Improving the Integrity Rate of Central Venous Catheter Bundle Care in Pediatric Intensive Care Unit.

From January to April 2020, the average rate of central line-associated bloodstream infections (CLABSI) in the pediatric intensive care unit was 8.7%, which was higher than the standard threshold of 4% in the hospital. A clinical survey found that the completion rate of the central venous catheter care bundle was only 77%. Therefore, this project aimed to improve the completion rate of central catheter combined care. The main reasons for the low completion rate include: insufficient awareness of central catheter combined care; insufficient accessibility and availability of catheter placement-related materials; and lack of audit for central venous catheter care bundle. During the project period from June 2020 to January 2021, intervention focused on the three major areas of cognition, affect and skills as the core, combined with E-oriented education, planning on-the-job education, setting up catheter disinfection boxes and exclusive vehicles, and establishing an audit system. The intervention resulted in the completion rate of central catheter combined care reaching 100%, the correct rate of nursing cognition increased from 84.3% to 98.3%, and the CLABSI decreased from 8.7% to 3.8%. In addition to improve the quality of care and infection control, the project united the medical team and promoted work efficiency. [ABSTRACT FROM AUTHOR]