Reducing Catheter-Associated Blood Stream Infections in a Pediatric Intensive Care Unit

Sharar, Ziad Abu; Northway, Tracie; Skippen, Peter; Braun, Leslie; Krahn, Gordon; Kissoon, Niranjan; Milner, Ruth

doi:10.1097/pts.0b013e318188dbd1

Cited by 1 publication

(2 citation statements)

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“…The implementation of a small number (3-5) of straightforward and targeted evidence-based actions is a recommended strategy for improving patient safety, which has been proven effective for specific issues, as suggested by the recent "bundle" approach. [53][54][55] We did not explore this hypothesis, although in addition to the seven CAPA categories, the 7CARECAT tool provided a set of explicit criteria to participants to further help in the specification and prioritization of each of the following formulated CAPAs: efficacy, cost, effectiveness, acceptability, feasibility, addressee, and deadline for implementation. The main reason for this is that we failed to assess the relevance of the prioritization made by participants.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, participants may have deliberately formulated a small number of CAPAs that they considered to be well suited to the specific local conditions and constraints of the health care facility in which they worked. The implementation of a small number (3–5) of straightforward and targeted evidence-based actions is a recommended strategy for improving patient safety, which has been proven effective for specific issues, as suggested by the recent “bundle” approach 53–55 . We did not explore this hypothesis, although in addition to the seven CAPA categories, the 7CareCat tool provided a set of explicit criteria to participants to further help in the specification and prioritization of each of the following formulated CAPAs: efficacy, cost, effectiveness, acceptability, feasibility, addressee, and deadline for implementation.…”

Section: Discussionmentioning

confidence: 99%

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Impact of an Original Methodological Tool on the Identification of Corrective and Preventive Actions After Root Cause Analysis of Adverse Events in Health Care Facilities: Results of a Randomized Controlled Trial

et al. 2017

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The aim of the study was to assess the effectiveness of a new methodological tool for the identification of corrective and preventive actions (CAPAs) after root cause analysis of health care-related adverse events.Methods: From January to June 2010, we conducted a randomized controlled trial involving risk managers from 111 health care facilities of the Aquitaine Regional Center for Quality and Safety in Health Care (France). Fifty-six risk managers, randomly assigned to two groups (intervention and control), identified CAPAs in response to two sequentially presented adverse event scenarios. For the baseline measure, both groups used their usual adverse event management tools to identify CAPAs in each scenario. For the experimental measure, the control group continued using their usual tools, whereas the intervention group used a new tool involving a systemic approach for CAPA identification. The main outcome measure was the number of CAPAs the participants identified that matched a criterion standard established by eight experts.Results: Baseline mean number of identified CAPAs did not differ between the two groups (P = 0.83). For the experimental measure, significantly more CAPAs (P = 0.001) were identified by the intervention group (mean [SD] = 4.6 [1.7]) than by the control group (mean [SD] = 2.8 [1.2]). Conclusions:For the two scenarios tested, more relevant CAPAs were identified with the new tool than with usual tools. Further research is needed to assess the effectiveness of the new tool for other types of adverse events and its impact on patient safety.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%