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Pediatrics. 2003 Apr;111(4 Pt 2):e519-33.

Implementation of evidence-based potentially better practices to decrease nosocomial infections.

Author information

  • 1Children's Mercy Hospitals and Clinics, University of Missouri, Kansas City School of Medicine, Kansas City, Missouri 64108, USA. hkilbride@cmh.edu

Abstract

OBJECTIVE:

Six neonatal intensive care units (NICUs) that are members of the Vermont Oxford National Evidence-Based Quality Improvement Collaborative for Neonatology collaborated to reduce infection rates. There were 7 centers in the original focus group, but 1 center left the collaborative after 1 year. Nosocomial infection is a significant area for improvement in most NICUs.

METHODS:

Six NICUs participating in the Vermont Oxford Network made clinical changes to address 3 areas of consensus: handwashing, line management, and accuracy of diagnosis. The summary statements were widely communicated. Review of the literature, internal assessments, and benchmarking visits all contributed to ideas for change.

RESULTS:

The principle outcome was the incidence of coagulase-negative staphylococcus bacteremia. There was an observed reduction from 24.6% in 1997 to 16.4% in 2000.

CONCLUSIONS:

The collaborative process for clinical quality improvement can result in effective practice changes.

PMID:
12671172
[PubMed - indexed for MEDLINE]
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