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- Title
Central Line Care: Empowering patients to prevent infection and injury via EPIC².
- Authors
Suttle, Rebecca D.; Buffington, Heather M.; Madden, Wendy T.; Dawson, Martha A.
- Abstract
BACKGROUND: Central line--associated bloodstream infections (CLABSIs) are associated with an increased risk of mortality, prolonged hospitalizations, and inflated cost of care. Patients in the hematology-oncology specialty unit are at greater risk of developing CLABSIs because of their immunocompromised state and high number of central line (CL) days. OBJECTIVES: The aim of the EPIC² project was to reduce CLABSI rates on a hematology-oncology specialty unit with historically high CLABSI rates despite prior quality improvement efforts. METHODS: EPIC² used the theory of planned behavior as the framework for changing patient behavior and was based on evidence from the Partners in Your Care© handwashing study that successfully engaged patients to hold healthcare professionals accountable. FINDINGS: The three-month preintervention average CLABSI rate was 5.69. During the intervention period, the average rate was 3.24. This accounted for a 43% reduction in CLABSIs. Participants in the EPIC² project reported feeling empowered to speak up against improper CL care.
- Publication
Clinical Journal of Oncology Nursing, 2019, Vol 23, Issue 1, pE10
- ISSN
1092-1095
- Publication type
Academic Journal
- DOI
10.1188/19.CJON.E10-E16