What features of educational interventions lead to competence in aseptic insertion and maintenance of CV catheters in acute care BEME Guide No. 15

Medical Teacher

Volumn 32, Issue 3, 2010, Pages 198-218

  Cherry, M Gemma ^a   Brown, Jeremy M ^a   Neal, Timothy ^b   Ben Shaw, Nigel ^a  

^a EDGE HILL UNIVERSITY   (United Kingdom)

^b ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ASEPSIS; CENTRAL VENOUS CATHETERIZATION; CLINICAL COMPETENCE; EDUCATIONAL STATUS; HEALTH CARE QUALITY; HUMAN; INFORMATION PROCESSING; REVIEW; SEPSIS;

ASEPSIS; CATHETERIZATION, CENTRAL VENOUS; CLINICAL COMPETENCE; DATA COLLECTION; EDUCATIONAL STATUS; HUMANS; QUALITY OF HEALTH CARE; SEPSIS;

EID: 77949389031     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/01421591003596600     Document Type: Article

References (109)

1. Ahlin C, Klang-Soderkvist B, Brundin S, Hellstrom B, Pettersson K, Johansson E. 2006. Implementation of a written protocol for management of central venous access devices: A theoretical and practical education, including bedside examinations. J Infus Nurs 29(5):253-259.
2. Avorn J, Soumerai SB. 1983. A new approach to reducing suboptimal drug use. JAMA 250:1752-1753.
3. Bandura A, Adams NE, Beyer J. 1977. Cognitive processes mediating behavioral change. J Pers Soc Psychol 35:125-139.
4. Bandura A. 1996. Social cognitive theory of human development. In: Husen T, Postelethwaite TN, editors. International Encyclopedia of Education. 2nd ed. Oxford: Pergamon Press. pp 5513-5518.
5. Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Parley JE, Milanovich S, Garrett-Mayer E, Winters BD, Rubin HR, et al. 2004. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 32(10):2014-2020.
6. Berriel-Cass D, Adkins FW, Jones P, Fakih MG. 2006. Eliminating nosocomial infections at Ascension Health. Jt Comm J Qual Patient Saf 32(11):612-620.
7. Bhutta A, Gilliam C, Honeycutt M, Schexnayder S, Green J. 2007. Reduction of bloodstream infections associated with catheters in paediatric intensive care unit: Stepwise approach. BMJ 334(7589):362.
8. Billi JE, Duran-Arenas L, Wise CG, Bernard AM, McQuillan M, Stross JK. 1992. The effects of a low-cost intervention program on hospital costs. J Gen Intern Med 7:411-417.
9. Bishop-Kurylo D. 1998. The clinical experience of continuous quality improvement in the neonatal intensive care unit. J Perinat Neonatal Nurs 12(1):51-57.
10. Bjornestam B, Hedborg K, Ransjo U, Finkel Y. 2000. The effect of a 1-hour training program on the incidence of bacteremia in pediatric patients receiving parenteral nutrition. J Intraven Nurs 23(3):154-157
11. Black N, Hutchings A. 2002. Reduction in the use of surgery for glue ear: Did national guidelines have an impact? Qual Saf Health Care 11:121-124.
12. Britt RC, Reed SF, Britt LD. 2007. Central line simulation: A new training algorithm. Am Surg 73(7):680-683.
13. Burgers JS, Grol RPTM, Zaat JOM, Spies TH, Van Der Bij AK, Mokkink HGA. 2003. Characteristics of effective clinical guidelines for general practice. Br J Gen Pract 53(486):15-19.
14. Capretti MG, Sandri F, Tridapalli E, Galletti S, Petracci E, Faldella G. 2008. Impact of a standardized hand hygiene program on the incidence of nosocomial infection in very low birth weight infants. Am J Infect Control 36(6):430-435.
15. Centers for Disease Control and Prevention 2002. Guidelines for the prevention of intravascular catheter-related infections. MMWR Morb Mortal Wkly Rep 51:1-30.
16. Cheater F, Baker R, Gillies C, Hearnshaw H, Flottorp S, Robertson N, Shaw EJ, Oxman AD. 2006. Tailored interventions to overcome identified barriers to change: Effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 3. Art. No.: CD005470. doi: 10.1002/14651858.CD005470.
17. Coopersmith CM, Rebmann TL, Zack JE, Ward MR, Corcoran RM, Schallom ME, Sona CS, Buchman TG, Boyle WA, Polish LB, et al. 2002. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med 30(1):59-64.
18. Coopersmith CM, Zack JE, Ward MR, Sona CS, Schallom ME, Everett SJ, Huey WY, Garrison TM, McDonald J, Buchman TG, et al. 2004. The impact of bedside behavior on catheter-related bacteremia in the intensive care unit. Arch Surg 139:131-136.
19. Costello JM, Morrow DF, Graham DA, Potter-Bynoe G, Sandora TJ, Laussen PC. 2008. Systematic intervention to reduce central line-associated bloodstream infection rates in a pediatric cardiac intensive care unit. Pediatrics 121(5):915-923.
20. Crawford M, Soukup SM, Woods SS, Deisch P. 2000. Peripherally inserted central catheter program. Nurs Clin North Am 35(2):349-360.
21. Curchoe RM, Powers J, El-Daher N. 2002. Weekly transparent dressing changes linked to increased bacteremia rates. Infect Control Hosp Epidemiol 23:730-732.
22. Curtis LT. 2008. Prevention of hospital-acquired infections: Review of non-pharmacological interventions. J Hosp Infect 69:204-219
23. Davis DA, Thomson M, Oxman AD, Haynes RB. 1995. Changing physician performance: A systematic review of the effect of continuing medical education strategies. JAMA 274(9):700-705.
24. Department of Health. 1995, 2002, 2003, 2005, 2006. http://www.dh.gov. uk. Accessed 1 July 2008.
25. Dinc L, Erdil F. 2000. The effectiveness of an educational intervention in changing nursing practice and preventing catheter-related infection for patients receiving total parenteral nutrition. Int J Nurs Stud 37(5):371-379.
26. Downs SH, Black N. 1998. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of healthcare interventions. J Epidemiol Community Health 52:377-384.
27. East D, Jacoby K. 2005. The effect of a nursing staff education program on compliance with central line care policy in the cardiac intensive care unit. Pediatr Nurs 31(3):182-185.
28. Eggimann P. 2007a. Diagnosis of intravascular catheter infection. Curr Opin Infect Dis 20:353-359.
29. Eggimann P. 2007b. Prevention of intravascular catheter infection. Curr Opin Infect Dis 20:360-369.
30. Eggimann P, Harbarth S, Constantin MN, Touveneau S, Chevrolet JC, Pittet D. 2000. Impact of a prevention strategy targeted at vascular-access care on incidence of infections acquired in intensive care. Lancet 355(9218):1864-1868.
31. Eisenberg JM. 1986. Doctors' decisions and the cost of medical care. Michigan: Health Administration Press.
32. Elliott TSJ. 1988. Intravascular-device infections. J Med Microbiol 27:161-167.
33. Ely EW, Hite RD, Baker AM, Johnson MM, Bowton DL, Haponik EF. 1999. Venous air embolism from central venous catheterization: A need for increased physician awareness. Crit Care Med 27(10):2113-2117.
34. EPIC (2002). Available from: http://www.epic.tvu.ac.uk/. Accessed 4 August 2008.
35. Everitt DE, Soumerai SB, Avorn J, Klapholz H, Wessels M. 1990. Changing surgical antimicrobial prophylaxis practices through education targeted at senior department leaders. Infect Control Hosp Epidemiol 11:578-583.
36. Farmer AP, Légaré F, TurcotL, Grimshaw J, Harvey E, McGowan JL, Wolf F. 2008. Printed educational materials: Effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 3. Art. no. CD004398. doi:10.1002/14651858.CD004398.pub2.
37. Fingerhut A, Borie F, Dziri C. 2005. How to teach evidence-based surgery. World J Surg 29(5):592-595.
38. Fletcher SJ, Bodenham AR. 1999. Catheter-related sepsis: An overview. Part 1. Br J Intensive Care 9:46-53.
39. Fox RD, Mazmanian PE, Putnam RW. 1989. Changing and Learning in the Lives of Physicians. New York: Praeger.
40. Foy R, MacLennan G, Grimshaw J, Penney G, Campbell M, Grol R. 2002. Attributes of clinical recommendations that influence change in practice following audit and feedback. Journal of Clinical Epidemiology 55:717-722.
41. Frank E, Baldwin G, Langlieb AM. 2000. Continuing medical education habits of US women physicians. J Am Med Womens Assoc 55:27-28.
42. Frankel HL, CredeWB, Topal JE, Roumanis SA, Devlin MW, Foley AB. 2005. Use of corporate six sigma performance-improvement strategies to reduce incidence of catheter-related bloodstream infections in a surgical ICU. J Am Coll Surg 201(3):349-358.
43. Frazier LM, Brown JT, Divine GW. 1991. Can physician education lower the cost of prescription drugs? A prospective, controlled trial. Ann Intern Med 115:116-121.
44. Freemantle N, Harvey EL, Wolf F, Grimshaw JM, Grilli R, Bero LA. 1997. Printed educational materials: Effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 2. Art. no. CD000172. doi:10.1002/14651858. CD000172.
45. Gnass SA, Barboza L, Bilicich D, Angeloro P, Treiyer W, Grenovero S, Basualdo J. 2004. Prevention of central venous catheter-related bloodstream infections using non-technologic strategies. Infect Control Hosp Epidemiol 25:675-677.
46. Goeschel CA, Bourgault A, Palleschi M, Posa P, Harrison D, Tacia L, Adamczyk MA, Falkenberg D, Barbret L, Clark P, et al. 2006. Nursing lessons from the MHA keystone ICU project: Developing and implementing an innovative approach to patient safety. Crit Care Nurs Clin North Am 18(4):481-492.
47. Goldmann DA, Pier GB. 1993. Pathogenesis of infections related to intravascular catheterization. Clin Microbiol Rev 6:176-192.
48. Gordon RB, Grimshaw JM, Eccles M, Rowe RE, Wyatt JC. 1998. On-screen computer reminders: Effects on professional practice and healthcare outcomes (protocol) Cochrane Database Syst Rev 2. Art. no. CD001096. doi:10.1002/ 14651858.CD001096.
49. Gorman P, Redfern C, Liaw T, Carson S, Wyatt J, Rowe R, Grimshaw J. 1998. Computer-generated paper reminders: Effects on professional practice and healthcare outcomes (protocol). Cochrane Database Syst Rev 3. Art. no. CD001175. doi:10.1002/14651858.CD001175.
50. Goulet F, Gagnon RJ, Desrosiers G, Jacques A, Sindon A. 1998. Participation in CME activities. Can Fam Physician 44:541-548.
51. Grilli R, Lomas J. 1994. Evaluating the message: The relationship between compliance rate and the subject of a practice guideline. Medical Care 32:202-213.
52. Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsey CR, Vale L, Whitty P, Eccles MP, Matowe L, Shirran L, et al. 2004. Effectiveness and efficacy of guideline dissemination and implementation strategies. Health Technol Assess Monogr Ser 8:1-72.
53. Grol R, Dalhuijsen J, THomas S, Veld C, Rutten G, Mokkink H. 1998. Attributes of clinical guidelines that influence use of guidelines in general practice: Observational study. Br Med J 317(7162):858.
54. Harnage SA. 2007. Achieving zero catheter related blood stream infections: 15 months success in a community based medical center. J Assoc Vasc Access 12(4):218-224.
55. Hatler CW, Mast D, Corderella J, Mitchell G, Howard K, Aragon J, Bedker D. 2006. Using evidence and process improvement strategies to enhance healthcare outcomes for the critically ill: A pilot project. Am J Crit Care 15(6):549-555.
56. Health Protection Agency. 2002. http://hpa.org.uk. Accessed 10 August 2008.
57. Higuera F, Rosenthal VD, Duarte P, Ruiz J, Franco G, Safdar N. 2005. The effect of process control on the incidence of central venous catheterassociated bloodstream infections and mortality in intensive care units in Mexico. Crit Care Med 33(9):2022-2027.
58. Hu KK, Veenstra DL, Lipsky BA, Saint S. 2004. Use of maximal sterile barriers during central venous catheter insertion: Clinical and economic outcomes. Clin Infect Dis 39:1441-1445.
59. Hulscher MEJL, Wensing M, van der Weijden T, Grol R. 2002. Interventions to implement prevention in primary care. Cochrane Database Syst Rev 1. Art. no. CD000362. doi:10.1002/14651858.CD000362.pub2.
60. Issenberg SB, Mcgaghie WC, Petrusa ER, Gordon DL, Scalese RJ. 2005. Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Med Teach 27(1):10-28.
61. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. 2006. Audit and feedback: Effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 2. Art. no. CD000259. doi:10.1002/14651858.CD000259. pub2.
62. Kennedy JF, Nightingale JMD. 2005. Cost savings of an adult hospital nutrition support team. Nutrition 21(11-12):1127-1133.
63. Kirkpatrick DL. 1967. Evaluation of training. In: Craig R, Bittel L, editors. Training and development handbook. New York: McGraw-Hill.
64. Kmet LM, Lee RC, Cook LS. 2004. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Edmonton: Heritage Foundation for Medical Research.
65. Kroenke K, Pinholt EM. 1990. Reducing polypharmacy in the elderly: A controlled trial of physician feedback. J Am Geriatr Soc 38:31-36.
66. Lobo RD, Levin AS, Brasileiro Gomes LM, Cursino R, Park M, Figueiredo VB, Taniguchi L, Polido CG, Costa SF. 2005. Impact of an educational program and policy changes on decreasing catheter-associated bloodstream infections in a medical intensive care unit in Brazil. Am J Infect Control 33(2):83-87.
67. Lomas J, Enkin M, Anderson GM, Hannah WJ, Vayda E, Singer J. 1991. Opinion leaders vs audit and feedback to implement practice guidelines: Delivery after previous cesarean section. JAMA 265:2202-2207.
68. Maki DG, Kluger DM, Crnich CJ. 2006. The risk of bloodstream infection in adults with different intravascular devices: A systematic review of 200 published prospective studies. Mayo Clin Proc 81:1159-1171.
69. Manheim LM, Feinglass J, Hughes R, Martin GJ, Conrad K, Hughes EF. 1990. Training house officers to be cost conscious: Effects of an educational intervention on charges and length of stay. Med Care 28:29-42.
70. McKee C, Berkowitz I, Cosgrove SE, Bradley K, Beers C, Perl TM, Winner L, Pronovost PJ, Miller MR. 2008. Reduction of catheter-associated bloodstream infections in pediatric patients: Experimentation and reality. Pediatr Crit Care Med 9(1):40-46.
71. McPhee SJ, Bird JA, Jenkins CN, Fordham D. 1989. Promoting cancer screening: A randomised, controlled trial of three interventions. Arch Intern Med 149:1866-1872.
72. Miranda JA, Trick WE, Evans AT, Charles-Damte M, Reilly BM, Clarke P. 2007. Firm-based trial to improve central venous catheter insertion practices. J Hosp Med 2(3):135-142.
73. Misset B, Timsit JF, Durnay MF. 2004. A continuous quality-improvement program reduces nosocomial infection rates in the ICU. Intensive Care Med 30(3):395-400.
74. Muto C, Herbert C, Harrison E, Edwards JR, Horan T, Andrus M, Jernigan JA, Kutty PK. 2005. Reduction in central line-associated bloodstream infections among patients in Intensive Care Units - Pennsylvania, April 2001-March 2005. Morbidity and Mortality Weekly Report 54:1013-1016.
75. Nylenna M, Aasland OG. 2000. Primary care physicians and their information-seeking behaviour. Scand J Prim Health Care 18:9-13.
76. O'Brien MA, Oxman AD, Davis DA, Haynes RB, Freemantle N, Harvey EL. 1998. Audit and feedback versus alternative strategies: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 1. Art. no. CD000260. doi:10.1002/14651858.CD000260.
77. Oxman AD, Thomson MA, Davis DA, Haynes RB. 1995. No magic bullets: A systematic review of 102 trials on interventions to improve professional practice. CMAJ 153:1423-1431.
78. Peloso PM, Stakiw KJ. 2000. Small-group format for continuing medical education: A report from the field. J Contin Educ Health Prof 20(1):27-32.
79. Peters G, Locci R, Pulverer G. 1982. Adherence and growth of coagulasenegative staphylococci on surfaces of intravascular catheters. J Infect Dis 146:479-482.
80. Price CS, Hacek D, Noskin GA, Peterson LR. 2002. Infect Control Hosp Epidemiol 23:725-729.
81. Pronovost P, Needham D, Berenholtz S, Sinopoli D. 2006. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 355:2725-2732.
82. Ramakrishna G, Higano ST, McDonald FS, Schultz HJ. 2005. A curricular initiative for internal medicine residents to enhance proficiency in internal jugular central venous line placement. Mayo Clin Proc 80:212-218.
83. Ranasinghe JS, Lee AJ, Birnbach DJ. 2008. Infection associated with central venous or epidural catheters: How to reduce it? Curr Opin Anaesthesiol 21:386-390
84. Ray WA, Blazer DG, Schaffner W, Federspiel CF, Fink R. 1986. Reducing long-term diazepam prescribing in office practice: A controlled trial of educational visits. JAMA 256:2536-2539.
85. Ray WA, Schaffner W, Federspiel CF. 1985. Persistence of improvement in antibiotic prescribing in office practice. JAMA 253:1774-1776.
86. Render ML, Brungs S, Kotagal U, Nicholson M, Burns P, Ellis D, Clifton M, Fardo R, Scott M, Hirschhorn L. 2006. Evidence-based practice to reduce central line infections. Jt Comm J Qual Patient Saf 32(5):253-260
87. Riber U, Espersen F, Kharazmi A. 1995. Comparison of adherent and nonadherent staphylococci in the induction of polymorphonuclear leukocyte activation in vitro. APMIS 103:439-446
88. Rogers EM. 1983. Diffusion of Innovation. New York: The Free Press.
89. Rosenthal VD, Guzman S, Pezzotto SM, Crnich CJ. 2003. Effect of an infection control program using education and performance feedback on rates of intravascular device-associated bloodstream infections in intensive care units in Argentina. Am J Infect Control 31(7):405-409.
90. Salemi C, Canola MT, Eck EK. 2002. Hand washing and physicians: How to get them together. Infect Control Hosp Epidemiol 23:32-35.
91. Schaffner W, Ray WA, Federspiel CF, Miller WO. 1983. Improving antibiotic prescribing in office practice: A controlled trial of three educational methods. JAMA 250:1728-1732.
92. Schelonka RL, Scruggs S, Nichols K, Dimmitt RA, Carlo WA. 2006. Sustained reductions in neonatal nosocomial infection rates following a comprehensive infection control intervention. J Perinatol 26:176-179.
93. Shapey IM, Foster MA, Whitehouse T, Jumaa P, Bion JF. 2008. Central venous cathete-related bloodstream infections: Improving post-insertion catheter care. J Hosp Infect. doi:10.1016/j.jhin.2008.09.016.
94. Shaw C, McNamara R, Abrams K, Cannings-John R, Hood K, Longo M, Myles S, O'Mahony S, Roe B, Williams K. 2009. Systematic review of respite care in the frail elderly. NHS Health Technology Assessment 13(20):1-246.
95. Sherertz RJ, Ely EW, Westbrook DM, Gledhill KSStreed SA, Kiger B, Flynn L, Hayes S, Strong S, Cruz J, et al. 2000. Education of physicians in-training can decrease the risk for vascular catheter infection. Ann Intern Med 132(8):641-648.
96. Smyth ET, McIlvenny G, Enstone JE, Emmerson AM, Humphreys H, Fitzpatrick F, Davies E, Newcombe RG, Spencer RC. 2008. Hospital Infection Society Prevalence Survey Steering Group. Four country healthcare associated infection prevalence survey 2006: Overview of the results. J Hosp Infect 69:230-248
97. Thibodeau S, Riley J, Rouse KB. 2007. Effectiveness of a new flushing and maintenance policy using peripherally inserted central catheters for adults: Best practice. J Infus Nurs 30(5):287-292.
98. Tsuchida T, Makimoto K, Toki M, Sakai K, Onaka E, Otani Y. 2007. The effectiveness of a nurse-initiated intervention to reduce catheterassociated bloodstream infections in an urban acute hospital: An intervention study with before and after comparison. Int J Nurs Stud 44(8):1324-1333.
99. Velmahos GC, Toutouzas KG, Sillin LF, Chan L, Clark RE, Theodorou D, Maupin F. 2004. Cognitive task analysis for teaching technical skills in an inanimate surgical skills laboratory. Am J Surg 187(1):114-119.
100. Wall RJ, Ely EW, Elasy TA, Dittus RS, Foss J, Wilkerson KS, Speroff T. 2005. Using real time process measurements to reduce catheter related bloodstream infections in the intensive care unit. Qual Saf Health Care 14(4):295-302.
101. Warren DK, Cosgrove SE, Diekema DJ, Zuccotti G, Climo MW, Bolon MK, Tokars, JI, Noskin GA, Wong ES, Sepkowitz KA, et al. 2006a. Prevention epicenter program. A multicenter intervention to prevent catheterassociated bloodstream infections. Infect Control Hosp Epidemiol 27:662-669.
102. Warren DK, Quadir WW, Hollenbeak CS, Elward AM, Cox MJ, Fraser V. 2006b. Attributable cost of catheter-associated bloodstream infections among intensive care patients in a non-teaching hospital. Crit Care Med 34:2084-2089.
103. Warren DK, Zack JE, Cox MJ, Cohen MM, Fraser VJ. 2003. An educational intervention to prevent catheter-associated bloodstream infections in a nonteaching, community medical center. Crit Care Med 31(7):1959-1963.
104. Warren DK, Zack JE, Mayfield JL, Chen A, Prentice D, Fraser VJ, Kollef MH. 2004. The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU. Chest 126:1612-1618.
105. Woodrow P. 2002. Central venous catheters and central venous pressure. Nurs Stand 16:45-51.
106. Worthington T, Elliott TS. 2005. Diagnosis of central venous catheter related infection in adult patients. J Infect 51:267-280.
107. Xiao Y, Seagull FJ, Bochicchio GV, Guzzo JL, Dutton RP, Sisley A, Joshi M, Standiford HC, Hebden JN, Mackenzie CF, et al. 2007. Video-based training increases sterile-technique compliance during central venous catheter insertion. Crit Care Med 35(5): 1302-1306.
108. Yilmaz G, Caylan R, Aydin K, Topbas M, Koksal I. 2007. Effect of education on the rate of and the understanding of risk factors for intravascular catheter-related infections. Infect Control Hosp Epidemiol 28:689-694.
109. Young EM, Commiskey ML, Wilson SJ. 2006. Translating evidence into practice to prevent central venous catheter-associated bloodstream infections: A systems-based intervention. Am J Infect Control 34(8):503-550.