Central venous access devises (CVADs) are very important in healthcare practice. There are many issues related to patient’s safety concerning the use of CVADs in a hospital setting. Catheter occlusion is a substantial impediment to delivery of care. It occurs at a rate ranging between 3% and 79% and is responsible for many negative outcomes such as drug extravasation, loss of patency, device replacement, device removal and hospital visits. These negative outcomes may delay treatment process, increase length of hospital stay which subsequently is associated with an increase to the cost of care (Steere, Rousseau & Durland, 2018). There is insufficient knowledge on occlusion management application in hospitals. Connection and disconnection of
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Infusion treatment with catheters in the facility represents more than 90% of the acute care hospital patients and CVADs are in use in approximately 50% of intensive care patients. (Steere et al, 2018). The quality improvement model chosen, the LSS methodology with the design indicated by the DMAIC. The model involves going through the phases of define, measure, analyze, improve and Control over a 26 months period at the hospital. The define phase assist with the evaluation of products and the need for central line for treatment. The clinicians refer to a refined litterature review in order to defining key concepts and associated activities. The measure phase allows identification of areas included incidence of occlusion, drugs used for occluded catheters, supply consumption; Collection of data, performed by the LSS clinicians and IV Team, established baseline levels for improvement, comparison, and analysis (Steere et al, 2018). Although, measurement and tabulation of results were from methods that incorporated individual input, supply consumption data from material consumption and replacement of product, computer results of use within pharmacy distribution, and a period of years where computer upgrades and software changes may compound inaccuracies (Steere et al, …show more content…
The improve phase was the implementation of change to help staff in the grasping of the way the change is required. IV team should evaluate occlusion before use of thrombolytic medication, compliance with flushing practices, and negative displacement NCs are replaced with antireflux NCs. In the control phase, an electronic medical record ordering process for tPA was implemented to evaluate all CVADs occlusion. The 5Ps (IV processes, IV protocols, IV practices, IV products, and IV patient outcomes) were chosen as measures to determine current performance and quantify improvement opportunities. Also, a series of interventions initiated by the Healthcare Acquired Infection Committee occurred during the application of the LSS process(Steere et al,
Infusion treatment with catheters in the facility represents more than 90% of the acute care hospital patients and CVADs are in use in approximately 50% of intensive care patients. (Steere et al, 2018). The quality improvement model chosen, the LSS methodology with the design indicated by the DMAIC. The model involves going through the phases of define, measure, analyze, improve and Control over a 26 months period at the hospital. The define phase assist with the evaluation of products and the need for central line for treatment. The clinicians refer to a refined litterature review in order to defining key concepts and associated activities. The measure phase allows identification of areas included incidence of occlusion, drugs used for occluded catheters, supply consumption; Collection of data, performed by the LSS clinicians and IV Team, established baseline levels for improvement, comparison, and analysis (Steere et al, 2018). Although, measurement and tabulation of results were from methods that incorporated individual input, supply consumption data from material consumption and replacement of product, computer results of use within pharmacy distribution, and a period of years where computer upgrades and software changes may compound inaccuracies (Steere et al, …show more content…
The improve phase was the implementation of change to help staff in the grasping of the way the change is required. IV team should evaluate occlusion before use of thrombolytic medication, compliance with flushing practices, and negative displacement NCs are replaced with antireflux NCs. In the control phase, an electronic medical record ordering process for tPA was implemented to evaluate all CVADs occlusion. The 5Ps (IV processes, IV protocols, IV practices, IV products, and IV patient outcomes) were chosen as measures to determine current performance and quantify improvement opportunities. Also, a series of interventions initiated by the Healthcare Acquired Infection Committee occurred during the application of the LSS process(Steere et al,