Read: Holtz Children's Hospital: ReducingCentral Line Infections (Can be found on Google)
Implementing Continuous Quality Improvement in Health Care (McLaughlin,(Sollecito, Johnson)
McLaughlin and Kaluzny's Continuous Quality Improvement in Health Care(Sollecito, Johnson)
1. Why would one question whether the well-documented improvement efforts in CA-BSI in adult ICU settings are transferrable topediatric settings?
2. Why might some PICU staff members resist implementing thecentral line bundle given its success elsewhere?
3. This case takes place in a resource-constrained environment. Whatapproaches were used to overcome these limitations?
4. What would be your response if the chief of the transplant servicehad said, "We don't seem to be doing too badly, certainly not anyworse than our local competitors."
5. Discuss the relative merits of each of the alternative approachesavailable for reducing line infections in addition to improved careand maintenance:
• Discussing each infection as a sentinel event.
• Using a daily goals checklist.
• Using insertion practices, such as sterile insertion techniques.
What factors might lead you to emphasize one over the others?
6. What are the merits of using a forcing tactic, such as removing theethanol swab materials from the bedside?