Wei Zhao
A study of the impact of the new digital divide on the ICT competences of rural and urban secondary school teachers in China
Heliyon
ambulatory central lineassociated bloodstream infections clabsis cause significant morbidity mortality especially pediatric oncology studies interventions directed toward caregivers managing central lines cl home reduce ambulatory clabsi rates aimed reduce sustain ambulatory clabsi rate 25 within 3 years start quality improvement intervention plandostudyact cycles implemented beginning april 2016 main intervention familycentered cl care skill development curriculum external cls training began upon hospital cl insertion followed ambulatory teachback program achieve home caregiver cl care independence changes included standardizing ambulatory nurse cl care practice audits train nurse trainer process workshops independent home care agencies developing aids trainers caregivers providing supplies clean surfaces wide dissemination program minimizing opportunities clabsi eg standardizing timing cl removal outcome measure ambulatory clabsi rate excluding mucosal barrier injury laboratoryconfirmed bloodstream infection compared pre intervention january 2015 march 2016 post intervention including 2 years sustainability april 2016 june 2023 using statistical process control charts estimated total number clabsi associated healthcare charges prevented ambulatory clabsi rate decreased 52 025 012 per 1000 cl days post intervention achieved within 27 months 117 clabsi prevented 42 million hospital charges 702 hospital days avoided focusing efforts home caregivers cl care may lead reduction pediatric oncology ambulatory clabsi rates