Tools for Clinical Nursing Care (sponsored by NICHE)
During a hospital stay, patients are at risk for infections and falls.
Nurses play a key role in preventing these complications for their patients by using evidence-based practices. Nursing research has established evidence-based practices to reduce common hospital-acquired complications for
- Central line associated blood stream infections
- Catheter associated urinary infections
- Falls
Opportunity: Create a tool to help nurses track of the key evidence-based practices known to reduce the risk of infections and falls.
Solution Objective:
- The solution should be a human-centered tool to support nursing practices to align with evidence-based practices.
- The solution should motivate and empower nurses to change their routines in order to align with evidence-based practices.
- The solution should provide hospital administrators with a tool to quantify and benchmark nursing contributions to clinical quality improvement.
Key Solution Resources:
- Check list for central line associated blood stream infection
- Work-flow and check-list for catheter associated urinary-track infection
- Work-flow and check-list for falls
- Work-flow
- Check list ( check out page 128)
Cost calculators for
Infections
- Healthcare associated infection cost calculator
- CAUTI cost calculator
- See Table 2: Summary of studies examining costs of common hospital infections
Falls
- https://www.cdc.gov/homeandrecreationalsafety/falls/fallcost.html
- http://balancengineering.com/app/uploads/2011/08/cdc-costs-of-falls-among-older-adults.pdf
General background resources:
Scale and Scope of Hospital Acquired Infections in the U.S.
Central Line Tool Kit (CLABSI): Best Practices for Clinicians to Prevent Central Line Infections
2014 Update and Evidence Review
Catheter Associated Urinary Tract Infection (CAUTI): Intervention Tool Kits and Check Lists
Best Practices for Clinicians to Prevent CAUTI
- https://www.cdc.gov/hai/prevent/tap/resources.html
- https://www.ahrq.gov/professionals/quality-patient-safety/hais/index.html
Association of Professionals in Infection Control:
- https://apic.org/Resources/Topic-specific-infection-prevention/Catheter-associated-urinary-tract-infection
- https://apic.org/Resource_/TinyMceFileManager/Topic-specific/APIC_Infographic_-_LTC_-_FINAL-02.jpg
Fall Assessment and Prevention: Best Practices to Assess Fall Risk and Prevent Falls in Hospital Setting
- https://www.patientsafety.va.gov/professionals/onthejob/falls.asp
- https://www.ahrq.gov/sites/default/files/publications/files/fallpxtoolkit.pdf
- https://www.cdc.gov/steadi/materials.html
- https://www.cdc.gov/steadi/pdf/algorithm_2015-04-a.pdf
Data Sets in the Public Domain
Agency for Healthcare Quality Data Sets can be found here:
Healthy People 2010 National Baseline Data for CLABSI 2006-2008
Healthcare Cost Institute. (National and Market Cost data)