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- W2300992954 abstract "Methods An innovative CLABSI prevention program was developed in January 2013 Founded on the principles of relational coordination Mission: • Establish shared knowledge and goals while building mutual respect Key concepts emphasized: Bundled access Standardized maintenance Continuous evaluation of device need Monthly meetings held To review infections To identify opportunities for improvement To share collective gains Device utilization and CLABSI rates were analyzed in a pre–post design 18 months before and after program inception Results From July 2011 December 2012: SICU mean CLABSI rate was 2.24 No CLABSIs were observed for 7 individual months Longest consecutive stretch without a CLABSI was 3 months After introduction of relational coordination concepts: 2 infections within the first quarter of 2013. Since April 2013 the CLABSI rate has remained zero From the program launch in January 2013 June 2014: SICU mean CLABSI rate ↓ to 0.25 This ↓ (p<0.05) occurred despite a consistent device utilization rate (0.53 vs. 0.52, p=0.77) A ↓ in variance was also observed (4.66 vs. 0.55, p<0.05) Despite the organization having a lower device utilization rate (0.37 vs. 0.52 ) and a concurrent institutional CLABSI prevention program existing during both study periods, the organizational CLABSI rate was not significantly reduced (1.45 vs. 1.32, p=0.55) References 1. Hoffer Gittell, J. High performance healthcare: Using the power of relationships to achieve quality, efficiency and resilience. New York, NY: McGraw Hill; 2009. 335 p. Conclusions" @default.
- W2300992954 created "2016-06-24" @default.
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- W2300992954 date "2015-01-01" @default.
- W2300992954 modified "2023-09-23" @default.
- W2300992954 title "Relational Coordination: The Key to Eliminating CLABSI in the SICU" @default.
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