Assignment: Reduced SSI Rates
Assignment: Reduced SSI Rates
The authors reported an average savings of $2,156 per pa- tient after a combination of educational interventions. However, information on the cost of the educational inter- vention was not provided, so further economic impact calculations could not be made.
Young, Borris-Hale, Falconio-West, and Chakravarthy (2015) provided caregiver education by an interactive
web-based program on pressure ulcer prevention strate- gies including how to use new skin care products and an algorithm for treatment of wounds. The RNs received 7.5 hours of education, and the patient care technicians had 5.5 hours. This education, the development of an algorithm and change in skin care products, resulted in a significant reduction in nosocomial pressure ulcers from a mean of 5.9/month to a mean of 0.2/month after the program. By educating the RNs and patient care technicians, significant cost avoidance was achieved in this long-term care setting. Though ROI was not calculated by the authors, enough in- formation was reported to calculate a 381% ROI for their interventions.
Garrison and Beverage (2018) used the process de- scribed in Opperman et al. (2016b) to calculate the ROI
TABLE 1 Recent Educational Intervention Studies Including Calculation of Economic Impact (2014Y2018)
Citation Project/Methodology Financial Impact Strategy/Intervention Outcomes Measured Frampton et al. (2014)
Systematic review (74 studies)
Decision-analytic economic modelVcost-effectiveness of education intervention to prevent catheter bloodstream infections
Cost-effective to implement educational interventions
Huge variety of educational methods, length and number of contacts with learners
Diverse types of educational interventions reduce incidence of CLABSI
Utilized both educational practices andnoneducational activities
Model showed bundle saved 0.8 CLABSI and 0.3 lives per 100 patients Increased survival by 3.55 years and 2.72 QALYs
Identified need for standardized definitions for blood stream infections
Garrison & Beverage (2018)
Process for NPD tracking ROI to increase awareness
Reviewed 2 projects: peritoneal dialysis (PD) and colon clean closure (Colon).
PD: Results are 91% ROI; staff comfort level went from 2.8 to 4.2
Colon: 409% ROI if reduction of one SSI; staff comfort level was measured as 4.11
PD: Quarterly PD review, three stations with education and return demonstration
Colon: 30-minute live, poster presentations and electronic learning module
PD: Increased nurse comfort level with PD; decreased LOS by 1 day/ year; measured nurse comfort level and learning needs assessment
Colon: Reduced SSI rates and increased comfort level of nursing staff to prevent SSIs
Kram et al. (2015)
ABCDE bundle, delirium, EBP
Awakening, breathing, coordination, delirium, and early mobility
Saved an average of $2,156 per patient
Did not provide the cost of educating staff
Live CE in evidence for bundle; live CE on proper administration of ICDSC tool; online module and paper version available
Decreased average LOS by 1.8 days; reduced length of mechanical ventilation by 1 day; established baseline delirium prevalence of 19% over 3 months
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