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Titre : | Kick the Bucket: One Hospital Systems Journey to Reduce Clostridium Difficile (2017) |
Auteurs : | Molly B. Delaney |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 43, n°6, November 2017) |
Article en page(s) : | p. 519-525 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Clostridium ; Diarrhée ; Equipement ; Infections ; Maladie iatrogène |
Résumé : |
Problem
Albert Einstein defines insanity as doing the same thing over again but expecting different results. Although the United States claims to reduce antibiotic abuse, practice strict isolation, and clean meticulously, the burden of Clostridium difficile outpaces goals. Unless innovative approaches are tried, we risk culling elderly, immunosuppressed, and otherwise debilitated populations. Emergency departments are a primary access point for patients who are unable to wait for primary care. As a result, many patients with diarrhea are seen in emergency departments. Methods This article describes one hospital systems quality improvement trial of disposable commode pails (DCPs) for high-acuity patients in 3 of 5 institutions. The rationale was to prevent staff from touching surfaces heavily contaminated with C difficile. Staff members were not to wash or reuse commode buckets between patients. Instead, DCPs were substituted, and only the commode chairs were wiped. For quantitative date, C difficile infections (CDIs) were compared across hospitals. Staff members were surveyed for qualitative data. Results According to Survey Monkey, the rate of employee satisfaction with the new process was 95%. Fewer sewage backups resulted because nonbiodegradable wipes were disposed inside DCPs rather than in toilets or hoppers. Implementation and product costs were justified through labor savings and a reduced incidence of CDIs. CDI improvements were noted in system hospital emergency departments that used DCPs. Moreover, in one hospital that used DCPs in all nursing units for 1 year, CDI rates were reduced by 32%. Implications for Practice Third-party hospital laboratories generated all CDI data, which reduced bias. However, laboratories were unable to stratify CDIs as inpatient and outpatient in origin. More research is recommended with larger ED patient sample sizes. |
Disponible en ligne : | Non |
Exemplaires (2)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |