1. Prevention of Health Care Associated Infections
Yvonne Jackson, BSN, RN, CCRN
Nursing-sensitive indicators
Catheter associated urinary tract infection (CAUTI)
Central line associated blood stream infection (CLABSI)
Hospital National Patient Safety Goals
Prevent infection
The Joint Commission (TJC), 2009

2. CAUTI- Overview Use of catheters
Practice recommendations and guidelines
Performance initiatives
Nursing and catheter usage
Conway, & Larson, 2012
Drekonja, Kuskowski, & Johnson, 2010
Patrizzi, Fasmacjt, & Manno 2009

3. CAUTI- Information and Data
Catheter related infections
Strategies to reduce infections
Research needed
Bruminhent, Keegan, Lakhani, Roberts, & Passalacqua, 2010
Conway, & Larson, 2012
Drekonja, Kuskowski, & Johnson, 2010

4. CLABSI- Overview Use of central lines Sources of infection
Centers for Disease Control and Prevention (CDC) recommendations
Nurses positioned to influence reduction in CLABSIs
Dumont, & Nesselrodt, 2012
Stone, et al., 2014

5. CLABSI- Information and Data
Mortality
Cost
Results
Dumont, & Nesselrodt, 2012
Guerin, Wagner, Rains, & Bessesen, 2010
Marra, et al., 2010
Wright, et al., 2013

6. Prevent Infection- Overview
Cultural change to one of patient safety
Interventions
Bundles of care
(Dumont, & Nesselrodt, 2012).
Braun, et al., 2013
Dumont, & Nesselrodt, 2012
Ehrenkranz, Macintyre, Hebert, Schneider & Hennekens, 2010
Stone, et al., 2014
The Joint Commission, 2015
Vandijck, Cleemput, Hellings, & Vogelaers, 2013

7. Prevent Infection- Data
Hospital acquired infection (HAI)
Costs
Financial
Human
Ehrenkranz , et al., 2010
Fakih, Heavens, Ratcliffe, & Hendrich, 2013
Vandijck, Cleemput, Hellings, & Vogelaers, 2013

8. References
Braun, B., Harris, A., D., Richards, C., L., Belton, B., M., Dembry, L., M., Morton, D., J., & Xiao, Y. (2013). Does health care role and experience influence perception of safety culture related to preventing infections? American Journal of Infection Control, 41(7), doi: /j.ajic Bruminhent, J., Keegan, M., Lakhani, A., Roberts, I., & Passalacqua, J. (2010). Effectiveness of a simple intervention for prevention of catheter-associated urinary tract infections in a community teaching hospital. American Journal of Infection Control, 38(9), doi: /j.ajic Conway, L., J., & Larson, E., L. (2012). Guidelines to prevent catheter-associated urinary tract infection: 1980 to Heart & Lung, 41(3), Doi: /j.hrtlng Drekonja, D., M., Kuskowski, M., A., & Johnson, J., R. (2010). Internet survey of foley catheter practices and knowledge among Minnesota nurses. American Journal of Infection Control, 38(1), doi: /j.ajic Dumont, C., & Nesselrodt, D. (2012). Preventing central line-associated bloodstream infections CLABSI. Nursing, 42(6), doi: /01.NURSE f5 Ehrenkranz, N., J., Macintyre, A., T., Hebert, P., R., Schneider, w., R., & Hennekens, C., H. (2010). Control of health care-associated infections (HAI): Winning both the battles and the war. Journal General Internal Medicine, 26(3), doi: /s Fakih, M., G., Heavens, M., Ratcliffe, C., J., & Hendrich, A. (2013). First step to reducing infection risk as a system: Evaluation of infection prevention processes for 71 hospitals. American Journal of Infection Control, 41(11), doi: /j.ajic

9. References
Guerin, K., Wagner, J., Rains, K., & Bessesen, M. (2010). Reduction in central line-associated bloodstream infections by implementation of a postinsertion care bundle. American Journal of Infection Control, 38(6), doi: /j.ajic Marra, A., R., Cal, R., G., C., Durao, M., S., Correa, L., Reis, Guastelli, L., R., Moura, D., F., Edmond, M., B., & Pavao dos Santos, O., F. (2010). Impact of a program to prevent central line-associated bloodstream infections in the zero tolerance era. American Journal of Infection Control, 38(6), doi: /j.ajic Patrizzi, K., Fasnacht, A., & Manno, M. (2009). A collaborative, nurse-driven initiative to reduce hospital-acquired urinary tract infections. Journal of Emergency Nursing, 35(6), doi: /j.jen Stone, P,. W., Pogorqelska-Maziarz, M., Herzig, C., T., A., Weiner, L., M., Furuya, Y., Dick, A., & Larson, E. (2014). State of infection prevention in US hospitals enrolled in the national health and safety network. American Journal of Infection Control, 42(2), doi: /j.ajic The Joint Commission (TJC). (2009). Implementation guide for the NQF endorsed nursing-sensitive care measure set. Retrieved from The Joint Commission. (2015). Hospital national patient safety goals. Retrieved from Vandijck, D., Cleemput, I., Hellings, J., & Vogelaers, D. (2013). Infection prevention and control strategies in the era of limited resources and quality improvement: A perspective paper. Australian Critical Care, 26(4), doi: /j.aucc Wright, M., O., Tropp, J., Schora, D., M., Dillon-Grant, M., Peterson, K., Boehm, S., Robicsek, A., & Peterson, L., R. (2013). Continuous passive disinfection of catheter hubs prevents contamination and bloodstream infection. American Journal of Infection Control, 41(1), doi: /j.ajic