Using a checklist to identify barriers to compliance with evidence-based guidelines for central line management: a mixed methods study in Mongolia

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dc.contributor.author Ider, Be en_US
dc.contributor.author Adams, Jon en_US
dc.contributor.author Morton, Ashley en_US
dc.contributor.author Whitby, M en_US
dc.contributor.author Muugolog, T en_US
dc.contributor.author Lundeg, G en_US
dc.contributor.author Clements, Anne en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-10-12T03:34:12Z
dc.date.available 2012-10-12T03:34:12Z
dc.date.issued 2012 en_US
dc.identifier 2011005339 en_US
dc.identifier.citation Ider Be et al. 2012, 'Using a checklist to identify barriers to compliance with evidence-based guidelines for central line management: a mixed methods study in Mongolia', Elsevier Sci Ltd, vol. 16, no. 7, pp. E551-E557. en_US
dc.identifier.issn 1201-9712 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18448
dc.description.abstract This study aimed to determine the extent to which a checklist has potential for identifying barriers to compliance with central line management guidelines, to evaluate the potential utility of checklists to improve the management of central lines in Mongolia, and to define the gap between current and best practices. Methods: A 22-item checklist was developed based on the Centers for Disease Control and Prevention (CDC, USA) guidelines and existing central line-associated bloodstream infection (CLABSI) checklists. The checklist was used to observe 375 central line procedures performed in the intensive care units of four tertiary hospitals of Mongolia between July and December 2010. In parallel, 36 face-to-face interviews were conducted in six other tertiary hospitals to explain practice variations and identify barriers. Results: The baseline compliance level across all components of the checklist was 68.5%. The main factors explaining low levels of compliance were outdated local standards, a lack of updated guidelines, poor control over compliance with existing clinical guidelines, poor supply of medical consumables, and insufficient knowledge of contemporary infection control measures among health care providers. Conclusions: The health authorities of Mongolia need to adequately address the prevention and control of CLABSIs in their hospitals. Updating local standards and guidelines and implementing adequate multifaceted interventions with behavioral, educational, and logistical components are required. Use of a checklist as a baseline evaluation tool was feasible. It described current practice, showed areas that need urgent attention, and provided important information needed for future planning of CLABSI interventions. en_US
dc.language en_US
dc.publisher Elsevier Sci Ltd en_US
dc.relation.isbasedon http://dx.doi.org/10.1016/j.ijid.2012.03.006 en_US
dc.title Using a checklist to identify barriers to compliance with evidence-based guidelines for central line management: a mixed methods study in Mongolia en_US
dc.parent International Journal of Infectious Diseases en_US
dc.journal.volume 16 en_US
dc.journal.number 7 en_US
dc.publocation Oxford en_US
dc.identifier.startpage E551 en_US
dc.identifier.endpage E557 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111700 en_US
dc.personcode 0000068307 en_US
dc.personcode 112076 en_US
dc.personcode 0000033063 en_US
dc.personcode 0000068308 en_US
dc.personcode 0000068309 en_US
dc.personcode 0000081656 en_US
dc.personcode 0000028796 en_US
dc.percentage 100 en_US
dc.classification.name Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Blood-Stream Infections; Catheter-Related Infections; Intensive-Care-Unit; Intervention; Improvement; Prevention; Argentina; Education; Risk en_US


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