THE EVIDENCE-BASED PRACTICE: ELECTRONIC SMART DEVICE SURVEILLANCE FOR SUSPECTED NOSOCOMIAL INFECTION AND ITS PATIENTS, OUTCOMES
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Keywords
evidence-based practice- surveillance- nosocomial infection - outcomes
Abstract
Background: Infection surveillance is one of the cornerstones of infection prevention and control. Surveillance for healthcare-associated infections (HAIs) contains many of the elements as systematic observation and data collection, consolidation, and dissemination of the data with evaluation for temporal changes. Aim: The study designed to evaluate the evidence-based practice: electronic smart device surveillance for suspected nosocomial infection and its patients, outcomes. Design: Quasi-experimental research design utilized in this study. Setting: The study carried out in trauma and chest intensive care units (ICUs) at Assiut university hospital, Egypt. Subjects: The study comprised evaluation of 112 patients in intensive care units participated by electronic smart device surveillance. Tools: three tools utilized to collect data for the study: Tool I: Patient assessment sheet, Tool II: Smart device surveillance, and Tool III: Patient outcomes. Methods: the study conducted throughout three main phases, preparatory phase, implementation phase and evaluation phase. Results The current study revealed that there was; the infection type reported from device surveillance are pneumonia, blood stream infection (BSI), urinary tract infection (UTI), and surgical site infection (SSI) was (49.1, 39.2%,31.2%, and 3.5% respectively). (36.3%) Klebsiella was the most common organism causing CLABSI, and (16.3%) of E-coli, Klebsiella, and Acinetobacter for the pathogen from pneumonia. Conclusion: Based on findings of the current study, it can be concluded that the highest outcome for infection type of the patients died for pneumonia, blood stream infection (BSI), and urinary tract infection (UTI), were (65.4, 50, and 54.2, % respectively). Recommendation: continuing educational programs of nurses’ performance for any electronic devices.
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