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Bloodstream Infection
Quality Improvement Activity (QIA)
2018 NCC BSI QIA Learning and Action Network (LAN) Materials
January 29, 2018: Reducing Bloodstream Infections and Sepsis
Presentation Objectives:
Promote implementation of the Centers for Disease Control (CDC) recommended core interventions for dialysis BSI prevention.
Share best practices in reducing Healthcare-Associated Infections, BSIs, and sepsis.
Sepsis Assessment Tool Development And Implementation Within One Dialysis Unit In The Midwest Kidney Network (ESRD Network 11).
Recording Link
April 3, 2018: Pathway to Hemodialysis Catheter Related Bloodstream Infection (CRBSI) Reduction
Presentation Objectives:
Define challenges of the acute kidney injury/failure, end stage renal disease, and nursing home or long-term ambulatory care (LTAC) patient population.
Highlight recognized issues contributing to the increase of bloodstream infection (BSI) rates and hospitalization.
Identify how to improve collaboration with other healthcare providers
Presentation Slides
Recording Link
June 5, 2018: Outpatient Hemodialysis Environmental Cleaning and Disinfection
Presentation Slides
Recording Link
National Evaluation with Promising Practices
August 7, 2018: Infection Prevention: Teamwork is the Key
Presentation Objectives:
Discuss the importance of involving an interdisciplinary team, including patient representatives in infection reduction.
Utilize NHSN/CDC Tools for effective hand hygiene to avoid infection.
Share audit results from monitoring and observations to focus on what was working to eliminate infections.
Recording Link
October 2, 2018: A Success Story in a Long Term Catheter Project
Presentation Slides
Recording Link
Quality Improvement Videos and Tools
Quality Improvement in Healthcare
(11:08 Minutes)
Root Cause Analysis – Process to Identify Areas for Quality Improvement
What is a Fishbone Diagram?
(3:08 Minutes)
Six-Sigma Fishbone Analysis Diagram for 4P's: A Template
Root Cause Analysis: 5 Whys
(4:44 Minutes)
5 Whys of Root Cause Analysis: A Template
PDSA Cycles – Process to Achieve Quality Improvement
(6:21 Minutes)
Tools and Resources for BSI Reduction
Dialysis Core Interventions
Prevention Process Measures Audit Forms and Checklists
Prevention Process Measures - How to Collect and Document Data in NHSN
Catheter Compatibility
CVC Scrub the Hub Protocol
Patient Education
Selecting an Antimicrobial Ointment for Hemodialysis Catheter Exit Sites
Patient Engagement in Infection Prevention - AHRQ Patient Safety Video
(4:54 Minutes)
Patient Recruitment Letter for Participation in BSI Reduction
Support for Use of Core Interventions: Recommendations of the Healthcare Infection Control Practices Advisory Committee
Days Since Last Infection Poster
Hospital Blood Culture Tracking Tool
NHSN Excess Infection Report
PDSA Cycle Tool – Generic
PDSA Cycle Tool – PPMs
Prevention Process Measures (PPMs) Timetable
Tools and Resources for Long Term Catheter (LTC) Subset
Catheter Reduction Toolkit and Tools
Peer Mentoring Patient Volunteer
Peer Mentoring Program - ESRD NCC
American Society of Nephrologists "Days Since Infection" Poster
Hemodialysis Infection Prevention with Polysporin Ointment
Selecting an Antimicrobial Ointment for Hemodialysis Catheter Exit Sites
References
Soi V, Moore CL, Kumbar L, Yee J. Prevention of catheter-related bloodstream infections in patients on hemodialysis: challenges and management strategies. International Journal of Nephrology and Renovascular Disease. 2016; 9:95-103. doi:10.2147/IJNRD.S76826.
Nguyen DB1, Shugart A2, Lines C2 et al. National healthcare safety network (NHSN) dialysis event surveillance report for 2014. Clin J Am Soc Nephrol. 2017 Jul 7;12(7):1139-1146. doi: 10.2215/CJN.11411116. Epub 2017 Jun 29.
Centers for Disease Prevention and Control. CDC approach to BSI prevention in dialysis facilities. CDC.gov. http://www.cdc.gov/dialysis/prevention-tools/core-interventions.html Last updated June 15, 2016. Accessed December 18, 2017.