Quality Improvement and Evidence Pased Practice

According to the QSEN competence the definition of Evidence-base practice (EBP) is: “integrate best current evidence with clinical practice and patient/family preferences and values for delivery of optimal health care.” (QSEN). While Quality Improvement (QI) is defined as: “Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.” (QSEN). Both EBP and QI were utilized to optimize healthcare given for an area of clinical concern in the facility described below.
2. Some years ago I was working in a unit where the infection control department found that the central line bloodstream infection rate was an astounding 21%. An infection rate of 21% was completely unacceptable and was deemed an emergent situation that required immediate action. The institution decided to form a special team that was dedicated exclusively to the placement and care of central lines. The team began by doing research to find out what the CDC, IHI and other healthcare facilities around the country were doing to reduce Central Line Associated Bloodstream Infections (CLABSI). In their research they found that facilities were using a Central Line Bundle. “A Central line Bundle is a group of evidence-based interventions for patients with central catheters that, when implemented together, result in better outcomes than when implemented individually. The Bundle consisted of 6 key components: hand hygiene, maximal barrier during insertion, chlorhexidine, optimal site selection, and daily review of line necessity and removal as soon as possible.” ("Prevent central line," 2011). In addition to the bundle a checklist is used for the things that are to be monitored before, during, and after the insertion. The implementation of the insertion checklist, together with the use of the bundle and daily care by this exclusive team resulted in a...