Λεπτομέρειες βιβλιογραφικής εγγραφής
| Τίτλος: |
Discarding Bedside Cart Paper-Packaged Supplies Between Patients: What Evidence Is Required? |
| Συγγραφείς: |
Severson, Shellie, Joffe, Ari R. |
| Πηγή: |
American Journal of Critical Care; Sep2026, Vol. 35 Issue 5, p395-399, 5p |
| Θεματικοί όροι: |
Cross infection prevention, Pediatric nurses, Cross-sectional method, World Wide Web, Medical personnel, Research funding, Data analysis, Infection control, Microbial contamination, Pilot projects, Interviewing, Medical waste disposal, Discharge planning, Descriptive statistics, Chi-squared test, Evaluation of medical care, Surveys, Pediatrics, Attitudes of medical personnel, Intensive care units, Research methodology, Statistics, Evidence-based medicine, Application software, Data analysis software, Human comfort, Psychosocial factors, Critical care nurses |
| Γεωγραφικοί όροι: |
Canada |
| Περίληψη: |
Background: Discarding paper-packaged sterile supplies from bedside supply carts between patients in pediatric intensive care units (PICUs) is a potential practice to target for environmental stewardship. Objectives: To determine opinions about this practice, including what evidence should be required to implement and what evidence would be adequate to abandon it. Methods: A survey was distributed to all pediatric intensivists engaged in multicenter research in Canada and to all PICU nurses at one institution in Canada. Results: The response rate was 75 of 254 (30%). The practice occurred in 54 (72%) of the respondents' units. Ten respondents (13%) agreed the practice was effective in preventing nosocomial infections. Most respondents agreed the practice should be based on empirical evidence, including a combination of improved patient outcomes (n = 57, 76%), rate of contamination of supplies within the supply carts (n = 55, 73%), and survivability of pathogens inoculated onto paper (n = 56, 75%). Most respondents agreed they would be comfortable with a randomized controlled trial (n = 52, 69%) and would support action based on the results (n = 54, 72%). The potential trial outcome most highly ranked was next-patient nosocomial infection with pathogen from the previous patient (n = 23, 31%); this was ranked more often by intensivists (P =.005). Other outcomes highly ranked included next-patient colonization with pathogen from the previous patient (n = 44, 59%) and pathogen detection on supplies within the supply cart (n = 43, 57%). Conclusions: Most respondents agreed that the practice was not based on empirical evidence, agreed the practice should be based on empirical evidence, and would agree to a randomized trial with patient-important outcomes. [ABSTRACT FROM AUTHOR] |
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| Βάση Δεδομένων: |
Complementary Index |