Marjon Borgert

136 Chapter 6 Supplementary File 3 Study characteristics in detail First author, Publication year, coun- try, care bundle Design Study Periods ICU (number of beds) Study outcomes Partici- pants (bundle users) Model of theory/ program of patient safety Type of complian- ce measurement/ Period in which compliance is calculated Implementation details E ects on compliance Jeong 27 2013, South Korea, Central line bundle pre/post design Baseline: Apr’09- mrt ‘10, Interven- tion phase: Apr’10-Dec’11 - Transition peri- od: Apr-Sep’10 - Follow up: Oct ‘10-Dec’11 ICU (39 beds) Bundle compli- ance. Incidence of CLABSI. Length of time between insertion and CLABSI occur- rence Health care pro- fessionals: nurses and phys- icians NS AON/ Overall: 18 months 1) Development Task Force team, 2) posters 3) distribution of educational programs and materials 4) feedback on unit level compliance with CL bundle and CLABSI incidence. 5) checklist. During follow up period (Oct ‘10-Dec ‘11): weekly feedback on compliance and monthly feedback on CLABSI rates. Task force team provided feedback on the overall follow up process. Educational programs and distributed materials to new professionals. Phase 1: Baseline: 0% Phase 2: Intervention period: 44,3% (p<0.001) Hocking 28 2013, New Zealand, Central line bundle pre/post design Baseline: Oct ‘07-Dec ‘08 Post interventi- on: Jan ‘09 - Apr ‘11. General ICU (7 beds. By July ‘08: 12 beds) CLABSI rate. Bundle compli- ance. Nurses and doctors. Nurse-pt ratio: 1:1 or 1:2 NS AON/ Per month 1) education, 2) reminders during nurses shift handover and placed on computer screen, 3) checklist, 4) nurses observed insertion and they reminded doctors to comply with the bundle, 5) feedback on compliance, 6) posters, 7) teaching at the bedside in small groups. 8) face to face teaching sessi- ons 9) Signs (updated each day) with run charts of CLAB rate and sta compliance, 10) daily rounds, 11) visual updates on sta compliance Insertion bundle Dec’08: 36% to Apr ‘11: 81%. Maintenance bundle Jun ‘09: 76% to Apr ‘11: 80%. Compliance High risk bundle was not described Sacks 29 2014, USA, Central line bundle Pre/post design Baseline: Nov’04-Nov’05. Intervention: Dec’05-Mar’06. Post interven- tion Tertiary care hospital, surgical ICU: 16 beds CLABSI rates Physici- ans and nurses NS AON/ Per month 1) multidisciplinary implementation team; 2) computerized training module and examination for all physicians and nurses involved; 3) nurses were instructed to stop the pro- cedure if they noticed any violation; 4) checklist; 5) mobile central line insertion cart containing all equipment and supplies for insertion and management of CVCs Overall compliance: March ’06: 58% (19/33) Marra 30 2010, Brazil, Central line bundle Qua- si-expe- rimental: pre/post design Phase 1: Mrt’05- Mrt’07. Phase 2 (bundle implementa- tion): Apr’07- Apr’09 Medical and surgical ICU (38 beds) CLABSI rate ICU-team: doctors and nurses NS AON/ Overall:2 years 1) Educational meetings, 2) monthly feedback on com- pliance via email. 3) Posters with bar charts displaying compliance + CLABSI rates. 4) Group of ICU doctors to remove catheters daily. 5) nurses intervened in the process at the same time if non-compliance with an element was detected, 6) insertion chart Phase 2 on ICU: 1723/1833 (94%)