Impact of continuous quality Improvement on peripherally inserted central catheter-related bloodstream infectious for cancer patients

Abstract

Objective To study the impact of continuous quality improvement(CQI)program for the control of catheter-related bloodstream infections(CRBSI)on cancer patients with peripherally inserted central catheter(PICC).Methods We first analyzed CRBSI incidence in 51 cancer patients with PICC recruited before the implementation of CQI.Then CQl was carried out for the prevention of CRBSL The procedures of CQI included four steps:plan,do,check,and action(PDCA).We then recruited 99 cancer patients with PICC receiving CQI,and compared the CRBSI incidence of these 99 patients with that of the 51 patients without CQI.Results CRBSI incidence decreased from 2.57 times/1 000 catheterization days in patients without CQI to 0.68 times/1 000 catheterization days in those receiving CQI(P＜0.05).Conclusion CQI program effectively reduces CRBSI incidenee in cancer patients with PICC. Key words: Continuous quality improvement; Catheter-related bloodstream infections; Peripherally inserted tentral catheter