Publications by authors named "Jennifer A Ormsby"
Background: Recent analyses suggest that existing infection preventionist (IP) staffing ratios do not reflect the scope of institutional needs after accounting for complexity and non-inpatient locations. We sought to determine the current IP staffing level required to address the complexity and scope of our pediatric ambulatory and procedural operations.
Methods: This needs assessment was adapted from previous analyses by Bartles et al (2018).
Article Synopsis
- A quality improvement project was conducted in a children’s hospital from January 2019 to June 2021, introducing Kamishibai (K-card rounding) to enhance urinary catheter maintenance and minimize CAUTI rates.
- The K-card audits, involving standardized questions during weekly rounds, revealed stable overall maintenance reliability at 84%, but significant improvement in the assessment of the necessity of catheters (from 88% to 94%).
- Ultimately, this initiative led to a notable reduction in CAUTI rates, demonstrating the effectiveness of standardized data collection and team collaboration.
Article Synopsis
- The study focused on understanding the use and reasons for long-term central venous catheters (CVCs) in a pediatric intensive care unit (PICU) and aimed to find ways to reduce their use.
- Researchers created an electronic report to track patients with CVCs for 7 days or more, held weekly meetings to review the need for each CVC, and made recommendations for their removal.
- The intervention, which included education and categorization of CVC indications, successfully led to a decrease in long-term CVC utilization during the study period.
Unlabelled: During the initial COVID-19 response, this children's hospital reduced its inpatient capacity by 52 beds with double rooms' conversion to single patient occupancy, causing significant capacity constraints. To solve this challenge, the family perspective was engaged to safely redouble patient rooms and expand capacity as clinical activity increased during the COVID-19 response.
Methods: The team conducted qualitative descriptive interviews with parents of children undergoing congenital heart surgery admitted to the inpatient cardiac unit in a 404-bed free-standing children's hospital.
Objective: To institute facility-wide Kamishibai card (K-card) rounding for central venous catheter (CVC) maintenance bundle education and adherence and to evaluate its impact on bundle reliability and central-line-associated bloodstream infection (CLABSI) rates.
Design: Quality improvement project.
Setting: Inpatient units at a large, academic freestanding children's hospital.
Background: Central line-associated bloodstream infections (CLABSIs) cause substantial morbidity and increase antimicrobial use and length of stay among hospitalized children in the United States. CLABSI occurs more frequently among high-risk pediatric patients, such as those with intestinal failure (IF) who are parenteral nutrition (PN) dependent. Following an increase in CLABSI rates, a quality improvement (QI) initiative was implemented.
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