“care bundles” - hpsc.pptVIP

A Care bundle is a simple tool used to improve reliability in care delivery Elements must be evidenced based Can be used for different conditions or treatments and adapted locally www.hpsc.ie Baldelli P. et al Creation and implementation of a pressure ulcer prevention bundle improves patient outcomes. American Journal of Medical Quality, 23(2) 2008 136-142 Nelson J.E. et al Improving comfort and communication in ICU : A practical new tool for palliative care performance measurement and feedback. Quality and Safety in Health Care 2006;15:264-271 Crookshanks H et al The effect of HCAI surveillance and the introduction of care bundles in a regional intensive care unit in Northern Ireland 2008 SHEA Conference proceedings 2008 What are they why use them? What are Care Bundles? Background to Care Bundles Types of Care Bundles available PVC Care Bundle Healthcare workers are committed to delivering high standards of care to all patients Standards of care are generally defined by evidence based guidelines, e.g. infection control guidelines: SARI guidelines CDC guidelines (USA) EPIC/NICE guidelines (UK) A Care Bundle is a collection of interventions (usually 3-5) that are evidenced based All clinical staff know that these interventions are best practice but frequently their application in routine care is inconsistent A Care Bundle is a means to ensure that the application of all the interventions is consistent for all patients at all times thereby improving outcomes Dr. Peter Pronovost is accredited with developing the 1st Care Bundle – insertion and management of CVC’s Intensivist in a hospital in Michigan Developed a checklist for insertion and management of CVC’s to ensure that key interventions recommended by the CDC 2002 guidelines were implemented every time a CVC was inserted Hand decontamination pre insertion Full sterile barrier precautions (operator patient) 2% chlorhexidine for skin disinfectant Avoiding use of femoral site Removin