Reducción del riesgo de complicaciones relacionadas con los catéteres venosos centralesuna propuesta para mejorar la seguridad del paciente
- A.I. Alguacil Pau
- Mercedes Rumayor Zarzuelo
- Beatriz Fernández Martínez
- C. Valverde Sánchez
- D. Barberán Rodríguez
- Andrés Santiago Sáez
ISSN: 1888-6116
Année de publication: 2013
Volumen: 24
Número: 3
Pages: 182-187
Type: Article
D'autres publications dans: Trauma
Résumé
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