Further research focusing on specific aspects of a bundled approach may be beneficial to understand which strategies are most effective.Īntimicrobial stewardship Asepsis Blood culture Integrative review Patient safety Sepsis.Ĭopyright © 2020 College of Emergency Nursing Australasia. A bundled approach yielded the most significant results and was identified to be practical, inexpensive, and adaptable. Colonization of NC is considered the cause of 50 of postinsertion catheter-related infections. All eligible literature was screened with those included in the final review collated and appraised using a quality assessment tool.Įleven reports were included in the final review, which identified bundled approaches, education and feedback, equipment and technique, and stakeholder engagement as strategies that improve BCC rates in the ED.Īll studies reported a reduction in BCC rates regardless of the strategies implemented. Needleless connectors (NC) are used on virtually all intravascular devices, providing an easy access point for infusion connection. The aim of this review is to identify effective strategies to improve blood culture collection in EDs to decrease contamination rates and improve patient safety.Īn integrative literature review methodology was utilised to conduct a structured search of contemporary literature using CINAHL, Embase, Medline, Pubmed and Scopus databases. Current evidence suggests that the emergency department (ED) often has blood culture contamination (BCC) rates above the recommended 3%, contributing to increased hospital length of stay, unnecessary or inappropriate antimicrobial treatment, and increased economic burden. The findings of the study reveals that knowledge regarding Bio-medical waste management(87),definition of asepsis, aseptic technique, infection(86), aseptic technique in labour room(77) and. Blood culture collection remains the gold standard to diagnose bacteraemia.
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