方式来帮助患者及时浴室，洗脸台不同类型和参与整个护理团队在膀胱管理流程，”菲利克斯说。“我们实现了教育与护理团队的所有成员，包括病人和家庭成员，使每个人都了解的过程和有利于降低尿路感染的病人。”
Felix estimated that their program prevented up to 30 UTIs per month and saved the facility about $1,000 per infection avoided. There were no additional costs associated with implementing these interventions.
费利克斯估计程序防止多达30的尿路感染每月节省约1000美元的设施，避免感染。没有实施这些干预措施相关的额外成本。
百度在线翻译翻译的，没有润色就这么看看哈。见谅！
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