Dissemination of a Novel Framework to Improve Blood Culture Use in Pediatric Critical Care.

ABSTRACT:

Introduction

Single center work demonstrated a safe reduction in unnecessary blood culture use in critically ill children. Our objective was to develop and implement a customizable quality improvement framework to reduce unnecessary blood culture testing in critically ill children across diverse clinical settings and various institutions.

Methods

Three pediatric intensive care units (14 bed medical/cardiac; 28 bed medical; 22 bed cardiac) in 2 institutions adapted and implemented a 5-part Blood Culture Improvement Framework, supported by a coordinating multidisciplinary team. Blood culture rates were compared for 24 months preimplementation to 24 months postimplementation.

Results

Blood culture rates decreased from 13.3, 13.5, and 11.5 cultures per 100 patient-days pr

SUBMITTER: Woods-Hill CZ 

PROVIDER: S-EPMC6221585 | biostudies-literature | 2018 Sep-Oct

REPOSITORIES: biostudies-literature