Reduction of the risk of complications related to central venous catheters: a proposal for improving patient safety
Alguacil Pau A 1, Rumayor Zarzuelo M 2, Fernández Martínez B 2, Valverde Sánchez C 2, Barberán Rodríguez D 3, Santiago Sáez A 4
1 Unidad de Calidad.
2 Servicio de Medicina Preventiva.
3 Unidad de Hospitalización.
4 Unidad Funcional de Gestión de Riesgos Sanitarios, Hospital Clínico San Carlos, Madrid, España.
To adopt effective measures for reducing bacteremia related to central venous catheters (CVCs).
Material and methods
A review was made of the insertion technique and required material, developing instructions and graphic support. The prevalence of CVC insertion was calculated. An analysis was made of all the yearly checklists between 2010 and 2012, along with the data drawn from an anonymous self-administered questionnaire, to assess knowledge of maintenance of central catheterization, and evaluating performance on the basis of the new instructions provided. «Safety instructions for the prevention of catheter-related bacteremia in hospitalized patients» were developed, an insertion kit was produced, and 58 physicians and 168 nurses were trained. A total of 687 patients were reviewed, of which 6.7% were seen to carry a CVC.
The checklist was found to be completed in 21.7% of the patients, and 39.4% required more than one catheterization attempt. Regarding care-related aspects, there were deficiencies in the registry of the dates on which the dressings and infusion systems were replaced.
Maximum diffusion of the developed material was achieved. Reinforcement is required of those procedures in which a greater percentage of errors were detected.
Bacteremia, central venous catheter, nursing, hospitalization, infection.
Correspondencia: A Alguacil Pau Hospital Clínico San Carlos, Unidad de Calidad. Profesor Martín Lagos s/n, 28040 Madrid, España. e-mail: firstname.lastname@example.org