Examining Institute For Healthcare Improvement Campaign
Thousandsof hospitals in the U.S.and abroad have joined an Institute for Healthcare Improvement campaign that "bundles" aseries of proven medical treatments to reduce unnecessary and potentiallydeadly infections and serious health complications in patients, according tothe organization, USA Today reports.
IHI officials say bundling encourages teamwork among physicians, nurses andpharmacists who provide patient care. IHI Director Fran Griffin said thebenefit of bundling is in its "all or nothing" approach. Griffin said, "Wedon't want to say (to patients), 'We'll give you half of the items on the list-- which ones do you want?'"
For example, a bundle for central-line catheters, which is to be completedbefore every insertion to reduce the risk of infection, includes a checklist ofprocesses such as hand hygiene, the use of scrubbing chemicals to killbacteria, selecting the best possible placement for the insertion and dailyinspections of the line's necessity. Bundles also have been developed forventilator-associated pneumonia and septic shock. Hand hygiene is a basicelement of most bundles, and IHI Senior Vice President Donald Goldmann saidhospital staff compliance has been about 50% over the past several years(Baker, USA Today, 1/16).
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