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conferenceseries
.com
Volume 6, Issue 4 (Suppl)
J Nurs Care, an open access journal
ISSN: 2167-1168
World Nursing 2017
July 10-12, 2017
23
rd
World Nursing and Healthcare Conference
July 10-12, 2017 Berlin, Germany
Eliminating blood culture false positives: Harnessing the power of nursing shared governance
Dawn Moeller
Advocate Good Shepherd Hospital, USA
Purpose
: Our emergency department struggled with unacceptable blood culture contamination rates due to which this study was
conducted with the purpose to create a self-governing culture within nursing that would lead and sustain the achievement of monthly
blood culture contamination rates below the national benchmark of 3% and the hospital laboratory acceptable threshold of 2.3%.
Design
: Blood cultures: Moving toward zero false positives was an evidence-based quality assurance project developed and
implemented by the emergency department Shared Governance Quality and Safety Council.
Participants
: 100% of all emergency department patients requiring blood cultures, inclusive of pediatric patients, between the time
frames of January 2010 through June 2015 were considered for this study.
Methods
: The Shared Governance Council partnered with the laboratory team to review the monthly epidemiology reports. The
goal was to identify the number and overall percentage of contaminated specimens collected within the emergency department. The
emergency department Shared Governance Council conducted a review of the literature. From the information that was gathered,
the Shared Governance Council created a blood culture collection education tool for the emergency department nursing staff. The
final step was to design a monthly peer review process to perform ongoing causal analysis with those individuals that were linked
with contaminated specimens.
Results & Outcomes
: The evidence demonstrates that the new process decreased the blood culture contamination rate from baseline
of 5.37% down to 1.55%.
Implications
: The chief recommendation is to engage staff through clinical leadership. This quality improvement project translates to
improved patient care and a reduction in unnecessary treatment and costs.
Biography
Dawn Moeller has 30 years of experience in the field of Emergency Medicine. She currently serves at Advocate Good Shepherd Hospital as Clinical Manager
for Emergency and Trauma Services. She has recently published an article in the Journal of Emergency Nursing on eliminating blood culture contaminations by
engaging her front line staff. She has presented nationally on topics such as reducing emergency department recidivism and readmissions, and on how emergency
department operational efficiency promotes a positive patient experience.
Dawn Moeller, J Nurs Care 2017, 6:4(Suppl)
DOI: 10.4172/2167-1168-C1-049