Reducción del riesgo de complicaciones relacionadas con los catéteres venosos centralesuna propuesta para mejorar la seguridad del paciente

  1. A.I. Alguacil Pau
  2. Mercedes Rumayor Zarzuelo
  3. Beatriz Fernández Martínez
  4. C. Valverde Sánchez
  5. D. Barberán Rodríguez
  6. Andrés Santiago Sáez
Journal:
Trauma

ISSN: 1888-6116

Year of publication: 2013

Volume: 24

Issue: 3

Pages: 182-187

Type: Article

More publications in: Trauma

Abstract

Objective: To adopt effective measures for reducing bacteremia related to central venous catheters (CVCs). Material and methods: A review was made of the insertion technique and required material, developing instruc- tions and graphic support. The prevalence of CVC insertion was calculated. An analysis was made of all the ye- arly checklists between 2010 and 2012, along with the data drawn from an anonymous self-administered ques- tionnaire, to assess knowledge of maintenance of central catheterization, and evaluating performance on the basis of the new instructions provided. «Safety instructions for the prevention of catheter-related bacteremia in hospita- lized patients» were developed, an insertion kit was produced, and 58 physicians and 168 nurses were trained. A total of 687 patients were reviewed, of which 6.7% were seen to carry a CVC. Results: The checklist was found to be completed in 21.7% of the patients, and 39.4% required more than one catheterization attempt. Regarding care-related aspects, there were deficiencies in the registry of the dates on which the dressings and infusion systems were replaced. Conclusions: Maximum diffusion of the developed material was achieved. Reinforcement is required of those procedures in which a greater percentage of errors were detected