Effect of continuous quality improvement in reducing intravenous catheter-related bloodstream infection in patients with hemodialysis

Abstract

Objective To explore the effect of continuous quality improvement in reducing intravenous catheter-related bloodstream infection(CRBSI) in patients with hemodialysis. Methods 90 patients with hemodialysis were selected as the research subjects.The hospital began to implement continuous quality improvement in May 2016, 45 hemodialysis patients from May 2015 to May 2016 were selected as the control group, and 45 hemodialysis patients from June 2016 to February 2017 were selected as the study group.The incidence of CRBSI, length of hospital stay, etc were compared between the two groups. Results The incidence rate of CRBSI in the study group was 2.22%, which was obviously lower than 17.78% in the control group(χ2=5.921, P<0.05). The complaints and death events, duration of CRBSI, treatment costs and length of stay of the study group were better than those of the control group[0.00% vs.6.67%, 0.00% vs.8.89%, (5.96±0.52)d vs.(16.35±0.24)d, (26.98±1.85)d vs.(43.62±2.58)d, (0.85±0.03)million yuan vs.(2.53±0.01)million yuan, χ2=3.857, 3.987, t=5.821, 5.821, 5.741, all P<0.05]. Conclusion The application of continuous quality improvement can reduce the incidence of venous CRBSI in hemodialysis patients, shorten the length of hospital stay and the indwelling time, reduce the mortality rate, and it has higher application value. Key words: Hemodiafiltration; Catheterization, peripheral; Infection; Nursing care