• J Ark Med Soc · Nov 2012

    Introduction of a rounding sticker improves care and reduces infection rates in the Pediatric Intensive Care Unit (PICU).

    • Michael H Stroud, Michele M Moss, Craig H Gilliam, Michele Honeycutt, Michele Frost, and Jerril W Green.
    • J Ark Med Soc. 2012 Nov 1; 109 (6): 114-7.

    AbstractAs part of our plan to decrease infection rates, we instituted a rounding sticker used during daily rounds. This sticker is a checklist that serves as a reminder of interventions known to improve quality of care in the PICU. It is completed daily and placed in the bedside chart of all patients in the Pediatric Intensive Care Unit (PICU) at Arkansas Children's Hospital. Date was collected on central venous catheter days, foley catheter days, arterial line days, infection rates, GI prophylaxis use, neuromuscular blocker use, and changes in medications before and after institution of the rounding sticker. Following rounding sticker use, there was a 56% reduction in urinary tract infections [4.13/1000 device days vs 1.8/1000 device days; p = 0.027], as well as an increase in GI prophylaxis (1846 vs 2399) and enoxaparin (119 vs 151) use.

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